Clinic
Virginia Ent Surgery Center INC
Virginia Ent Surgery Center INC was paid $1.97M by Medicaid between May 2019 and Dec 2024, across 3 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 55% of everything it billed.
33Billing provider infoVIRGINIA ENT SURGERY CENTER INC
RICHMOND, VA 23230
RICHMOND, VA 23230
33aNPI1518450790assigned 06/12/2018
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.97M
24GClaims3,103
24DCodes billed3
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Virginia
Rank by total paid#3 of 55
Median peer was paid$123K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2019 | 263 | $106K | |
| 2020 | 307 | $152K | |
| 2021 | 193 | $100K | |
| 2022 | 354 | $217K | |
| 2023 | 815 | $556K | |
| 2024incomplete | 1,171 | $834K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 55% | 2,073 | 1,839 | $1.07M |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 32% | 713 | 673 | $622K |
| 42830 | 14% | 317 | 293 | $271K |
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 officialHICKEY, SUSAN (CEO)