Clinic
Skyline Surgery Center, LLC
Skyline Surgery Center, LLC was paid $1.08M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 61% of everything it billed.
33Billing provider infoSKYLINE SURGERY CENTER, LLC
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1851552483assigned 06/17/2008
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$1.08M
24GClaims2,475
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Idaho
Rank by total paid#6 of 34
Median peer was paid$126K
This provider vs. median8.6×
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 | 643 | $276K | |
| 2019 | 467 | $273K | |
| 2020 | 281 | $153K | |
| 2021 | 267 | $121K | |
| 2022 | 316 | $144K | |
| 2023 | 187 | $55K | |
| 2024incomplete | 314 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 61% | 1,126 | 1,108 | $661K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 32% | 564 | 558 | $343K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.3% | 271 | 269 | $46K |
| D9420 | 1.7% | 206 | 205 | $18K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 38 | 38 | $7K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 14 | 13 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 12 | 12 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 12 | 12 | $1K |
| 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% | 200 | 162 | $18.20 |
| D2390 | 0% | 32 | 32 | $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 officialBUCKALEW, KATHRYN (ADMINISTRATOR)