Clinic
Premium Surgery Center LLC
Premium Surgery Center LLC was paid $16K by Medicaid between Mar 2018 and Aug 2019, across 1 billing code. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 100% of everything it billed.
33Billing provider infoPREMIUM SURGERY CENTER LLC
ELYRIA, OH 44035
ELYRIA, OH 44035
33aNPI1588633184assigned 03/16/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$16K
24GClaims30
24DCodes billed1
24AFirst – last monthMar 2018 – Aug 2019
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Ohio
Rank by total paid#73 of 100
Median peer was paid$222K
This provider vs. median0.1×
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 | 13 | $9K | |
| 2019 | 17 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 100% | 30 | 25 | $16K |
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 officialBEE, ROSE (TITLE ADMIN)