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    OpenPayerNPI Medicare & MedicaidWest Plains Surgery Center LLC
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    West Plains Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1073509733 · West Plains, MO · Ambulatory Surgical Clinic/Center

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    West Plains Surgery Center LLC is a ambulatory surgical clinic/center provider located in West Plains, Missouri. This profile covers 18 Medicare and 12 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
    OrganizationWest Plains Surgery Center LLC
    Address1401 Doctors Dr
    CityWest Plains
    StateMO
    ZIP65775
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 27, 2005

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

    Payer SourceTotal Paid
    Medicare$674.1K
    Medicaid$421.8K

    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
    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…510$760$384.3K
    66991The 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$2,290$73.3K
    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.30$1,370$37.1K
    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.40$830$31.7K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…30$610$18.8K
    15823In 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…40$460$18.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$500$14.9K
    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…20$770$14.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…60$250$14.4K
    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…30$410$13.1K

    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
    669843742050$390$74K
    66991173030$1,230$55.5K
    15823174040$530$28.6K
    6703672020$980$25.5K
    66982588020$610$22.5K
    6682111022050$210$21.2K
    4538523534060$250$21K
    6617441030$630$18.9K
    G026051080$210$18.6K
    6790473020$570$14.3K

    Showing 1–10 of 18

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A490$280$138.5K
    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…610$190$113.5K
    D2929N/A140$290$41K
    D9999N/A140$280$38.8K
    D9223N/A220$170$37.8K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)230$120$27.9K
    D9222N/A220$90$21.1K
    D3220N/A20$140$2.3K
    D0272N/A30$10$340
    D0240N/A20$10$310

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D9999N/A820100$700$320.8K
    D9223N/A1040130$410$128.3K
    D2930N/A4390420$140$118.4K
    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…46080$280$53.5K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)135340140$80$42.5K
    D2929N/A210140$350$40.2K
    D9222N/A53070$220$38.2K
    D3220N/A3940120$80$28.7K
    D0272N/A390440300$20$12.4K
    D0240N/A304090$20$5.5K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marvin JonesMOCertified Registered Nurse Anesthetist$50.4K$17.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Restoring Hope, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$73M
    Ozarks Medical CenterMOGeneral Acute Care Hospital$0$35.8M
    Calstar Air Medical Services LLCMOAir Ambulance$5M$23.6M
    Ozark Independent LivingMOPersonal Care Attendant$0$27.6M
    Newton's Group Home Of West Plains -islMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$23.5M
    Ozarks Medical CenterMOAdult Mental Health Clinic/Center$0$18.5M
    Cal-ore Life Flight LLCMOAir Ambulance$3.6M$14.1M
    Perfect Partners, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.4M
    Lets Go IncMOCommunity/Behavioral Health Agency$0$9.8M
    Howell County Sheltered Workshop BoardMOCase Management Agency$0$6.5M

    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. Missouri Distribution
    West Plains Surgery Center LLC — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    West Plains Surgery Center LLC — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri