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NPI 1073570552 · Moore, OK · Ambulatory Surgical Clinic/Center
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Physicians Surgical Center LLC is a ambulatory surgical clinic/center provider located in Moore, Oklahoma. This profile covers 17 Medicare and 3 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 | Physicians Surgical Center LLC |
| Address | 3121 S Telephone Rd |
| City | Moore |
| State | OK |
| ZIP | 73160 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.7M |
| Medicare | $1.9M |
This facility’s payer footprint is Medicaid‑weighted: lifetime Medicare revenue is $1.9M while lifetime Medicaid revenue is $2.7M, so Medicaid represents the larger single source of billed revenue on file. The split suggests the center’s case mix and payer relationships skew toward services reimbursed through Medicaid rather than Medicare.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes (64590, 64561, 66984) account for 84.3% of this provider's total Medicare revenue. Those codes individually generated $709.4K (64590, 38.2%), $480.3K (64561, 25.9%), and $375.4K (66984, 20.2%) of Medicare revenue, indicating that a small set of procedural lines drive most Medicare receipts.
Medicaid revenue is extremely concentrated into pediatric ENT procedural codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. Code 42820 alone generated $2.2M (83.2%) of Medicaid revenue and 69436 added $428.3K (15.9%), with 66984 contributing $22.6K (0.8%), showing Medicaid income is dominated by tonsil/adenoid and tympanostomy activity.
The Medicare code mix points to a significant ambulatory surgical implant and ophthalmic workload: high-revenue Medicare codes include neurostimulator/pulse generator implantation (64590 and 64561) and cataract extraction with IOL insertion (66984), consistent with an ambulatory surgical clinic performing implantable-device and ophthalmic procedures. Conversely, the Medicaid code mix (42820, 69436) indicates a strong pediatric ENT procedural line under Medicaid, so the center appears to operate distinct adult implant/ophthalmology and pediatric ENT service lines.
Competitive standing on national Medicare code benchmarks is mixed but notable for sacral/neurostimulation procedures: 64561 ranks #19 of 564 providers nationally (97th percentile; notably above typical national volume) and 64590 ranks #20 of 561 providers nationally (97th percentile; typical, unremarkable volume), indicating unusually strong activity for sacral/neurostim codes relative to most peers while cataract work (66984) sits at #3019 of 15965 (81th percentile; typical, unremarkable volume).
Within the state Medicaid market the provider is a major player for pediatric ENT: 42820 ranks #4 of 53 in‑state (94th percentile; notably above typical state volume) and 69436 ranks #8 of 69 in‑state (90th percentile; typical, unremarkable volume), positioning the center among the top in‑state providers for tonsil/adenoid procedures in Medicaid.
Concentration of revenue into a few high‑value codes creates operational and reimbursement exposure: Medicare receipts rely on the three codes that compose 84.3% of Medicare revenue, and Medicaid receipts rely entirely on the three codes that compose 100.0% of Medicaid revenue. Any shifts in patient referral patterns, utilization, or reimbursement policy focused on these specific codes could materially affect the center’s revenue profile.
Operational tenure supports a long‑standing ambulatory presence: the provider’s NPI was enumerated on 2006-04-27 (~20 years ago) and the facility taxonomy is Ambulatory Surgical Clinic/Center, which together suggest an established outpatient surgical operation with sustained activity across both adult implant/ophthalmic and pediatric ENT service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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… | 50 | $13,910 | $709.4K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 130 | $3,580 | $480.3K |
| 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… | 480 | $790 | $375.4K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 10 | $4,990 | $69.8K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 560 | $100 | $54.5K |
| 55874 | Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes… | 10 | $2,600 | $33.8K |
| 55700 | Code deleted December 31, 2025. | 40 | $610 | $23.8K |
| 57288 | The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed… | 10 | $1,950 | $23.4K |
| 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… | 50 | $470 | $23K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 30 | $470 | $14.1K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 3 | 10 | 30 | $5,080 | $127K |
| J1096 | 2 | 10 | 560 | $100 | $89.9K |
| 64590 | 1 | 30 | 20 | $4,440 | $88.8K |
| 66984 | 33 | 350 | 40 | $430 | $69.3K |
| 64561 | 1 | 20 | 20 | $1,750 | $54.2K |
| 55874 | 5 | 10 | 20 | $1,700 | $40.8K |
| 15823 | 19 | 40 | 50 | $510 | $39.7K |
| 66982 | 51 | 60 | 30 | $590 | $27.1K |
| 64635 | 50 | 80 | 50 | $360 | $23.3K |
| 62323 | 86 | 90 | 60 | $130 | $15K |
Showing 1–10 of 17
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 1,190 | $1,880 | $2.2M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,450 | $300 | $428.3K |
| 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… | 50 | $450 | $22.6K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 4 | 50 | 70 | $1,800 | $496.5K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 8 | 70 | 150 | $450 | $279K |
| 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… | 29 | 40 | 170 | $340 | $211.6K |
Other providers in the same ZIP code as Physicians Surgical Center LLC, ranked by combined Medicare and Medicaid revenue.
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