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NPI 1609825298 · Meridian, ID · Ambulatory Surgical Clinic/Center
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Surgery Center Of Idaho LLC is a ambulatory surgical clinic/center provider located in Meridian, Idaho. This profile covers 18 Medicare and 5 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 | Surgery Center Of Idaho LLC |
| Address | 2855 E Magic View Dr |
| City | Meridian |
| State | ID |
| ZIP | 83642 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $942.8K |
| Medicaid | $156.8K |
SURGERY CENTER OF IDAHO LLC presents as an ambulatory surgical clinic with a strong procedural focus in urology and a measurable ophthalmology presence: its top Medicare revenue-driving codes are C9740, 52356, and 52000, which reflect cystourethroscopy-based stone procedures, transprostatic implant work, and endoscopic bladder/urethral exams; the code mix (including additional codes such as 52287 and several retina codes 67108/67041) indicates the facility performs both high-volume endoscopic urologic procedures and a smaller set of eye surgeries. Medicare revenue totals $942.8K while Medicaid revenue totals $156.8K, so Medicare accounts for the large majority of lifetime public-payer receipts and the provider is not Medicaid-dominant; the two payers coexist but Medicare is clearly the primary revenue source by scale. Revenue concentration differs sharply by payer: the top 3 Medicare codes by revenue account for 47.9% of total Medicare revenue, indicating a significant but not overwhelming concentration in a few procedures, whereas the top 3 Medicaid codes account for 99.6% of total Medicaid revenue, showing that Medicaid activity is almost entirely concentrated in a very small set of services. The facility is a national high-volume outlier on key cystoscopic/urologic services: Medicare 52356 ranks #26 of 3090 providers nationally (99th percentile; extreme outlier) and Medicare 52000 ranks #55 of 8548 providers nationally (99th percentile; extreme outlier), signaling that this center performs far above typical national volume for ureteroscopy/stone work and for basic cystourethroscopy. Several other Medicare codes show above-typical national standing for specialized urology care: 52287 (neurolytic bladder injection) generated $87.1K and ranks #25 of 1443 (98th percentile; extreme outlier), suggesting clinical specialization in overactive bladder therapies. Medicaid competitive standing is concentrated and locally prominent: Medicaid 52000 produced $136.5K (86.8% of the provider’s Medicaid revenue) and ranks #1 of 3 in-state (100th percentile), indicating this ASC dominates reported in-state Medicaid volume for cystourethroscopy relative to the small set of peers. Despite the concentration in a few high-revenue codes, Medicare billing shows additional diversification with other meaningful line items — for example, J0585 (onabotulinumtoxina) contributed $88.5K (9.4% of Medicare revenue) and ranks #631 of 3636 (83rd percentile; typical), reflecting a material outpatient injectable service line alongside endoscopic procedures. The practice has an established operating history, with NPI enumerated 2006-05-09 (~20 years ago), which supports interpretation of these volume patterns as durable service-line positioning rather than a transitory reporting artifact.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 40 | $5,470 | $196.8K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 80 | $1,630 | $133.7K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 600 | $200 | $121.4K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 17,700 | $10 | $88.5K |
| 52287 | The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the… | 140 | $620 | $87.1K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 40 | $1,690 | $60.9K |
| 51715 | In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a… | 30 | $1,490 | $41.8K |
| 52332 | The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 40 | $780 | $32.9K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 20 | $1,490 | $31.3K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 20 | $1,490 | $25.3K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 1 | 10 | 40 | $5,470 | $196.9K |
| J0585 | 1 | 10 | 8,800 | $1 | $39.6K |
| 67036 | 7 | 10 | 20 | $1,040 | $33.3K |
| 67041 | 5 | 10 | 20 | $1,170 | $22.2K |
| 67108 | 2 | 10 | 10 | $1,130 | $19.2K |
| 67042 | 4 | 10 | 20 | $1,150 | $18.4K |
| 52601 | 1 | 10 | 10 | $840 | $13.4K |
| 52352 | 1 | 10 | 20 | $700 | $13.2K |
| 52356 | 1 | 20 | 20 | $580 | $12.1K |
| 52234 | 1 | 10 | 20 | $740 | $11.1K |
Showing 1–10 of 18
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 880 | $160 | $136.5K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 10 | $1,300 | $18.3K |
| 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… | 960 | $1 | $1.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 590 | $1 | $590 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 1 | 10 | 60 | $150 | $46.4K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 1 | 10 | 10 | $1,300 | $18.3K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 5 | 10 | 260 | $1 | $740 |
| 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… | 3 | 20 | 210 | $1 | $680 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 4 | 10 | 20 | $1 | $140 |
Other providers in the same ZIP code as Surgery Center Of Idaho LLC, ranked by combined Medicare and Medicaid revenue.
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