Clinic
Pierce Street Same Day Surgery, LC
Pierce Street Same Day Surgery, LC was paid $1.13M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 37% of everything it billed.
33Billing provider infoPIERCE STREET SAME DAY SURGERY, LC
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
33aNPI1205030731assigned 06/11/2007
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.13M
24GClaims4,067
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Iowa
Rank by total paid#5 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 | 1,088 | $190K | |
| 2019 | 652 | $191K | |
| 2020 | 442 | $120K | |
| 2021 | 568 | $175K | |
| 2022 | 488 | $175K | |
| 2023 | 442 | $164K | |
| 2024incomplete | 387 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 37% | 1,670 | 1,552 | $415K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 29% | 696 | 512 | $328K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 15% | 493 | 474 | $165K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 9.9% | 422 | 394 | $112K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 4.2% | 80 | 79 | $47K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.4% | 79 | 76 | $28K |
| 43235 | 1.9% | 152 | 147 | $22K | |
| 43450 | <1% | 87 | 79 | $11K | |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 180 | 164 | $0.00 |
| 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% | 208 | 190 | $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 officialBRYAN, CRAIG (CHIEF EXECUTIVE OFFICER)