Kootenai Outpatient Surgery CNTR LLC

Kootenai Outpatient Surgery CNTR LLC was paid $415K by Medicaid between Jan 2018 and Mar 2024, across 6 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 52% of everything it billed.

33Billing provider infoKOOTENAI OUTPATIENT SURGERY CNTR LLC
COEUR D ALENE, ID 83814

33aNPI1740289024assigned 07/19/2005

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$415K

24GClaims968

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Idaho

Rank by total paid#14 of 111

Median peer was paid$10K

This provider vs. median42×

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	364	$110K
2019	239	$77K
2020	100	$35K
2021	58	$22K
2022	112	$75K
2023	83	$71K
2024incomplete	12	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
42820	Tonsillectomy and adenoidectomy; younger than age 12	52%	243	243	$215K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	43%	584	304	$179K
41899	Unlisted procedure, dentoalveolar structures	5.3%	41	41	$22K
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	<1%	42	42	$46.69
G8916	Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time	<1%	13	13	$46.69
L8699	Prosthetic implant, not otherwise specified	0%	45	40	$0.00

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 officialTORWIRT, SHIRLEY (DIRECTOR)