Clinic
Surgery Center of Pinehurst, LLC
Surgery Center of Pinehurst, LLC was paid $813K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 48% of everything it billed.
33Billing provider infoSURGERY CENTER OF PINEHURST, LLC
PINEHURST, NC 28374
PINEHURST, NC 28374
33aNPI1003860917assigned 05/22/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$813K
24GClaims3,787
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in North Carolina
Rank by total paid#15 of 89
Median peer was paid$104K
This provider vs. median7.9×
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 | 490 | $64K | |
| 2019 | 327 | $70K | |
| 2020 | 173 | $51K | |
| 2021 | 198 | $34K | |
| 2022 | 838 | $162K | |
| 2023 | 1,153 | $248K | |
| 2024incomplete | 608 | $185K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 48% | 1,433 | 773 | $393K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 25% | 460 | 406 | $202K |
| 42830 | 18% | 311 | 249 | $144K | |
| 30140 | 5.8% | 203 | 100 | $47K | |
| 67311 | 2.1% | 30 | 28 | $17K | |
| 62323 | 1.2% | 83 | 64 | $10K | |
| L8699 | Prosthetic implant, not otherwise specified | <1% | 518 | 422 | $59.34 |
| C1889 | Implantable/insertable device, not otherwise classified | <1% | 499 | 398 | $3.76 |
| 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 | 0% | 183 | 181 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 40 | 39 | $0.00 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 0% | 27 | 27 | $0.00 |
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 officialCRANSTON, NICK (ADMINISTRATOR)