Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Idaho (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Southern Idaho Surgery Center PLLC (NPI 1396069902)

Field	Value
Entity Type	Organization
Organization	Southern Idaho Surgery Center PLLC
Address	3235 N Towerbridge Way Ste 100
City	Meridian
State	ID
ZIP	83646
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 25, 2010

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3,360	$610	$2.1M
T1015	Clinic visit/encounter, all-inclusive	3,200	$620	$2M
D2930	N/A	4,070	$150	$619.1K
D9420	N/A	1,480	$90	$134.9K
D2934	N/A	340	$330	$113.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	600	$130	$75.7K
D3220	N/A	650	$120	$75.4K
D2332	N/A	580	$100	$59.8K
D2392	Post 2 surface resin‑based composite	370	$150	$53.6K
D2391	Resin‑based composite – one surface, posterior	420	$120	$49.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Southern Idaho Surgery Center PLLC — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	80	140	5,470	$180	$2.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	20	500	$820	$662.5K
D2930	N/A	11	50	750	$70	$171.2K
D9420	N/A	5	40	180	$150	$80.8K
D2392	Post 2 surface resin‑based composite	86	190	280	$60	$72.9K
D2934	N/A	5	10	190	$280	$70.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	43	110	300	$30	$32.4K
D2391	Resin‑based composite – one surface, posterior	58	140	270	$40	$27.9K
D2332	N/A	2	20	50	$110	$17K
D1351	Sealant - per tooth	82	120	640	$1	$10.3K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Southern Idaho Surgery Center PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A New Leaf, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$29.5M
A Helping Hand In Home Care	ID	In Home Supportive Care Agency	$0	$3.6M
Dental Care For Kids	ID	Pediatric Dentistry	$0	$3.1M
Watchdog LLC	ID	Emergency Response System Companies	$0	$2.4M
Idaho Transition Care, LLC	ID	Case Management Agency	$0	$2.1M
Small Talk Speech & Language Services	ID	Speech-Language Pathologist	$0	$1.8M
D&g Medical Associates PLLC	ID	Family Medicine Physician	$0	$1.3M
Capitol Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$1.3M
Mountain Pine Dermatology, PLLC	ID	Dermatology Physician	$0	$1.2M
Idaho Dental Anesthesia PLLC	ID	Dental Anesthesiology	$0	$1.2M

Southern Idaho Surgery Center PLLC — Billing Profile & Reimbursement Data

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Southern Idaho Surgery Center PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References