Clinic
Stateline Surgery Center, LLC
Stateline Surgery Center, LLC was paid $22K by Medicaid between May 2018 and May 2019, across 2 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 100% of everything it billed.
33Billing provider infoSTATELINE SURGERY CENTER, LLC
GALENA, KS 66739
GALENA, KS 66739
33aNPI1841431376assigned 03/12/2009
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$22K
24GClaims29
24DCodes billed2
24AFirst – last monthMay 2018 – May 2019
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Kansas
Rank by total paid#18 of 29
Median peer was paid$43K
This provider vs. median0.5×
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 | 13 | $0.00 | |
| 2019 | 16 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 100% | 16 | 14 | $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 | 0% | 13 | 12 | $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 officialMORRIS, JENNIFER (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Turning Point | Foristell, MO | $2.92M |
| Jennifer M Morris MD PC | Edmond, OK | $50K |
| Full Smile Dental Lakeridge, PLLC | Lubbock, TX | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.