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    OpenPayerNPI Medicare & MedicaidAdvanced Surgery Center, LLC
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    Advanced Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1053366930 · Omaha, NE · Ambulatory Surgical Clinic/Center

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    Advanced Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Omaha, Nebraska. This profile covers 10 Medicare and 1 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
    OrganizationAdvanced Surgery Center, LLC
    Address111 S 10th St
    CityOmaha
    StateNE
    ZIP68102
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 22, 2006

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

    Payer SourceTotal Paid
    Medicare$673.9K
    Medicaid$0

    Key Findings

    This facility reports $673.9K in lifetime Medicare revenue and $0 in Medicaid revenue, making its billings effectively single‑payer Medicare in scale; the NPI was enumerated on 2006-05-22 (~20 years ago), indicating a long-tenured operation but a relatively small Medicare revenue base.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes (64555, 22612, 0275T) account for 68.8% of the provider's total Medicare revenue, and the single code 64555 alone represents $172.4K (25.6%) of Medicare receipts. This concentration suggests a narrow set of high-value procedures drive most of the center’s Medicare income.

    The code mix points to an orthopedic/spine/pain procedural focus: top codes include 64555 (neurostimulator implant), 22612 (lumbar spinal fusion), and 0275T (procedure listed without description), and additional billed codes include hip and knee arthroplasty (27130, 27447), wrist endoscopic carpal tunnel release (29848), and knee arthroscopy (29881). Together these codes indicate the center performs both implantable device/pain interventions and a range of orthopedic surgeries from major joint replacements to smaller hand and arthroscopic procedures.

    Competitive standing across the top revenue drivers is mixed: 64555 ranks #65 of 211 providers nationally (69th percentile; typical, unremarkable volume for this code), indicating an above‑median national presence for neurostimulator implantation, while 0275T ranks #106 of 597 providers nationally (82th percentile; typical, unremarkable volume for this code), reflecting relatively higher activity for that billed procedure. By contrast, 22612 ranks #1635 of 1984 providers nationally (8th percentile; typical, unremarkable volume for this code), signaling modest spine-fusion volume compared with national peers.

    Several high-dollar orthopedic codes are present but show minimal national share: 27130 ($80.8K; 12.0%) and 27447 ($79.2K; 11.8%) both appear on the top-25 list yet rank at the 0th percentile nationally (listed as typical, unremarkable volume for these codes), which points to these joint-replacement items contributing materially to revenue while the provider remains a very small player for those procedures versus national peers.

    Procedure-level economics suggest a mix of high average paid claims and high-volume lower-paid procedures: average paid/claim is $12,259 for 22612 and $4,311 for 64555, while high-claim-count, lower‑paid items such as 29848 ($505 avg paid/claim) and 29881 ($1,062 avg paid/claim) contribute smaller revenue shares. This mix may indicate the center’s financial sensitivity to a few high‑paid index procedures combined with a broader throughput of lower-cost ambulatory surgeries.

    The absence of any Medicaid revenue ($0 reported) creates payer concentration risk from a revenue diversification standpoint; the center’s business profile and competitive analysis should be interpreted primarily through the Medicare-focused activity recorded here rather than a dual-payer mix.

    Beyond the top three, several billed services (26055, 62323, 20610) are recorded at low revenue levels and low national rank percentiles (labels in the source data note these as typical, unremarkable volumes), reinforcing that the provider operates with a few dominant revenue drivers and a tail of routine ambulatory procedures rather than broad, high-volume statewide or national dominance across many codes.

    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
    64555A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…40$4,310$172.4K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…10$12,260$147.1K
    0275TN/A40$3,700$144.1K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…10$7,350$80.8K
    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$7,200$79.2K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.40$510$19.7K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…20$1,060$17K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…20$440$8.9K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…20$250$4.2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$20$330

    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
    6455511020$2,510$67.9K
    0275T32020$2,280$57K
    2744713814040$610$29.1K
    2984841030$410$22.8K
    22612131020$1,070$22.5K
    27130889030$620$21.1K
    2988141020$850$12.7K
    26055233030$280$11.1K
    62323486050$140$10.7K
    2061038342050$40$3.9K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient 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…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nebraska median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8907Patient 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…132040$1$10

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of OmahaNELand Ambulance$2.2M$10.5M
    Intelliride, A Division Of TransdevNETransportation Broker$0$5.9M
    Centerpointe, IncNESubstance Abuse Rehabilitation Facility$0$4.7M
    Centerpointe, IncNESubstance Abuse Rehabilitation Facility$0$4.4M
    Arron Cleaver-mcwilliamsNEPediatric Dentistry$0$1.4M
    Neepa ModiNEGeneral Practice Dentistry$0$612.9K
    Step Ahead Aba LLCNECommunity/Behavioral Health Agency$0$584.6K
    Oneworld Community Health Centers, Inc.NEFederally Qualified Health Center (FQHC)$0$571K
    Summit Dental Health - Old Market LLCNEGeneral Practice Dentistry$0$543.5K
    Nebraska Dental Anesthesia, LLCNEDental Anesthesiology$0$542.9K

    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. Nebraska Distribution
    Advanced Surgery Center, LLC — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska
    Medicaid Revenue by Year vs. Nebraska Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Advanced Surgery Center, LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska