Clinic
4TH Street Laser & Surgery Center INC
4TH Street Laser & Surgery Center INC was paid $164K by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 100% of everything it billed.
33Billing provider info4TH STREET LASER & SURGERY CENTER INC
SANTA ROSA, CA 95404
SANTA ROSA, CA 95404
33aNPI1902964174assigned 12/04/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$164K
24GClaims1,045
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#181 of 347
Median peer was paid$191K
This provider vs. median0.9×
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 | 121 | $14K | |
| 2019 | 107 | $21K | |
| 2020 | 51 | $9K | |
| 2021 | 77 | $12K | |
| 2022 | 109 | $17K | |
| 2023 | 332 | $52K | |
| 2024incomplete | 248 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 100% | 1,013 | 779 | $164K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 0% | 32 | 29 | $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 officialCLARK, ELAYNE (ADMINISTRATOR)