Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Grand Valley Surgical Center, LLC

Grand Valley Surgical Center, LLC was paid $1.79M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 96% of everything it billed.

33Billing provider infoGRAND VALLEY SURGICAL CENTER, LLC
GRAND JUNCTION, CO 81501
33aNPI1942207196assigned 07/01/2005
28Total paid$1.79M
24GClaims2,800
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Colorado

Rank by total paid#5 of 76
Median peer was paid$126K
This provider vs. median14×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018460$259K
2019621$325K
2020297$247K
2021279$300K
2022298$292K
2023363$184K
2024incomplete482$178K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
41899 Unlisted procedure, dentoalveolar structures 96% 1,694 1,468 $1.71M
42820 Tonsillectomy and adenoidectomy; younger than age 12 2.8% 94 86 $51K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1.2% 64 54 $22K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 21 14 $6K
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 0% 418 269 $0.00
A4649 Surgical supply; miscellaneous 0% 394 342 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 0% 115 69 $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 officialSCHWARZBACH, MITCHELL (ADMINISTRATOR)