Clinic
Surgcenter of Western Maryland, LLC
Surgcenter of Western Maryland, LLC was paid $35K by Medicaid between May 2018 and Apr 2023, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 72% of everything it billed.
33Billing provider infoSURGCENTER OF WESTERN MARYLAND, LLC
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1699054098assigned 08/16/2011
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$35K
24GClaims271
24DCodes billed5
24AFirst – last monthMay 2018 – Apr 2023
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Maryland
Rank by total paid#49 of 114
Median peer was paid$25K
This provider vs. median1.4×
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 | 141 | $0.00 | |
| 2020 | 41 | $14K | |
| 2021 | 47 | $9K | |
| 2022 | 25 | $6K | |
| 2023 | 17 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 72% | 101 | 96 | $25K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 19% | 17 | 12 | $7K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.0% | 12 | 12 | $3K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 64 | 51 | $0.00 |
| 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% | 77 | 64 | $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 officialGHOBRIAL, TOM (CEO)