Clinic
Miami Children's Hospital Ambulatory Surgery Center, LLC
Miami Children's Hospital Ambulatory Surgery Center, LLC was paid $11.30M by Medicaid between May 2018 and Dec 2024, across 12 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 25% of everything it billed.
33Billing provider infoMIAMI CHILDREN'S HOSPITAL AMBULATORY SURGERY CENTER, LLC
MIAMI, FL 33174
MIAMI, FL 33174
33aNPI1316341514assigned 10/16/2014
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$11.30M
24GClaims20,902
24DCodes billed12
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Florida
Rank by total paid#5 of 165
Median peer was paid$41K
This provider vs. median275×
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 | 502 | $226K | |
| 2019 | 4,411 | $2.29M | |
| 2020 | 1,770 | $907K | |
| 2021 | 2,248 | $1.07M | |
| 2022 | 3,567 | $1.87M | |
| 2023 | 4,828 | $2.88M | |
| 2024incomplete | 3,576 | $2.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 25% | 3,011 | 2,901 | $2.79M |
| 42830 | 22% | 2,178 | 2,069 | $2.50M | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 22% | 5,077 | 4,398 | $2.44M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 8.9% | 2,850 | 2,792 | $1.00M |
| 30930 | 7.6% | 2,425 | 2,240 | $864K | |
| 30802 | 6.2% | 3,313 | 3,106 | $705K | |
| 54161 | 6.0% | 979 | 964 | $676K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.2% | 614 | 608 | $131K |
| 44361 | <1% | 207 | 207 | $82K | |
| 41010 | <1% | 220 | 219 | $78K | |
| 42821 | <1% | 15 | 15 | $15K | |
| 54640 | <1% | 13 | 13 | $11K |
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 officialREINIS, RUBEN (ADMINISTRATIVE DIRECTOR)