SAN MARTIN SURGERY CENTER LLC SOS Verified
8530 W SUNSET RD STE 100, LAS VEGAS, NV 89113
NPI Number
1023218500
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SAN MARTIN SURGERY CENTER, LLC
Entity Number: E0317862005-3
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2005-05-23
Status Changed: 2012-06-11
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | DIGNITY/USP SURGERY CENTERS OF LAS VEGAS | 14201 DALLAS PARKWAY, DALLAS, TX | Active |
| Other | ERIC BOON | 14201 Dallas Pkwy, Fl 13, Dallas, TX | Active |
| Manager | James Bowden | 14201 DALLAS PKWY, FL 13, Dallas, TX | Active |
| Manager | Matt Luke | 14201 DALLAS PKWY, FL 13, Dallas, TX | Active |
Total Medicaid Payments
$1,168,116
-19% vs specialty average
Patients Seen
5,145
Total Claims
6,719
$ Per Patient
$227
Specialty avg: $286
Specialty Rank
#13 of 52
Clinic/Center, Ambulatory Surgical providers in Nevada
Peer Average
$1,437,364
Average total for Clinic/Center, Ambulatory Surgical
Claims per Patient
1.3
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $213,046 | |
| 2019 | $245,640 | |
| 2020 | $284,229 | |
| 2021 | $277,789 | |
| 2022 | $33,736 | |
| 2023 | $83,338 | |
| 2024 | $30,339 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 43239 | Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample) | 1,911 | $332,168 | 28.4% | $174 |
| 45378 | Colonoscopy — camera exam of the large intestine (diagnostic) | 1,117 | $298,627 | 25.6% | $267 |
| 64483 | Nerve block injection — epidural for back pain | 1,709 | $217,246 | 18.6% | $127 |
| 45380 | Colonoscopy with biopsy (tissue sample) | 915 | $179,487 | 15.4% | $196 |
| 64493 | Brain, spine, or nerve surgery | 324 | $69,107 | 5.9% | $213 |
| 64494 | Brain, spine, or nerve surgery | 169 | $37,071 | 3.2% | $219 |
| 45385 | Colonoscopy with removal of polyps (growths) | 87 | $16,946 | 1.5% | $195 |
| 64484 | Brain, spine, or nerve surgery | 97 | $11,121 | 1.0% | $115 |
| 64479 | Brain, spine, or nerve surgery | 32 | $6,344 | 0.5% | $198 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 56 | $0 | 0.0% | $0 |
| 76000 | Diagnostic ultrasound or fluoroscopy | 17 | $0 | 0.0% | $0 |
| 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 transfe... | 285 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.