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    OpenPayerNPI Medicare & MedicaidSsm St Clare Surgical Center LLC
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    Ssm St Clare Surgical Center LLC — Billing Profile & Reimbursement Data

    NPI 1033351119 · Fenton, MO · Ambulatory Surgical Clinic/Center

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    Ssm St Clare Surgical Center LLC is a ambulatory surgical clinic/center provider located in Fenton, Missouri. This profile covers 18 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
    OrganizationSsm St Clare Surgical Center LLC
    Address1055 Bowles Ave
    CityFenton
    StateMO
    ZIP63026
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 3, 2009

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

    Payer SourceTotal Paid
    Medicare$398K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67040The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…70$1,180$84.1K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…40$1,510$55.7K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$1,440$46K
    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…60$680$42.8K
    67036The 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.50$850$39.1K
    67108The 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…10$1,510$21.1K
    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…60$350$19.3K
    67041In 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$1,210$18.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$390$12.2K
    38525The 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$990$11.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698419242050$390$74K
    6704011030$1,000$38.1K
    6704253020$1,070$26.8K
    6711321020$1,170$25.8K
    6703622020$980$25.5K
    4538525834060$250$21K
    C92905108,250$1$20K
    6710892010$1,060$18K
    6704141010$1,080$17.3K
    4538012235040$150$9.1K

    Showing 1–10 of 18

    Nearby Providers

    Other providers in the same ZIP code as Ssm St Clare Surgical Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thyroid Specialty Laboratory IncMOClinical Medical Laboratory$3.2M$30.2M
    Ssm Medical Group, Inc.MOMulti-Specialty Clinic/Center$0$19.4M
    Option Care Enterprises, Inc.MOHome Infusion Therapy Pharmacy$0$11.2M
    Ssm Health Care St. LouisMOGeneral Acute Care Hospital$0$7.7M
    Alternative Hospice LLCMOCommunity Based Hospice Care Agency$0$4.1M
    Solutions Lab And Health Care Services LLCMOClinical Medical Laboratory$967.7K$1.4M
    Jeffrey PetersenMODermatology Physician$616.1K$0
    Fenton Fire Protection DistrictMOLand Ambulance$291.6K$304.6K
    Brent DavidsonMOOphthalmology Physician$251.9K$0
    Michael BoedefeldMOPain Medicine (Anesthesiology) Physician$176.7K$4.2K

    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. Missouri Distribution
    Ssm St Clare Surgical Center LLC — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri