Clinic
Crystal Run Ambulatory Surgery Center of Middletown, LLC
Crystal Run Ambulatory Surgery Center of Middletown, LLC was paid $661K by Medicaid between Oct 2019 and Sep 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 51% of everything it billed.
33Billing provider infoCRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC
MIDDLETOWN, NY 10941
MIDDLETOWN, NY 10941
33aNPI1922230853assigned 08/11/2009
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$661K
24GClaims1,422
24DCodes billed5
24AFirst – last monthOct 2019 – Sep 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in New York
Rank by total paid#55 of 118
Median peer was paid$390K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2019 | 158 | $75K | |
| 2020 | 377 | $187K | |
| 2021 | 413 | $192K | |
| 2022 | 311 | $134K | |
| 2023 | 126 | $56K | |
| 2024incomplete | 37 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 51% | 722 | 722 | $335K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 46% | 651 | 649 | $306K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.2% | 25 | 25 | $14K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | 12 | $6K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 0% | 12 | 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 officialORTIZ, DAVID (ADMINISTRATOR)