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    OpenPayerNPI Medicare & MedicaidHoward Community Surgery Center LLC
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    Howard Community Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1063659605 · Kokomo, IN · Ambulatory Surgical Clinic/Center

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    Howard Community Surgery Center LLC is a ambulatory surgical clinic/center provider located in Kokomo, Indiana. This profile covers 21 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)

    FieldValue
    Entity TypeOrganization
    OrganizationHoward Community Surgery Center LLC
    Address3503 S Reed Rd
    CityKokomo
    StateIN
    ZIP46902
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 20, 2009

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

    Payer SourceTotal Paid
    Medicare$602.1K
    Medicaid$115.6K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$840$147.5K
    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…200$440$89.5K
    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…140$370$52.3K
    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.220$210$44.5K
    66982The 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…50$840$38K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$1,630$32.5K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$1,920$30.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk60$420$22.8K
    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$1,110$18.8K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$400$17.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698410545050$480$87.5K
    669824312030$600$29.4K
    15823132030$540$28.3K
    453853837060$260$26.5K
    G0260323070$210$16.7K
    C929015207,580$1$14.8K
    19301405020$530$13.8K
    6449314818050$180$12.2K
    6232313819050$150$10.8K
    G01054222030$250$10.2K

    Showing 1–10 of 21

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.420$270$115.8K
    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…910$0$0
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time50$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis360$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.62130360$280$234.4K
    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…1170320$0$0
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time51060$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis1440240$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Howard Community Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Community Health Network, IncINGeneral Acute Care Hospital$0$161.7M
    Community Health Network, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$37.4M
    Community Health Network, IncINGeneral Acute Care Hospital$0$32.9M
    Community Hospital Of Anderson & Madison County, IncINGeneral Acute Care Hospital$0$32.3M
    Community Hospital South, Inc.INGeneral Acute Care Hospital$0$27.3M
    Community Howard Regional Health, IncINGeneral Acute Care Hospital$0$25.5M
    Community Home Health Services, Inc.INDurable Medical Equipment & Medical Supplies$0$11M
    Thedacare Medical Center - Waupaca, Inc.WICritical Access Hospital$0$10.9M
    Thedacare Medical Center - Berlin, Inc.WICritical Access Hospital$0$9.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hopebridge, LLCINChild & Adolescent Psychiatry Physician$0$140.4M
    Bona Vista Programs, Inc.INIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.5M
    Community Howard Regional Health, IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$14.9M
    Joint Heirs Pediatrics LLCINPediatrics Physician$0$12M
    Community Howard Regional Health IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$8.7M
    Indiana Health Centers, Inc.INFederally Qualified Health Center (FQHC)$0$8.6M
    Ladd Dental Group IncINGeneral Practice Dentistry$0$6.1M
    Kokomo Pediatric Dentistry, LLCINPublic Health Dentistry$0$5.5M
    Autism Brain Alternatives, IncINBehavior Analyst$0$4.4M
    Comfort Home Health, LLCINHome Health Agency$0$4.3M

    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. Indiana Distribution
    Howard Community Surgery Center LLC — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana
    Medicaid Revenue by Year vs. Indiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Howard Community Surgery Center LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana