Advanced Breast & Cosmetic Surgery INC

Advanced Breast & Cosmetic Surgery INC was paid $14K by Medicaid between May 2018 and Oct 2024, across 6 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 28% of everything it billed.

33Billing provider infoADVANCED BREAST & COSMETIC SURGERY INC
KETTERING, OH 45429

33aNPI1811098452assigned 09/26/2006

33bProvider typePlastic Surgery Physician

28Total paid$14K

24GClaims845

24DCodes billed6

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Plastic Surgery Physician providers in Ohio

Rank by total paid#2 of 8

Median peer was paid$591.66

This provider vs. median23×

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	87	$636.57
2019	18	$342.35
2020	39	$501.39
2021	315	$6K
2022	260	$2K
2023	80	$2K
2024incomplete	46	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	28%	127	101	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	497	340	$3K
15002		22%	57	24	$3K
99223	Prolong inpt eval add15 m	18%	46	45	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.7%	87	59	$636.57
99221		4.6%	31	24	$626.94

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 officialWIMALAWANSA, SUNISHKA (PRESIDENT)