Clinic
Premier Surgical Center, LLC
Premier Surgical Center, LLC was paid $85K by Medicaid between Aug 2018 and Oct 2023, across 2 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 92% of everything it billed.
33Billing provider infoPREMIER SURGICAL CENTER, LLC
EVANSTON, WY 82930
EVANSTON, WY 82930
33aNPI1417228370assigned 01/24/2012
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$85K
24GClaims95
24DCodes billed2
24AFirst – last monthAug 2018 – Oct 2023
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Wyoming
Rank by total paid#4 of 8
Median peer was paid$37K
This provider vs. median2.3×
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 | 12 | $12K | |
| 2022 | 28 | $16K | |
| 2023 | 55 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 92% | 82 | 79 | $79K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 7.8% | 13 | 12 | $7K |
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 officialSHEPPARD, STEPHEN (ADMINISTRATOR)