SUN VALLEY SURGERY CENTER, LLC SOS Verified
4090 N MLK BLVD, NORTH LAS VEGAS, NV 89032
NPI Number
1114266970
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SUN VALLEY SURGERY CENTER, LLC
Entity Number: E0002102011-1
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2011-01-03
Name Match: 95%
Registered Agent
Name: SUN VALLEY SURGERY CENTER, LLC C/O MEDICAL DIRECTOR/OWNER
Type: Non-Commercial Registered Agent
Address: 4090 N MARTIN LUTHER KING BLVD., NORTH LAS VEGAS, NV, 89032
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | C I GARAYCOCHEA, MD PROF. CORP. | 5917 HEAVEN VIEW DR, LAS VEGAS, NV, 89135 | Active |
| Mmember | STUART A. WEICHERS, M.D., P.C. | 1291 GALLERIA DRIVE SUITE 220, HENDERSON, NV, 89104 | Active |
Total Medicaid Payments
$16,788,237
+1068% vs specialty average
Patients Seen
19,484
Total Claims
23,042
$ Per Patient
$862
Specialty avg: $286
Specialty Rank
#1 of 52
Clinic/Center, Ambulatory Surgical providers in Nevada
Peer Average
$1,437,364
Average total for Clinic/Center, Ambulatory Surgical
Claims per Patient
1.2
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 | $1,739,159 | |
| 2019 | $2,456,864 | |
| 2020 | $1,788,672 | |
| 2021 | $2,158,746 | |
| 2022 | $2,683,169 | |
| 2023 | $2,784,960 | |
| 2024 | $3,176,666 |
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 |
|---|---|---|---|---|---|
| 41899 | Dental or mouth surgery — other procedure not listed elsewhere | 19,956 | $16,632,874 | 99.1% | $833 |
| D2930 | Stainless steel crown — prefabricated (primary tooth) | 1,395 | $121,249 | 0.7% | $87 |
| D9420 | Hospital dental care — using the hospital for dental treatment (per hour) | 513 | $19,585 | 0.1% | $38 |
| D0230 | Additional dental X-ray | 1,139 | $10,358 | 0.1% | $9 |
| D2933 | Dental filling, crown, or restoration | 39 | $4,171 | 0.0% | $107 |
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.