Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Southwestern Ambulatory Surgery Center, LLC

Southwestern Ambulatory Surgery Center, LLC was paid $1.65M by Medicaid between Dec 2020 and Dec 2024, across 15 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 75% of everything it billed.

33Billing provider infoSOUTHWESTERN AMBULATORY SURGERY CENTER, LLC
PITTSBURGH, PA 15122
33aNPI1912933680assigned 06/24/2006
28Total paid$1.65M
24GClaims9,472
24DCodes billed15
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania

Rank by total paid#11 of 119
Median peer was paid$57K
This provider vs. median29×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BAILEY, JONATHAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2020191$28K
20212,629$480K
20222,867$384K
20232,385$348K
2024incomplete1,400$412K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 75% 1,438 1,428 $1.24M
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 10% 927 918 $172K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 6.8% 121 100 $112K
D7140 Extraction, erupted tooth or exposed root 2.4% 944 934 $40K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.8% 213 209 $30K
D2390 1.1% 263 261 $18K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1.1% 810 803 $17K
D2391 Resin-based composite - one surface, posterior, primary or permanent <1% 74 74 $10K
D1351 Sealant - per tooth <1% 136 135 $7K
D1120 Dental cleaning, childProphylaxis - child <1% 935 929 $3K
D0220 Intraoral - periapical first radiographic image <1% 1,143 1,131 $1K
D0230 Intraoral - periapical each additional radiographic image <1% 924 913 $478.80
3 more codes
D0272 Bitewings - two radiographic images <1% 908 $216.00
D1206 Topical application of fluoride varnish <1% 607 $153.00
D3120 0% 29 $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 officialBAILEY, JONATHAN (OFFICER / AUTHORIZED OFFICIAL)
Same official

Other billing entities under BAILEY, JONATHAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.