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    OpenPayerNPI Medicare & MedicaidSiouxland Surgery Center Limited Liability Partner…
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    Siouxland Surgery Center Limited Liability Partnership — Billing Profile & Reimbursement Data

    NPI 1093714073 · Dakota Dunes, SD · Special Hospital

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    Siouxland Surgery Center Limited Liability Partnership is a special hospital provider located in Dakota Dunes, South Dakota. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSiouxland Surgery Center Limited Liability Partnership
    Address600 N Sioux Point Rd
    CityDakota Dunes
    StateSD
    ZIP57049
    TaxonomySpecial Hospital
    NPI EnumeratedJuly 20, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$658.3K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.280$860$235.1K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.40$4,050$158.1K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…80$1,230$96.9K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…890$80$66.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.80$330$26.6K
    C9803Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source900$20$21.6K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…10$1,160$14K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.80$130$10.1K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…570$20$8.5K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…20$520$7.8K

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other South Dakota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. South Dakota median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3490Unclassified drugs14201,200$170$1M
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.610150$400$440.3K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…310330$860$383.1K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…630270$70$138.6K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1320210$50$104.8K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.61030$260$99.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.810130$130$77.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.610120$510$66.4K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…610100$250$60.9K
    88300The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…310250$80$22.7K

    Showing 1–10 of 21

    Nearby Providers

    Other providers in the same ZIP code as Siouxland Surgery Center Limited Liability Partnership, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cnos PCSDOrthopaedic Surgery Physician$0$3.6M
    Dunes Dental 4 Kids, LLPSDPediatric Dentistry$0$3.3M
    Chad LaurichSDVascular Surgery Physician$3.2M$0
    Liem Som Oei Md PCSDNephrology Physician$0$2.4M
    Ear Nose And Throat Consultants And Hearing Services PlcSDOtolaryngology Physician$0$2.2M
    Oral Surgery Assocates, P.C.SDOral and Maxillofacial Surgery (Dentist)$0$2.1M
    Dunes Anesthesia PCSDPain Medicine (Anesthesiology) Physician$0$1.1M
    Midlands Clinic, P.C.SDSpecialist$0$822.9K
    Dunes Medical LaboratoriesSDClinical Medical Laboratory$303K$416.6K
    Beth BrueningSDOphthalmology Physician$704.9K$2.2K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. South Dakota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Dakota Distribution
    Siouxland Surgery Center Limited Liability Partnership — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota