KOOTENAI OUTPATIENT SURGERY CNTR LLC
NPI: 1740289024
· COEUR D ALENE, ID 83814
· 332B00000X
$415K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
364 |
$110K |
| 2019 |
239 |
$77K |
| 2020 |
100 |
$35K |
| 2021 |
58 |
$22K |
| 2022 |
112 |
$75K |
| 2023 |
83 |
$71K |
| 2024 |
12 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 42820 |
|
243 |
243 |
$215K |
| 69436 |
|
584 |
304 |
$179K |
| 41899 |
|
41 |
41 |
$22K |
| G8907 |
Pt doc no events on discharg |
42 |
42 |
$46.69 |
| G8916 |
Pt w iv ab given on time |
13 |
13 |
$46.69 |
| L8699 |
Prosthetic implant nos |
45 |
40 |
$0.00 |