SURGERY CENTER OF IDAHO LLC
NPI: 1609825298
· MERIDIAN, ID 83642
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/09/2006
$157K
Total Medicaid Paid
Provider Details
| Authorized Official | WALDMANN, TODD (PRESIDENT) |
| NPI Enumeration Date | 05/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
733 |
$14K |
| 2019 |
541 |
$11K |
| 2020 |
517 |
$27K |
| 2021 |
307 |
$57K |
| 2022 |
238 |
$39K |
| 2023 |
83 |
$5K |
| 2024 |
27 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 52000 |
|
875 |
838 |
$136K |
| 52356 |
|
14 |
13 |
$18K |
| 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 |
955 |
883 |
$2K |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
590 |
534 |
$727.92 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
12 |
12 |
$0.00 |