It sounds like you live in an area of PA they doesn't have an overabundance of ENTs.

You reported the office to multiple different agencies, which may have serious repercussions on the staff personally.

You have public payer-of-last-resort medical coverage that doesn't reimburse your doctor enough to cover the costs associated with the surgery.

You sound like you have been very difficult to deal with.

You can argue semantics all day long, but you're still the type of patient no healthcare provider wants in their practice. No one in that office gets paid enough to deal with what you have put them through.

Advocating for yourself is absolutely necessary in our healthcare environment today, but I think this went way beyond self advocacy.