Clinic
ST Cloud Outpatient Surgery LTD
ST Cloud Outpatient Surgery LTD was paid $3.96M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 54% of everything it billed.
33Billing provider infoST CLOUD OUTPATIENT SURGERY LTD
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
33aNPI1124084843assigned 04/21/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$3.96M
24GClaims8,612
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Minnesota
Rank by total paid#3 of 27
Median peer was paid$20K
This provider vs. median199×
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 | 2,331 | $298K | |
| 2019 | 859 | $626K | |
| 2020 | 1,206 | $413K | |
| 2021 | 756 | $247K | |
| 2022 | 1,247 | $689K | |
| 2023 | 1,732 | $968K | |
| 2024incomplete | 481 | $722K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 54% | 5,570 | 1,341 | $2.16M |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 27% | 1,248 | 1,176 | $1.08M |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 13% | 457 | 443 | $502K |
| 41899 | Unlisted procedure, dentoalveolar structures | 4.0% | 74 | 70 | $159K |
| 42830 | 1.0% | 40 | 40 | $40K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 802 | 341 | $24K |
| D3230 | <1% | 95 | 43 | $5K | |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 110 | 107 | $484.29 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 74 | 26 | $341.00 |
| D0240 | <1% | 40 | 24 | $263.97 | |
| D0272 | Bitewings - two radiographic images | <1% | 89 | 85 | $148.74 |
| L8699 | Prosthetic implant, not otherwise specified | 0% | 13 | 12 | $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 officialNAGORSKI, DARCI (CHIEF ADMINISTRATIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| ST Cloud Outpatient Surgery LTD | Saint Cloud, MN | $354K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.