Clinic
ST Dominic Ambulatory Surgery Center L L C
ST Dominic Ambulatory Surgery Center L L C was paid $221K by Medicaid between Jan 2018 and Sep 2023, across 13 billing codes. Its largest line is 62323, — 80% of everything it billed.
33Billing provider infoST DOMINIC AMBULATORY SURGERY CENTER L L C
JACKSON, MS 39216
JACKSON, MS 39216
33aNPI1255303517assigned 02/02/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$221K
24GClaims3,684
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Mississippi
Rank by total paid#22 of 45
Median peer was paid$217K
This provider vs. median1.0×
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 | 997 | $44K | |
| 2019 | 976 | $54K | |
| 2020 | 677 | $37K | |
| 2021 | 741 | $54K | |
| 2022 | 224 | $24K | |
| 2023 | 69 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 62323 | 80% | 1,684 | 1,490 | $177K | |
| 64493 | 10% | 175 | 110 | $23K | |
| 62321 | 4.5% | 92 | 79 | $10K | |
| 64635 | 3.4% | 31 | 26 | $8K | |
| 64483 | 1.1% | 15 | 15 | $2K | |
| 20610 | <1% | 102 | 76 | $1K | |
| 27096 | <1% | 18 | 12 | $400.63 | |
| 64495 | <1% | 102 | 84 | $146.30 | |
| 64494 | 0% | 102 | 84 | $0.00 | |
| 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% | 1,268 | 1,184 | $0.00 |
| 64636 | 0% | 38 | 15 | $0.00 | |
| 77002 | 0% | 12 | 12 | $0.00 |
1 more codes
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 45 | $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 officialYELVERTON, RICHARD (MEDICAL DIRECTOR)