Clinic
Archibald Surgery Center, LLC
Archibald Surgery Center, LLC was paid $345K by Medicaid between Dec 2018 and Oct 2024, across 9 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 55% of everything it billed.
33Billing provider infoARCHIBALD SURGERY CENTER, LLC
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1982975959assigned 01/23/2012
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$345K
24GClaims798
24DCodes billed9
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in California
Rank by total paid#147 of 347
Median peer was paid$191K
This provider vs. median1.8×
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 | 82 | $17K | |
| 2019 | 157 | $35K | |
| 2020 | 44 | $13K | |
| 2021 | 62 | $9K | |
| 2023 | 155 | $93K | |
| 2024incomplete | 298 | $178K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 55% | 214 | 182 | $188K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.4% | 67 | 67 | $32K |
| 64493 | 8.6% | 248 | 96 | $30K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.8% | 71 | 71 | $27K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 7.7% | 59 | 59 | $26K |
| 64495 | 4.5% | 57 | 30 | $16K | |
| 64494 | 4.5% | 57 | 30 | $16K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.1% | 13 | 13 | $7K |
| 66821 | <1% | 12 | 12 | $2K |
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 officialSHIVARAM, SUNIL (MEDICAL DIRECTOR)