Clinic
Capital City Surgery Center, LLC
Capital City Surgery Center, LLC was paid $62K by Medicaid between Mar 2018 and Sep 2024, across 5 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 60% of everything it billed.
33Billing provider infoCAPITAL CITY SURGERY CENTER, LLC
RALEIGH, NC 27610
RALEIGH, NC 27610
33aNPI1972874907assigned 01/23/2012
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$62K
24GClaims411
24DCodes billed5
24AFirst – last monthMar 2018 – Sep 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in North Carolina
Rank by total paid#57 of 89
Median peer was paid$104K
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 | 33 | $0.00 | |
| 2019 | 13 | $0.00 | |
| 2020 | 76 | $1K | |
| 2023 | 139 | $17K | |
| 2024incomplete | 150 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 60% | 160 | 139 | $37K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 32% | 43 | 40 | $20K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 7.9% | 105 | 83 | $5K |
| 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% | 89 | 83 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 14 | 14 | $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 officialAKERS, MARGE (BUSINESS OFFICE MANAGER)