Clinic
Southern Idaho Surgery Center PLLC
Southern Idaho Surgery Center PLLC was paid $5.30M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 39% of everything it billed.
33Billing provider infoSOUTHERN IDAHO SURGERY CENTER PLLC
MERIDIAN, ID 83646
MERIDIAN, ID 83646
33aNPI1396069902assigned 03/25/2010
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$5.30M
24GClaims18,463
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Idaho
Rank by total paid#1 of 34
Median peer was paid$126K
This provider vs. median42×
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 | 1,106 | $676K | |
| 2019 | 1,343 | $823K | |
| 2020 | 1,478 | $763K | |
| 2021 | 2,321 | $770K | |
| 2022 | 2,196 | $715K | |
| 2023 | 3,854 | $710K | |
| 2024incomplete | 6,165 | $839K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 39% | 3,361 | 3,354 | $2.06M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 37% | 3,202 | 3,201 | $1.98M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 4,073 | 4,056 | $620K |
| D9420 | 2.5% | 1,482 | 1,482 | $135K | |
| D2934 | 2.1% | 341 | 341 | $114K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.4% | 650 | 650 | $76K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 596 | 594 | $76K |
| D2332 | 1.1% | 575 | 316 | $60K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.0% | 367 | 362 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 424 | 424 | $49K |
| D2330 | <1% | 282 | 168 | $18K | |
| D1351 | Sealant - per tooth | <1% | 312 | 312 | $15K |
3 more codes
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 officialMICHEL, MARLON (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mda PLLC | Lake Tapps, WA | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.