Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TUCSON DIGESTIVE INSTITUTE LLC

NPI: 1932636123 · TUCSON, AZ 85741 · Ambulatory Surgical Clinic/Center · NPI assigned 05/18/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOON, ERIC controls 20+ related entities in our dataset. Read more

$2.53M
Total Medicaid Paid
10,672
Total Claims
9,627
Beneficiaries
6
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOON, ERIC (OFFICER/AUTHORIZED OFFICIAL)
NPI Enumeration Date05/18/2017

Related Entities

Other providers sharing the same authorized official: BOON, ERIC

ProviderCityStateTotal Paid
ST. JOSEPH'S OUTPATIENT SURGERY CENTER, LLC PHOENIX AZ $14.50M
SURGERY CENTER OF PEORIA, LLC PEORIA AZ $7.00M
PRESBYTERIAN HOSPITAL ASC ALBUQUERQUE NM $6.22M
NEW MEXICO ORTHOPAEDIC SURGERY CENTER, LLC ALBUQUERQUE NM $5.07M
ST. JOSEPH'S SURGERY CENTER LP STOCKTON CA $4.69M
SURGICAL ELITE OF AVONDALE, LLC AVONDALE AZ $4.40M
MED-LASER SURGICAL CENTER LLC MONTEBELLO CA $4.29M
MERCED AMBULATORY SURGERY CENTER, LLC MERCED CA $4.12M
CAMP LOWELL SURGERY CENTER,LLC TUCSON AZ $3.59M
SURGERY CENTER OF SCOTTSDALE LLC GLENDALE AZ $3.50M
CENTER FOR ENDOSCOPY LLC OCEANSIDE CA $2.15M
PACIFIC ENDOSCOPY CENTER, LLC PEARL CITY HI $2.00M
SURGERY CENTER OF SCOTTSDALE, LLC GILBERT AZ $1.92M
GRASS VALLEY OUTPATIENT SURGERY CENTER LP GRASS VALLEY CA $1.63M
VALLEY SURGERY CENTER AT MODESTO, LLC MODESTO CA $1.24M
GASTROENTEROLOGY ASSOCIATES, LLC OLYMPIA WA $1.23M
SAN MARTIN SURGERY CENTER LLC LAS VEGAS NV $1.17M
PHYSICIANS SURGERY CENTER OF MODESTO LLC MODESTO CA $1.13M
ORTHOPEDIC AND SURGICAL SPECIALTY COMPANY, LLC PHOENIX AZ $1.12M
NORTH STATE SURGERY CENTERS LP REDDING CA $1.02M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 603 $103K
2019 1,716 $361K
2020 1,367 $315K
2021 1,981 $454K
2022 1,826 $452K
2023 1,891 $487K
2024 1,288 $355K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,783 4,310 $1.09M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,997 2,727 $741K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,532 1,388 $385K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,306 1,152 $309K
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 27 25 $0.00
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 27 25 $0.00