Kootenai Outpatient Surgery — Billing Profile & Reimbursement Data
NPI 1740289024 · XX · healthcare
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Kootenai Outpatient Surgery is a healthcare provider located in Unspecified Location. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Kootenai Outpatient Surgery |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | April 8, 2026 |
(source: CMS Medicare & Medicaid claims data)
Key Findings
This provider’s recorded revenue footprint is narrow and Medicare-dominant: total Medicare revenue is $677.8K and there is no Medicaid billing on file, so the entity operates effectively as a single‑payer (Medicare) biller in the available data. The absence of any Medicaid claims means payer-mix analysis and in-state competitive comparison for Medicaid are not possible from the current record.
Revenue is highly concentrated in a small set of procedures: the precomputed top 3 Medicare codes account for 73.9% of total Medicare revenue. The single largest line is 63685 (46.8% of Medicare revenue, $317.5K revenue, $18678 avg paid/claim), supported by 63650 (17.0% of Medicare revenue, $115K revenue, $3710 avg paid/claim) and 23430 (10.1% of Medicare revenue, $68.5K revenue, $3113 avg paid/claim).
The code mix points to an outpatient surgical operation structured around neuromodulation and spine/pain procedures plus a mix of orthopedics and general ambulatory surgery. High-revenue device/implant work is evident from 63685 (spinal neurostimulator pulse generator placement) and (epidural electrode placement), while codes such as (biceps tendon repair), (laparoscopic inguinal hernia repair), and (arthroscopic rotator cuff repair) indicate concurrent orthopedic and general surgery capability.
Medicare: Total Revenue Breakdown by CPT/HCPCS Code
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
Medicare: Complete Services Breakdown
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $18,680 | $317.5K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,710 | $115K |
| 23430 | In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.… | 20 | $3,110 | $68.5K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 20 | $1,690 | $40.6K |
| 60500 | In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then… | 20 | $1,820 | $29.2K |
| 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… | 20 | $1,610 | $27.3K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 20 | $1,250 | $24.9K |
| 19301 | The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes. | 30 | $670 | $20.6K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 30 | $520 | $17.8K |
| 38525 | The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation… | 10 | $980 | $13.7K |
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Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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