Clinic
Apple Hill Surgical Center Partners
Apple Hill Surgical Center Partners was paid $283K by Medicaid between May 2018 and Nov 2021, across 5 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 36% of everything it billed.
33Billing provider infoAPPLE HILL SURGICAL CENTER PARTNERS
YORK, PA 17403
YORK, PA 17403
33aNPI1801892724assigned 06/24/2005
33bProvider typeClinic/Center
28Total paid$283K
24GClaims1,007
24DCodes billed5
24AFirst – last monthMay 2018 – Nov 2021
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#98 of 176
Median peer was paid$441K
This provider vs. median0.6×
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 | 14 | $0.00 | |
| 2020 | 153 | $38K | |
| 2021 | 840 | $245K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 36% | 358 | 351 | $101K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 29% | 170 | 167 | $82K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 19% | 345 | 340 | $53K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 17% | 120 | 118 | $47K |
| 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% | 14 | 12 | $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 officialDIAMOND, VICTORIA (SR VP)
Parent organizationAPPLE HILL SURGICAL CENTER INC.