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NPI 1467783233 · Auburn, WA · Ambulatory Surgical Clinic/Center
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South Sound Surgery, PLLC is a ambulatory surgical clinic/center provider located in Auburn, Washington. This profile covers 3 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | South Sound Surgery, PLLC |
| Address | 101 2nd St Ne |
| City | Auburn |
| State | WA |
| ZIP | 98002 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 19, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $457K |
| Medicare | $137.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 340 | $250 | $83.9K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 380 | $120 | $46.7K |
| 29581 | The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A… | 230 | $30 | $6.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 2,140 | $170 | $355.1K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 1,120 | $90 | $102.9K |
| 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… | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 320 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 29 | 80 | 500 | $80 | $179.5K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 2 | 10 | 550 | $90 | $101.6K |
| 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… | 15 | 50 | 90 | $1 | $1 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 7 | 30 | 120 | $0 | $0 |
Other providers in the same ZIP code as South Sound Surgery, PLLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| We Care Daily Clinics LLC | WA | Methadone Clinic | $166.2K | $260.6M |
| Apple Physical Therapy, LLC | WA | Physical Therapist | $0 | $31.3M |
| Healthpoint | WA | Federally Qualified Health Center (FQHC) | $0 | $14.5M |
| Healthpoint | WA | Federally Qualified Health Center (FQHC) | $0 | $3M |
| Eid, Jaber, Jassar, PLLC | WA | Dental Clinic/Center | $0 | $2.7M |
| Rahul Mandiga | WA | Retina Specialist (Ophthalmology) Physician | $1.9M | $1.3K |
| Benjamin Reiss | WA | Retina Specialist (Ophthalmology) Physician | $1.9M | $0 |
| Joshua Frenkel | WA | Ophthalmology Physician | $306.8K | $0 |
| Ashish Trivedi | WA | Specialist | $295.5K | $0 |
| Richard Beller | WA | Ophthalmology Physician | $293.2K | $0 |
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