Clinic
Minnie Street Surgery Center, LLC
Minnie Street Surgery Center, LLC was paid $45K by Medicaid between Oct 2022 and Nov 2022, across 2 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 68% of everything it billed.
33Billing provider infoMINNIE STREET SURGERY CENTER, LLC
FAIRBANKS, AK 99701
FAIRBANKS, AK 99701
33aNPI1497422919assigned 08/24/2021
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$45K
24GClaims66
24DCodes billed2
24AFirst – last monthOct 2022 – Nov 2022
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Alaska
Rank by total paid#14 of 17
Median peer was paid$304K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 66 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 68% | 34 | 33 | $31K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 32% | 32 | 29 | $14K |
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 officialJOHNSON, GREGORY (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Toledo Emergency Services | Toledo, IA | $86K |
| Minnie Street Children's Dentistry, PC | Fairbanks, AK | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.