Clinic
Covina Surgery Center, LLC
Covina Surgery Center, LLC was paid $532K by Medicaid between Mar 2018 and Aug 2024, across 10 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 99% of everything it billed.
33Billing provider infoCOVINA SURGERY CENTER, LLC
COVINA, CA 91723
COVINA, CA 91723
33aNPI1811133663assigned 12/29/2008
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$532K
24GClaims1,028
24DCodes billed10
24AFirst – last monthMar 2018 – Aug 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#130 of 347
Median peer was paid$191K
This provider vs. median2.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 611 | $83K | |
| 2019 | 93 | $54K | |
| 2020 | 29 | $37K | |
| 2021 | 98 | $104K | |
| 2022 | 74 | $88K | |
| 2023 | 94 | $120K | |
| 2024incomplete | 29 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 99% | 607 | 452 | $527K |
| 99236 | Prolong inpt eval add15 m | <1% | 61 | 55 | $3K |
| 99070 | <1% | 114 | 55 | $1K | |
| 99219 | <1% | 30 | 26 | $1K | |
| J0461 | Injection, atropine sulfate, 0.01 mg | <1% | 30 | 27 | $29.39 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 44 | 40 | $27.85 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 44 | 40 | $27.58 |
| J3490 | Unclassified drugs | <1% | 56 | 25 | $1.43 |
| 99217 | 0% | 29 | 25 | $0.00 | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 0% | 13 | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKHALAF, JOHN (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| John Khalaf DDS, INC. | Covina, CA | $1.80M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.