West Lakes Surgery Center LLC

West Lakes Surgery Center LLC was paid $1.12M by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 74% of everything it billed.

33Billing provider infoWEST LAKES SURGERY CENTER LLC
CLIVE, IA 50325

33aNPI1104933696assigned 08/23/2006

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$1.12M

24GClaims2,411

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Iowa

Rank by total paid#6 of 25

Median peer was paid$194K

This provider vs. median5.8×

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	544	$209K
2019	421	$181K
2020	214	$96K
2021	201	$97K
2022	339	$164K
2023	406	$211K
2024incomplete	286	$164K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	74%	1,764	1,674	$832K
42820	Tonsillectomy and adenoidectomy; younger than age 12	21%	419	390	$233K
62323		1.7%	81	77	$19K
42830		1.4%	29	29	$16K
15769		1.1%	13	12	$12K
64635		<1%	25	12	$4K
69631		<1%	15	12	$4K
62321		<1%	12	12	$2K
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%	53	40	$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 officialFORMANEK, TERI (PRESIDENT)