SKYLINE SURGERY CENTER, LLC
NPI: 1851552483
· POCATELLO, ID 83201
· 261QA1903X
$1.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
643 |
$276K |
| 2019 |
467 |
$273K |
| 2020 |
281 |
$153K |
| 2021 |
267 |
$121K |
| 2022 |
316 |
$144K |
| 2023 |
187 |
$55K |
| 2024 |
314 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
|
1,126 |
1,108 |
$661K |
| T1015 |
Clinic service |
564 |
558 |
$343K |
| D2930 |
|
271 |
269 |
$46K |
| D9420 |
|
206 |
205 |
$18K |
| 43239 |
|
38 |
38 |
$7K |
| 42820 |
|
14 |
13 |
$5K |
| D7140 |
|
12 |
12 |
$2K |
| D2391 |
|
12 |
12 |
$1K |
| G8907 |
Pt doc no events on discharg |
200 |
162 |
$18.20 |
| D2390 |
|
32 |
32 |
$0.00 |