SOUTHWESTERN AMBULATORY SURGERY CENTER, LLC

NPI: 1912933680 · PITTSBURGH, PA 15122 · Ambulatory Surgical Clinic/Center · NPI assigned 06/24/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BAILEY, JONATHAN controls 20+ related entities in our dataset. Read more

$1.65M

Total Medicaid Paid

9,472

Total Claims

9,369

Beneficiaries

Codes Billed

2020-12

First Month

2024-12

Last Month

Provider Details

Authorized Official	BAILEY, JONATHAN (OFFICER / AUTHORIZED OFFICIAL)
NPI Enumeration Date	06/24/2006

Other providers sharing the same authorized official: BAILEY, JONATHAN

Provider	City	State	Total Paid
METROPOLITAN NEW JERSEY, LLC	HACKENSACK	NJ	$2.94M
WISCONSIN LASER AND SURGERY CENTER LLC	MILWAUKEE	WI	$2.88M
SHORE OUTPATIENT SURGICENTER LLC	LAKEWOOD	NJ	$2.50M
ARC WORCESTER CENTER, L.P.	WORCESTER	MA	$1.18M
NORTH HAVEN SURGERY CENTER LLC	NORTH HAVEN	CT	$863K
GRANT SURGICENTER LLC	PHILADELPHIA	PA	$612K
SURGICAL SPECIALISTS AT PRINCETON LLC	PRINCETON	NJ	$594K
CESC, LLC	ELLSWORTH	ME	$535K
RSC ILLINOIS LLC	MOLINE	IL	$408K
COASTAL ENDO, LLC	BARNEGAT	NJ	$407K
CENTRAL MAINE EYE SURGERY CENTER LLC	LEWISTON	ME	$345K
ENDOSCOPY CENTER OF HACKENSACK, LLC	HACKENSACK	NJ	$262K
HERSHEY OUTPATIENT SURGERY CENTER LP	HERSHEY	PA	$186K
MINIMALLY INVASIVE SURGERY CENTER OF N.E., LLC	BEDFORD	NH	$170K
GRAND RAPIDS SURGICAL SUITES LLC	GRAND RAPIDS	MI	$112K
ROCKWALL COUNTY HELPING HANDS, INC.	ROCKWALL	TX	$106K
HAZLETON SURGERY CENTER, LLC	HAZLETON	PA	$97K
SURGICAL INSTITUTE OF READING LLC	WYOMISSING	PA	$96K
NORTHERN MICHIGAN SURGICAL SUITES, LLC	BOYNE CITY	MI	$93K
SUMMIT AMBULATORY SURGICAL CENTER, LLC	BALTIMORE	MD	$87K

Code	Description	Claims	Beneficiaries	Total Paid
D2930	Prefabricated stainless steel crown - primary tooth	1,438	1,428	$1.24M
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	927	918	$172K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	121	100	$112K
D7140	Extraction, erupted tooth or exposed root	944	934	$40K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	213	209	$30K
D2390		263	261	$18K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	810	803	$17K
D2391	Resin-based composite - one surface, posterior, primary or permanent	74	74	$10K
D1351	Sealant - per tooth	136	135	$7K
D1120	Prophylaxis - child	935	929	$3K
D0220	Intraoral - periapical first radiographic image	1,143	1,131	$1K
D0230	Intraoral - periapical each additional radiographic image	924	913	$478.80
D0272	Bitewings - two radiographic images	908	903	$216.00
D1206	Topical application of fluoride varnish	607	602	$153.00
D3120		29	29	$0.00