Siouxland Surgery Center Limited Liability Partnership
Siouxland Surgery Center Limited Liability Partnership was paid $658K by Medicaid between Jan 2018 and Jul 2024, across 21 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 36% of everything it billed.
33Billing provider infoSIOUXLAND SURGERY CENTER LIMITED LIABILITY PARTNERSHIP
DAKOTA DUNES, SD 57049
DAKOTA DUNES, SD 57049
33aNPI1093714073assigned 07/20/2005
33bProvider typeRegistered Nurse
28Total paid$658K
24GClaims4,507
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2024
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 | 141 | $31K | |
| 2019 | 161 | $57K | |
| 2020 | 776 | $74K | |
| 2021 | 2,346 | $102K | |
| 2022 | 479 | $99K | |
| 2023 | 458 | $172K | |
| 2024incomplete | 146 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 36% | 275 | 265 | $235K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 24% | 39 | 39 | $158K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 15% | 79 | 52 | $97K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 10% | 891 | 852 | $67K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 4.0% | 80 | 79 | $27K |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.3% | 898 | 859 | $22K |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room | 2.1% | 12 | 12 | $14K |
| 41899 | Unlisted procedure, dentoalveolar structures | 1.5% | 81 | 76 | $10K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 1.3% | 568 | 542 | $8K |
| 62323 | 1.2% | 15 | 13 | $8K | |
| 64493 | <1% | 14 | 12 | $6K | |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | <1% | 16 | 14 | $5K |
9 more codes
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 195 | $599.76 |
| 88300 | <1% | 249 | $550.34 | |
| J3490 | Unclassified drugs | <1% | 781 | $458.18 |
| J7342 | Instillation, ciprofloxacin otic suspension, 6 mg | <1% | 52 | $259.99 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 125 | $0.00 |
| C1776 | Joint device (implantable) | 0% | 17 | $0.00 |
| V2632 | Posterior chamber intraocular lens | 0% | 79 | $0.00 |
| 88342 | 0% | 28 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 13 | $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 officialCRAFTS, NICHOLAS (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Community Hospital LLC | Oklahoma City, OK | $2.64M |
| Community Hospital LLC | Oklahoma City, OK | $439K |
| Hpi Physicians LLC | Edmond, OK | $208K |
| Memorial Hermann Surgery Center Southwest LLP | Houston, TX | $27K |
| Memorial Hermann Surgery Center Preston Road, LTD. | Pasadena, TX | $1K |
| Tops Specialty Hospital, LTD. | Houston, TX | $0.00 |
| Memorial Hermann Surgery Center Northwest, LLP | Houston, TX | $0.00 |
| Conroe Surgery Center 2, LLC | Conroe, TX | $0.00 |
| Memorial Hermann Texas International Endoscopy Center, LLC | Houston, TX | $0.00 |
| Memorial Hermann Surgery Center Kirby, LLC | Houston, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.