Shore Outpatient Surgicenter LLC

Shore Outpatient Surgicenter LLC was paid $2.50M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 47% of everything it billed.

33Billing provider infoSHORE OUTPATIENT SURGICENTER LLC
LAKEWOOD, NJ 08701

33aNPI1366449571assigned 07/01/2005

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$2.50M

24GClaims6,979

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in New Jersey

Rank by total paid#16 of 106

Median peer was paid$268K

This provider vs. median9.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BAILEY, JONATHAN controls 20+ related entities in our dataset. Read more

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	1,039	$417K
2019	897	$349K
2020	603	$225K
2021	1,167	$401K
2022	1,212	$422K
2023	1,188	$408K
2024incomplete	873	$274K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	47%	3,330	3,145	$1.17M
45380	Colonoscopy, flexible; with biopsy, single or multiple	24%	1,760	1,657	$598K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	15%	915	868	$375K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	14%	974	897	$355K

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 officialBAILEY, JONATHAN (AUTHORIZED OFFICIAL)

Same official

Other billing entities under BAILEY, JONATHAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.