Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lebonheur East Surgery Center Ii LP (NPI 1073763652)

Field	Value
Entity Type	Organization
Organization	Lebonheur East Surgery Center Ii LP
Address	786 Estate Place
City	Memphis
State	TN
ZIP	38120
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 19, 2008

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	2,450	$750	$1.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,480	$650	$957.6K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	110	$1,120	$126.2K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	70	$750	$53.9K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	30	$690	$20.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	10	$1,360	$16.3K
54300	The provider corrects an abnormal curvature of the penis known as chordee. This deformity commonly occurs in patients with hypospadias. He may also mobilize the urethra during this procedure.	10	$1,180	$14.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Lebonheur East Surgery Center Ii LP — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5	30	410	$520	$719.2K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	49	50	140	$850	$541.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	6	70	160	$500	$421.5K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	9	10	70	$330	$125.6K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	5	10	90	$260	$102.5K
54300	The provider corrects an abnormal curvature of the penis known as chordee. This deformity commonly occurs in patients with hypospadias. He may also mobilize the urethra during this procedure.	2	10	10	$670	$62.9K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	2	10	50	$650	$31.6K

Nearby Providers

Other providers in the same ZIP code as Lebonheur East Surgery Center Ii LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital	TN	General Acute Care Hospital	$0	$51.4M
East Memphis Neonatology Associates P.C	TN	Neonatal-Perinatal Medicine Physician	$0	$20.7M
Semmes-murphey Clinic PC	TN	Ambulatory Surgical Clinic/Center	$4.1M	$11K
Ridge Lake Asc, LLC	TN	Ophthalmologic Surgery Clinic/Center	$2.4M	$390.5K
Vrf Eye Specialty Group, Plc	TN	Ophthalmology Physician	$0	$2.5M
Gastrointestinal Specialists Foundation, Inc	TN	Gastroenterology Physician	$0	$2.5M
George Woodman	TN	Surgery Physician	$1.1K	$2.3M
Otolaryngology Consultants Of Memphis, P.C.	TN	Specialist	$0	$2.1M
Obgyn Consultants Of Memphis	TN	Obstetrics & Gynecology Physician	$0	$2.1M
Mays & Schnapp Pain Clinic & Rehabilitation Center	TN	Ambulatory Surgical Clinic/Center	$1.5M	$0

Lebonheur East Surgery Center Ii LP — Billing Profile & Reimbursement Data

Sign up for Lebonheur East Surgery Center Ii LP — Billing Profile & Reimbursement Data policy alerts

Lebonheur East Surgery Center Ii LP — Billing Profile & Reimbursement Data

Sign up for Lebonheur East Surgery Center Ii LP — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References