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NPI 1033190129 · Jackson, MS · Ambulatory Surgical Clinic/Center
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Mae Physicians Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Jackson, Mississippi. This profile covers 27 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 | Mae Physicians Surgery Center, LLC |
| Address | 1190 N State St |
| City | Jackson |
| State | MS |
| ZIP | 39202 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.4M |
| Medicaid | $114.8K |
This facility is an ambulatory surgical clinic/center with a procedural mix dominated by ophthalmic surgery and implantable neurostimulation procedures. The top Medicare codes include cataract surgery (66984), retinal/vitreous procedures (67041, 67036, 67042, 67108) and implantable device procedures (64590, 64561), indicating a combined focus on ophthalmology and device-based interventions rather than primary care or medical management.
Medicare revenue is the primary payer source by scale: this provider reports Total Medicare revenue of $3.4M versus Total Medicaid revenue of $114.8K, making Medicare the overwhelmingly larger payer relationship for this center. On Medicaid the activity is effectively concentrated in a single service line (see below), so operational and reimbursement risk is heavily tied to Medicare volumes and rates.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 74.6% of this provider's total Medicare revenue, with those top codes being 64590, 66984, and 64561. This concentration signals that a few high-reimbursement procedures—peripheral/sacral/gastric neurostimulator pulse generator placement (64590) and sacral nerve electrode implantation (64561), together with high-volume cataract extraction with intraocular lens insertion (66984)—drive most of the center’s Medicare receipts.
Medicaid billing is highly concentrated and minimal in aggregate: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and 66984 alone represents $114K (99.3% of this provider's total Medicaid revenue) across 603 Medicaid claims. In practical terms the facility is functionally single-payer at scale (Medicare) while its Medicaid activity is almost entirely cataract surgery.
For several high-revenue Medicare codes the provider is a national high-volume outlier. The provider ranks #11 of 561 providers for 64590 (98th percentile) and #10 of 564 for 64561 (98th percentile), both labeled as "notably above typical national volume," and ranks #5 of 461 for 67041 (99th percentile), labeled an "extreme outlier." These rankings indicate the center is a major national participant for selected device-implant and vitreoretinal procedures rather than a modest or occasional provider.
By contrast, the provider’s Medicare ranking for cataract surgery 66984 is more typical: 66984 reports 1.1K Medicare claims and $852.3K revenue and ranks #1893 of 15965 providers nationally (88th percentile), described as "typical, unremarkable volume." On Medicaid that same code ranks #19 of 42 in-state (56th percentile), also characterized as typical. This suggests the center combines unusually high national specialization in some device/retina procedures with more routine cataract volumes relative to peers.
The code-level payment mix shows reliance on higher-paid device and implant interventions: 64590 has an average paid/claim of $13967 and 64561 averages $3550 per claim, which, together with their high national ranks and contribution to the precomputed 74.6% Medicare concentration, indicate a business model that depends on relatively high-dollar procedural care delivered in an ambulatory surgical setting. Operationally, that implies the center’s throughput and scheduling likely prioritize these resource-intensive procedural slots.
The provider has been enumerated for a substantial period, with NPI registered on 2005-11-07 (~21 years ago), indicating established tenure in the market. Given its longevity plus the mix of extreme and notable national volumes for select codes, analysts should view this center as an experienced ambulatory surgical operator with concentrated revenue drivers that make it sensitive to reimbursement changes or utilization shifts in a small set of high-impact procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64590 | The 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… | 70 | $13,970 | $1M |
| 66984 | The 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… | 1,080 | $790 | $852.3K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 190 | $3,550 | $681.6K |
| 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… | 80 | $1,400 | $117.4K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 70 | $1,420 | $105.2K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 90 | $780 | $66K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 30 | $2,370 | $59.1K |
| 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… | 40 | $1,410 | $56.4K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 140 | $400 | $55.2K |
| 66180 | The 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… | 30 | $1,890 | $50.9K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64590 | 3 | 20 | 30 | $6,100 | $201.4K |
| 64561 | 2 | 20 | 40 | $2,180 | $141.6K |
| 66984 | 6 | 240 | 70 | $470 | $90.5K |
| 66991 | 20 | 20 | 40 | $1,300 | $62.6K |
| 67904 | 5 | 20 | 80 | $520 | $39K |
| 64483 | 22 | 70 | 110 | $180 | $36.7K |
| 67041 | 1 | 10 | 20 | $1,090 | $35.9K |
| 67042 | 5 | 10 | 30 | $1,000 | $27.9K |
| 66180 | 1 | 10 | 20 | $1,320 | $26.3K |
| 67036 | 1 | 10 | 20 | $890 | $25.7K |
Showing 1–10 of 27
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 |
|---|---|---|---|---|
| 66984 | The 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… | 600 | $190 | $114K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 20 | $40 | $790 |
| 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… | 1,320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The 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… | 19 | 40 | 300 | $180 | $191.9K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 27 | 30 | 110 | $120 | $55.7K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 35 | 40 | 140 | $1 | $590 |
| 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… | 14 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Mae Physicians Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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