Pioneer Valley Surgicenter LLC
Pioneer Valley Surgicenter LLC was paid $615K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 79% of everything it billed.
SPRINGFIELD, MA 01107
Next to other Ambulatory Surgical Clinic/Center providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 579 | $176K | |
| 2019 | 278 | $161K | |
| 2020 | 53 | $28K | |
| 2022 | 52 | $30K | |
| 2023 | 197 | $139K | |
| 2024incomplete | 231 | $80K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 79% | 843 | 710 | $488K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 9.0% | 289 | 278 | $55K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 7.8% | 26 | 26 | $48K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 2.4% | 58 | 57 | $15K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 1.5% | 27 | 26 | $9K |
| 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% | 147 | 137 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.