Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › BOISE › SOUTHWEST IDAHO SURGERY CENTER, INC.

SOUTHWEST IDAHO SURGERY CENTER, INC.

NPI: 1477619005 · BOISE, ID 83704 · Ambulatory Surgical Clinic/Center · NPI assigned 12/28/2006

$61K
Total Medicaid Paid
156
Total Claims
105
Beneficiaries
4
Codes Billed
2018-03
First Month
2024-01
Last Month

Provider Details

Authorized OfficialJONES, ARTHUR (PRESIDENT)
NPI Enumeration Date12/28/2006

Related Entities

Other providers sharing the same authorized official: JONES, ARTHUR

ProviderCityStateTotal Paid
SOUTHWEST IDAHO EAR, NOSE AND THROAT BOISE ID $513K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $33K
2023 37 $19K
2024 26 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 77 39 $24K
42820 Tonsillectomy and adenoidectomy; younger than age 12 42 41 $17K
30140 24 12 $10K
30520 13 13 $8K