Clinic
Biltmore Surgical Partners, LLC
Biltmore Surgical Partners, LLC was paid $1.04M by Medicaid between Oct 2020 and Nov 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 41% of everything it billed.
33Billing provider infoBILTMORE SURGICAL PARTNERS, LLC
PHOENIX, AZ 85027
PHOENIX, AZ 85027
33aNPI1477886406assigned 09/09/2009
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.04M
24GClaims4,142
24DCodes billed5
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Arizona
Rank by total paid#25 of 118
Median peer was paid$267K
This provider vs. median3.9×
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 | |
|---|---|---|---|
| 2020 | 201 | $47K | |
| 2021 | 1,020 | $251K | |
| 2022 | 927 | $219K | |
| 2023 | 993 | $243K | |
| 2024incomplete | 1,001 | $279K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 41% | 1,978 | 1,926 | $428K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 39% | 1,433 | 1,379 | $400K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 19% | 680 | 651 | $198K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | <1% | 39 | 39 | $9K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | 12 | $3K |
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 officialHOGUE, JEREMY (DIRECTOR)