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    OpenPayerNPI Medicare & MedicaidPend Oreille Surgery Center LLC
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    Pend Oreille Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1821276353 · Ponderay, ID · Ambulatory Surgical Clinic/Center

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    Pend Oreille Surgery Center LLC is a ambulatory surgical clinic/center provider located in Ponderay, Idaho. This profile covers 10 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPend Oreille Surgery Center LLC
    Address30544 Highway 200
    CityPonderay
    StateID
    ZIP83852
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 6, 2008

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

    Payer SourceTotal Paid
    Medicare$189.1K
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…10$6,480$84.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…80$380$31.8K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk50$370$17.9K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.10$1,090$13.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$380$11.3K
    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.60$180$10.9K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$410$10.6K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$280$4.3K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…20$230$4.1K
    46221In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…20$70$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856080100$270$28.8K
    274479211030$640$25.1K
    45380319060$150$11.8K
    43248435040$170$9.4K
    43239548080$100$9.2K
    G010585030$240$8.4K
    4950551020$380$6.5K
    G0121126020$240$5.9K
    4622151030$150$4.3K
    45378263020$170$4.1K

    Nearby Providers

    Other providers in the same ZIP code as Pend Oreille Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kids In Motion Physical Therapy, PCIDSpecialist$0$2.2M
    Lincare IncIDDurable Medical Equipment & Medical Supplies$0$810.5K
    Michael R Dibenedetto Md PLLCIDOrthopaedic Surgery Physician$156.2K$235.9K
    Jonathan FisherIDFoot & Ankle Surgery Podiatrist$150.2K$0
    Brenda JeraldIDPhysical Therapist$106.9K$0
    Joan BloomIDFamily Medicine Physician$76.5K$0
    Michael DibenedettoIDOrthopaedic Surgery Physician$66.1K$0
    Michael SchickerIDSports Medicine (Orthopaedic Surgery) Physician$65.9K$0
    Melinda MurrayIDOccupational Therapist$32.1K$0
    Alice LoraineIDPhysical Therapist$24.9K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Idaho Distribution
    Pend Oreille Surgery Center LLC — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho