Clinic
Ardmore Regional Surgery Center, LLC
Ardmore Regional Surgery Center, LLC was paid $1.10M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 97% of everything it billed.
33Billing provider infoARDMORE REGIONAL SURGERY CENTER, LLC
ARDMORE, OK 73401
ARDMORE, OK 73401
33aNPI1376709907assigned 08/04/2008
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.10M
24GClaims2,924
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Oklahoma
Rank by total paid#7 of 35
Median peer was paid$442K
This provider vs. median2.5×
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.
Single-Code Concentration97% of spending on code D9999 with only 2 total codes billed. Highly concentrated billing profile.
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 | 561 | $195K | |
| 2019 | 526 | $194K | |
| 2020 | 410 | $158K | |
| 2021 | 455 | $176K | |
| 2022 | 405 | $159K | |
| 2023 | 317 | $120K | |
| 2024incomplete | 250 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 97% | 2,816 | 2,816 | $1.07M |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 3.0% | 108 | 55 | $33K |
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 officialGODFREY, SALLY (ADMINISTRATOR)