Medicaid Provider Spending

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

BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION

NPI: 1962500454 · WESTMINSTER, CA 92683 · Ambulatory Surgical Clinic/Center · NPI assigned 09/20/2006

$1.27M
Total Medicaid Paid
52,911
Total Claims
45,756
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPHAM, CO (PRESIDENT)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: PHAM, CO

ProviderCityStateTotal Paid
BOLSA MEDICAL GROUP WESTMINSTER CA $7.72M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,521 $309K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 6,733 4,528 $465K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3,552 2,379 $220K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,595 1,817 $213K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,330 1,076 $200K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,607 1,109 $132K
V2630 Anterior chamber intraocular lens 668 655 $20K
V2632 Posterior chamber intraocular lens 488 485 $18K
J7120 Ringers lactate infusion, up to 1000 cc 3,486 3,279 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 5,495 5,218 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,140 4,897 $2K
J2704 Injection, propofol, 10 mg 2,395 2,360 $192.72
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 569 553 $98.84
0760 2,524 2,351 $0.00
99281 Emergency department visit for the evaluation and management, self-limited or minor 101 34 $0.00
0360 5,453 4,927 $0.00
G9656 Patient transferred directly from anesthetizing location to pacu or other non-icu location 729 728 $0.00
J7030 Infusion, normal saline solution , 1000 cc 1,878 1,750 $0.00
99215 Prolong outpt/office vis 727 726 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 13 13 $0.00
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 365 178 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 12 12 $0.00
0490 104 96 $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 44 44 $0.00
A4550 Surgical trays 50 50 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 38 38 $0.00
99234 740 739 $0.00
0250 348 242 $0.00
0710 5,189 4,971 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 52 52 $0.00
0769 123 123 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 65 64 $0.00
A4217 Sterile water/saline, 500 ml 65 65 $0.00
99241 12 12 $0.00
0270 130 105 $0.00
0258 79 68 $0.00
J0690 Injection, cefazolin sodium, 500 mg 12 12 $0.00