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NPI 1073598066 · Nashville, TN · Ambulatory Surgical Clinic/Center
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Urology Surgery Center LP is a ambulatory surgical clinic/center provider located in Nashville, Tennessee. This profile covers 30 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Urology Surgery Center LP |
| Address | 2801 Charlotte Ave |
| City | Nashville |
| State | TN |
| ZIP | 37209 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $0 |
UROLOGY SURGERY CENTER LP is an ambulatory surgical clinic/center primarily billing Medicare, with total Medicare revenue of $2.9M and no Medicaid revenue reported ($0), making Medicare effectively the sole payer in the available dataset. This payer mix implies the facility’s operations and revenue risk are concentrated on Medicare fee-for-service reimbursement rather than state Medicaid programs.
Revenue concentration is high across a few device- and procedure-driven services: the precomputed top 3 Medicare codes (64590, 64561, 54405) account for 48.8% of the provider’s Medicare revenue. These three codes are all implant/procedural interventions (neurostimulator generator placement, sacral nerve electrode implantation, and multicomponent inflatable penile prosthesis), indicating that nearly half of revenue is driven by higher-acuity, implant-focused urologic procedures.
The code mix and top-billed services indicate a specialty surgical center focused on urologic implants and endoscopic care: high-revenue device placements such as 64590 ($551.2K revenue) and 54405 ($410.1K revenue) sit alongside image-guided sacral electrode procedures 64561 ($444.4K revenue) and prostate-directed services like C9740 ($374K revenue). Frequent billing for cystourethroscopy and ureteroscopy codes (numerous entries in the top 25) plus large volumes of transrectal ultrasound (76872) support an operational model combining implant surgery with high-throughput endoscopy and perioperative imaging.
Competitive standing is strong for several specialty codes: 64561 ranks #21 of 564 providers nationally (96th percentile) and 64590 ranks #41 of 561 (93th percentile), positioning the center as a high-volume national participant for sacral nerve and neurostimulator generator services. For penile prosthesis 54405 the provider ranks #9 of 111 providers nationally (93th percentile), signaling top-tier national activity in that more narrowly distributed procedure.
The provider shows multiple statistical outliers in Medicare procedure volume that reflect distinctive service-line intensity rather than routine ambulatory work: 55700 is listed as an "extreme outlier" (rank #5 of 4425, 100th percentile) and standard endoscopic throughput codes are also extreme outliers—52000 (rank #53 of 8548, 99th percentile) and 76872 (rank #5 of 4483, 100th percentile). Additionally, C9740 is described as "notably above typical national volume" (rank #15 of 162), reinforcing that some implant and prostate-targeted services are delivered at materially higher rates than national peers.
Operational throughput appears high with many low-unit-value, high-count diagnostic and imaging codes supporting procedural volume: 52000 has 607 claims ($180 avg paid/claim, $109.3K revenue) and 76872 has 766 claims ($41 avg paid/claim, $31.4K revenue), which together suggest substantial clinic/endoscopy session volume feeding the higher-revenue implant procedures. This mix implies scheduling and supply-chain emphasis on same-day endoscopy and implant workflows.
Regulatory and coding context matters for interpretation: one high-volume code in the file, 55700, is noted as "Code deleted December 31, 2025," which could materially change future reported Medicare revenue patterns or apparent outlier status if not reclassified to successor codes. Analysts should expect post-2025 shifts in revenue distribution if historical billing mapped heavily to that deleted code.
The provider has an established presence with its NPI enumerated on 2005-12-13 (~21 years ago), suggesting long-tenure operation in the market; combined with high national-percentile rankings on several specialized implant codes, this history supports a sustained specialty niche in urologic implant and endoscopic services rather than a recent entrant focusing on routine outpatient care.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 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… | 40 | $14,130 | $551.2K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 120 | $3,640 | $444.4K |
| 54405 | The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir… | 30 | $12,060 | $410.1K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 70 | $5,270 | $374K |
| 55700 | Code deleted December 31, 2025. | 510 | $600 | $307.4K |
| 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… | 40 | $2,610 | $112K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 610 | $180 | $109.3K |
| C9761 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra… | 30 | $2,580 | $85.2K |
| 53440 | The provider inserts a synthetic mesh sling or creates a sling using fascia to support the urethra and restore continence in a male patient. | 10 | $7,060 | $77.6K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 40 | $1,430 | $60K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 2 | 10 | 50 | $5,070 | $223.2K |
| 54405 | 1 | 10 | 20 | $4,920 | $103.3K |
| C9761 | 1 | 10 | 30 | $2,580 | $85.2K |
| 53440 | 1 | 10 | 10 | $7,060 | $77.6K |
| 64590 | 1 | 30 | 20 | $3,740 | $67.3K |
| 55874 | 4 | 10 | 30 | $1,760 | $65.2K |
| J0585 | 50 | 70 | 7,500 | $1 | $47K |
| 64561 | 1 | 30 | 20 | $1,560 | $43.7K |
| C1747 | 1 | 10 | 40 | $600 | $24.4K |
| 52351 | 8 | 10 | 20 | $560 | $23.6K |
Showing 1–10 of 30
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G8907 | Patient 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… | 100 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G8907 | Patient 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… | 38 | 70 | 160 | $1 | $10 |
Other providers in the same ZIP code as Urology Surgery Center LP, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Oral Facial Surgery Center, LLC | TN | Ambulatory Surgical Clinic/Center | $202.4K | $5.8M |
| Tnmo Healthcare, LLC | TN | Community Based Hospice Care Agency | $0 | $5.7M |
| Tennessee Orthopaedic Alliance PA | TN | Orthopaedic Surgery Physician | $0 | $5.6M |
| Nephrology Associates, PC | TN | Nephrology Physician | $0 | $3.4M |
| Gautam Jayram | TN | Urology Physician | $340.5K | $0 |
| Marcy Abel | TN | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | $311.6K | $0 |
| Edward Mackey | TN | Orthopaedic Surgery Physician | $291.4K | $0 |
| Philip Karpos | TN | Orthopaedic Surgery Physician | $251.4K | $0 |
| Jane Siegel | TN | Orthopaedic Hand Surgery Physician | $240.5K | $0 |
| William Carpenter | TN | Adult Reconstructive Orthopaedic Surgery Physician | $218.1K | $0 |
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