Medicaid Provider Spending

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

ARCHIBALD SURGERY CENTER, LLC

NPI: 1982975959 · RANCHO CUCAMONGA, CA 91730 · Ambulatory Surgical Clinic/Center · NPI assigned 01/23/2012

$345K
Total Medicaid Paid
798
Total Claims
560
Beneficiaries
9
Codes Billed
2018-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSHIVARAM, SUNIL (MEDICAL DIRECTOR)
NPI Enumeration Date01/23/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 82 $17K
2019 157 $35K
2020 44 $13K
2021 62 $9K
2023 155 $93K
2024 298 $178K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 214 182 $188K
45380 Colonoscopy, flexible; with biopsy, single or multiple 67 67 $32K
64493 248 96 $30K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 71 71 $27K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 59 59 $26K
64495 57 30 $16K
64494 57 30 $16K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 13 13 $7K
66821 12 12 $2K