Clinic
Surgery Center of Lynchburg LLC
Surgery Center of Lynchburg LLC was paid $800K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 47% of everything it billed.
33Billing provider infoSURGERY CENTER OF LYNCHBURG LLC
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
33aNPI1598797714assigned 07/07/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$800K
24GClaims2,837
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Virginia
Rank by total paid#11 of 55
Median peer was paid$123K
This provider vs. median6.5×
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.
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 | 753 | $98K | |
| 2019 | 893 | $153K | |
| 2020 | 274 | $74K | |
| 2021 | 137 | $34K | |
| 2022 | 133 | $59K | |
| 2023 | 445 | $234K | |
| 2024incomplete | 202 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 47% | 796 | 734 | $374K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 33% | 328 | 310 | $262K |
| 64483 | 9.3% | 461 | 342 | $74K | |
| 52000 | 4.6% | 209 | 167 | $37K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 3.4% | 129 | 99 | $27K |
| 62321 | 2.2% | 67 | 52 | $18K | |
| 64635 | <1% | 16 | 13 | $7K | |
| 62323 | <1% | 13 | 12 | $1K | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 760 | 585 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 58 | 52 | $0.00 |
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 officialCAPRISE, PETER (BOARD PRESIDENT)