Clinic
West Plains Surgery Center LLC
West Plains Surgery Center LLC was paid $422K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 33% of everything it billed.
33Billing provider infoWEST PLAINS SURGERY CENTER LLC
WEST PLAINS, MO 65775
WEST PLAINS, MO 65775
33aNPI1073509733assigned 09/27/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$422K
24GClaims2,383
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Missouri
Rank by total paid#6 of 38
Median peer was paid$14K
This provider vs. median30×
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 | 290 | $8K | |
| 2019 | 16 | $4K | |
| 2021 | 44 | $13K | |
| 2022 | 75 | $16K | |
| 2023 | 409 | $95K | |
| 2024incomplete | 1,549 | $287K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 33% | 493 | 175 | $139K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 27% | 610 | 373 | $114K |
| D2929 | 9.7% | 144 | 49 | $41K | |
| D9999 | Unspecified adjunctive procedure, by report | 9.2% | 140 | 140 | $39K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 8.9% | 221 | 130 | $38K |
| D7140 | Extraction, erupted tooth or exposed root | 6.6% | 225 | 125 | $28K |
| D9222 | 5.0% | 224 | 190 | $21K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 16 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 26 | 15 | $350.15 |
| D0240 | <1% | 24 | 12 | $312.22 | |
| 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% | 236 | 203 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 24 | 22 | $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 officialWORLEY, ANGELA (ADMINISTRATOR)