Clinic
Madison Surgery Center, LLC
Madison Surgery Center, LLC was paid $40K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 71% of everything it billed.
33Billing provider infoMADISON SURGERY CENTER, LLC
MADISON, AL 35758
MADISON, AL 35758
33aNPI1356369755assigned 07/17/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$40K
24GClaims381
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Alabama
Rank by total paid#13 of 33
Median peer was paid$7K
This provider vs. median5.8×
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 | 97 | $0.00 | |
| 2019 | 55 | $0.00 | |
| 2020 | 14 | $0.00 | |
| 2023 | 101 | $21K | |
| 2024incomplete | 114 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 71% | 66 | 65 | $29K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 26% | 79 | 40 | $10K |
| 30801 | 3.0% | 15 | 13 | $1K | |
| 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% | 137 | 133 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 29 | 27 | $0.00 |
| 69990 | 0% | 27 | 27 | $0.00 | |
| L8699 | Prosthetic implant, not otherwise specified | 0% | 28 | 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 officialKELLY, MARY ANN (ADMINISTRATOR)