Cleveland Ambulatory Services, LLC

Cleveland Ambulatory Services, LLC was paid $798K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 85% of everything it billed.

33Billing provider infoCLEVELAND AMBULATORY SERVICES, LLC
SHELBY, NC 28150

33aNPI1679570022assigned 06/30/2005

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$798K

24GClaims1,784

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in North Carolina

Rank by total paid#16 of 89

Median peer was paid$104K

This provider vs. median7.7×

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	226	$137K
2019	200	$118K
2020	89	$53K
2021	79	$38K
2022	379	$130K
2023	548	$212K
2024incomplete	263	$111K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	85%	1,435	1,053	$675K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room	6.0%	73	58	$48K
42820	Tonsillectomy and adenoidectomy; younger than age 12	4.8%	96	82	$38K
42830		2.4%	46	43	$19K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.5%	80	49	$12K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	33	28	$6K
D7140	Extraction, erupted tooth or exposed root	0%	21	16	$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 officialTURNER, SHAYNE (ADMINISTRATOR)