NP / PA
Ambulatory Surgery Center of Burley, LLC
Ambulatory Surgery Center of Burley, LLC was paid $561K by Medicaid between Mar 2018 and Jul 2023, across 11 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 60% of everything it billed.
33Billing provider infoAMBULATORY SURGERY CENTER OF BURLEY, LLC
BURLEY, ID 83318
BURLEY, ID 83318
33aNPI1992706840assigned 08/02/2005
33bProvider typeCertified Registered Nurse Anesthetist
28Total paid$561K
24GClaims1,329
24DCodes billed11
24AFirst – last monthMar 2018 – Jul 2023
Compared with peers
Next to other Certified Registered Nurse Anesthetist providers in Idaho
Rank by total paid#3 of 16
Median peer was paid$17K
This provider vs. median33×
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 | 181 | $87K | |
| 2019 | 237 | $143K | |
| 2020 | 330 | $144K | |
| 2021 | 189 | $67K | |
| 2022 | 302 | $90K | |
| 2023 | 90 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 60% | 586 | 547 | $335K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 36% | 328 | 327 | $201K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.7% | 274 | 273 | $9K |
| 64483 | <1% | 27 | 16 | $5K | |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | <1% | 24 | 14 | $4K |
| 62321 | <1% | 13 | 13 | $3K | |
| 99152 | <1% | 12 | 12 | $2K | |
| D9420 | <1% | 15 | 15 | $1K | |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $165.67 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 12 | 12 | $0.00 |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 0% | 26 | 25 | $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 officialPETERSEN, JOSEPH (CEO)
| Provider | Location | Paid |
|---|---|---|
| Ambulatory Surgery Center of Burley, LLC | Burley, ID | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.