Clinic
Bolsa Outpatient Surgery Center a Medical Corporation
Bolsa Outpatient Surgery Center a Medical Corporation was paid $1.27M by Medicaid between Jan 2018 and Oct 2024, across 36 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 36% of everything it billed.
33Billing provider infoBOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
WESTMINSTER, CA 92683
WESTMINSTER, CA 92683
33aNPI1962500454assigned 09/20/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.27M
24GClaims52,911
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#86 of 347
Median peer was paid$191K
This provider vs. median6.7×
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 | 9,713 | $9K | |
| 2019 | 6,240 | $7K | |
| 2020 | 7,025 | $61K | |
| 2021 | 10,953 | $184K | |
| 2022 | 12,202 | $314K | |
| 2023 | 5,257 | $391K | |
| 2024incomplete | 1,521 | $309K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 36% | 6,733 | 4,528 | $465K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 3,552 | 2,379 | $220K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 17% | 2,595 | 1,817 | $213K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 16% | 1,330 | 1,076 | $200K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 10% | 1,607 | 1,109 | $132K |
| V2630 | Anterior chamber intraocular lens | 1.6% | 668 | 655 | $20K |
| V2632 | Posterior chamber intraocular lens | 1.4% | 488 | 485 | $18K |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 3,486 | 3,279 | $3K |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 5,495 | 5,218 | $2K |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 5,140 | 4,897 | $2K |
| J2704 | Injection, propofol, 10 mg | <1% | 2,395 | 2,360 | $192.72 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 569 | 553 | $98.84 |
24 more codes
| 0760 | 0% | 2,524 | $0.00 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 0% | 101 | $0.00 |
| 0360 | 0% | 5,453 | $0.00 | |
| G9656 | Patient transferred directly from anesthetizing location to pacu or other non-icu location | 0% | 729 | $0.00 |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 1,878 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 727 | $0.00 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | 0% | 13 | $0.00 |
| A0429 | Emergency ambulance ride, basic life support | 0% | 365 | $0.00 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | 0% | 12 | $0.00 |
| 0490 | 0% | 104 | $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 | 0% | 44 | $0.00 |
| A4550 | Surgical trays | 0% | 50 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 38 | $0.00 |
| 99234 | 0% | 740 | $0.00 | |
| 0250 | 0% | 348 | $0.00 | |
| 0710 | 0% | 5,189 | $0.00 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 52 | $0.00 |
| 0769 | 0% | 123 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 65 | $0.00 |
| A4217 | Sterile water/saline, 500 ml | 0% | 65 | $0.00 |
| 99241 | 0% | 12 | $0.00 | |
| 0270 | 0% | 130 | $0.00 | |
| 0258 | 0% | 79 | $0.00 | |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 12 | $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 officialPHAM, CO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Bolsa Medical Group | Westminster, CA | $7.72M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.