Clinic
North Kitsap Ambulatory Surgery Center, LLC
North Kitsap Ambulatory Surgery Center, LLC was paid $60K by Medicaid between Jan 2018 and Feb 2024, across 9 billing codes. Its largest line is 69436, Tympanostomy (requiring insertion of ventilating tube), general anesthesia — 63% of everything it billed.
33Billing provider infoNORTH KITSAP AMBULATORY SURGERY CENTER, LLC
POULSBO, WA 98370
POULSBO, WA 98370
33aNPI1962402503assigned 07/26/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$60K
24GClaims1,439
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Washington
Rank by total paid#41 of 73
Median peer was paid$69K
This provider vs. median0.9×
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 | 280 | $19K | |
| 2019 | 117 | $20K | |
| 2020 | 78 | $6K | |
| 2021 | 491 | $11K | |
| 2022 | 438 | $1K | |
| 2024incomplete | 35 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 63% | 214 | 107 | $38K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 23% | 682 | 627 | $14K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 8.7% | 45 | 38 | $5K |
| L8699 | Prosthetic implant, not otherwise specified | 5.6% | 54 | 47 | $3K |
| 99072 | 0% | 74 | 70 | $0.00 | |
| 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% | 117 | 107 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 12 | 12 | $0.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 228 | 206 | $0.00 |
| C1889 | Implantable/insertable device, not otherwise classified | 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 officialFOWLER, JAMIE (CHIEF ADMINISTRATIVE OFFICER)