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    OpenPayerNPI Medicare & MedicaidMelbourne Surgery Center, LLC
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    Melbourne Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1013309459 · Melbourne, FL · Ambulatory Surgical Clinic/Center

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    Melbourne Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Melbourne, Florida. This profile covers 23 Medicare and 6 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMelbourne Surgery Center, LLC
    Address95 Bulldog Blvd
    CityMelbourne
    StateFL
    ZIP32901
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 23, 2015

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

    Payer SourceTotal Paid
    Medicaid$1.1M
    Medicare$935.1K

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…20$14,190$340.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…180$730$132.1K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.20$3,660$87.9K
    66183The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.30$2,120$70K
    66174The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.30$1,400$46.1K
    29827The 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$2,010$44.2K
    66180The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…20$1,920$34.5K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…50$500$23.6K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$1,050$17.9K
    28035The provider incises a fibrous band trapping the posterior tibial nerve in the lower leg to relieve the symptoms of tarsal tunnel syndrome, primarily pain, numbness, and tingling.30$550$17.1K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590318020$6,330$151.8K
    66984314940100$570$125.5K
    64561608030$2,080$95.8K
    66183144020$1,320$38.4K
    66174357030$780$35K
    66180224020$1,350$27K
    6463546256040$400$26.4K
    2982710326020$1,050$26.2K
    6448343464050$210$21.6K
    1404015216020$580$21.5K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1,130$620$695.6K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.490$730$358.9K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.10$700$8.4K
    A4649Surgical supply; miscellaneous750$0$0
    C1889Implantable/insertable device, not otherwise classified120$0$0
    L8699Prosthetic implant, not otherwise specified990$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.940120$610$357.5K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1880230$400$331.4K
    A4649Surgical supply; miscellaneous22090$630$303.3K
    31238In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.41020$470$9.9K
    L8699Prosthetic implant, not otherwise specified210440$10$6.8K
    C1889Implantable/insertable device, not otherwise classified510100$10$2.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brevard Physician Associates, PLLCFLAnesthesiology Physician$0$12.7M
    Holmes Regional Medical Center, Inc.FLGeneral Acute Care Hospital$0$12.3M
    Circles Of Care, Inc.FLPsychiatric Hospital$0$11.8M
    Central Florida Kidney Centers IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$10.5M
    Health First Medical Group, LLCFLGeneral Practice Physician$0$7.7M
    Florida Clinical Laboratory, IncFLClinical Medical Laboratory$4.7M$549K
    Sumeet TharejaFLSpecialist$4M$0
    Hetal VaishnavFLOphthalmology Physician$2M$0
    Vrinda HershbergerFLRetina Specialist (Ophthalmology) Physician$1.7M$0
    Gary GanibanFLOphthalmology Physician$1.7M$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Melbourne Surgery Center, LLC — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Melbourne Surgery Center, LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida