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NPI 1073946216 · Flowood, MS · Ambulatory Surgical Clinic/Center
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Madison Physician Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Flowood, Mississippi. This profile covers 59 Medicare and 7 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 | Madison Physician Surgery Center, LLC |
| Address | 4510 Lakeland Dr |
| City | Flowood |
| State | MS |
| ZIP | 39232 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 12, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $12.3M |
| Medicaid | $30.3K |
MADISON PHYSICIAN SURGERY CENTER, LLC is functionally an orthopedic and spine-focused ambulatory surgical clinic: its highest Medicare revenue codes are major joint arthroplasty and spine procedures (notably 27447 and 27130 for knee and hip replacement, plus 63685 and 63650 for spinal neurostimulation and epidural electrode placement), which indicates the center performs high-acuity surgical implants and interventional spine services in an ASC setting. The facility taxonomy (Ambulatory Surgical Clinic/Center) aligns with this mix of joint replacement, arthroscopy, and spine device procedures.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes by revenue account for 62.3% of this provider's total Medicare revenue, and the single largest Medicare code 27447 generates $4.3M (35.9% of Medicare revenue). This concentration shows the center’s Medicare financial performance is driven by a small number of high-value orthopedic and spine procedures.
Medicaid billing is negligible compared with Medicare: Total Medicare revenue is $12.3M versus Total Medicaid revenue of $30.3K, so the provider is effectively Medicare-dominant in scale. The Medicaid program represents a very small share of overall reported public-payer revenue and is concentrated in a tiny set of codes.
Medicaid revenue is sharply concentrated as well: the precomputed top 3 Medicaid codes by revenue account for 97.8% of this provider's total Medicaid revenue, led by 62323 (72.2% of Medicaid revenue) and 64483 (19.9% of Medicaid revenue). Those Medicaid claims and payments are modest in absolute dollar terms and the provider ranks in the middle of in-state peers for these injections, indicating routine participation rather than dominance in the state Medicaid market.
Competitive standing on Medicare is nationally prominent for several high-revenue procedures: 27447 ranks #3 of 12089 providers nationally and is described as an extreme outlier, and 27130 ranks #4 of 8062 providers nationally and is also an extreme outlier. Additional Medicare codes such as 29828 and 29827 are ranked #1 nationally and labeled extreme outliers, confirming that this center is a major national outlier for multiple specific orthopedic and arthroscopic procedures.
Other Medicare spine and pain codes show elevated activity consistent with an interventional spine program: 63685 (spinal neurostimulator generator) is ranked #28 of 1281 providers nationally (98th percentile; notably above typical national volume), 63650 (epidural electrode placement) ranks in the 99th percentile and is labeled an extreme outlier, and multiple image-guided injection codes (62323, 64483, 64493) appear with high claim counts. These data support that the center combines surgical implant work with a high-volume image-guided pain management suite.
Tenure and stability: the NPI was enumerated on 2013-08-12 (~13 years ago), indicating more than a decade of Medicare/Medicaid reporting history; that tenure, combined with the concentrated, high-volume Medicare caseload, suggests an established surgical operation rather than a newly formed practice.
State-level Medicaid competitiveness is modest: the leading Medicaid procedure 62323 ranks #20 of 44 in-state (56th percentile, characterized as typical, unremarkable volume) and 64483 ranks #18 of 33 (47th percentile, typical). In short, while the center is a national outlier on Medicare for several orthopedic and spine procedures, its Medicaid footprint is small and roughly average among in-state peers for the specific injection services it bills.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
59 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 640 | $6,640 | $4.3M |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 290 | $6,810 | $2M |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 70 | $17,630 | $1.1M |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 240 | $3,500 | $832K |
| 27446 | In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the… | 90 | $6,640 | $598K |
| 0627T | The provider injects a cellular or tissue–based product under fluoroscopic guidance to treat a lumbar intervertebral disc. This code applies to the first level injected. The injection may occur on… | 70 | $6,300 | $428.6K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 150 | $2,260 | $334.3K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 220 | $1,490 | $328.7K |
| 22551 | A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae. | 50 | $6,590 | $303.3K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 1,090 | $230 | $254.1K |
Showing 1–10 of 59
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
59 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 2 | 20 | 30 | $7,940 | $277.9K |
| 27446 | 2 | 10 | 60 | $2,920 | $192.6K |
| 27447 | 1 | 90 | 50 | $2,160 | $164.5K |
| 0627T | 5 | 20 | 40 | $3,200 | $163K |
| 63650 | 1 | 20 | 80 | $1,890 | $160.4K |
| 27130 | 1 | 70 | 30 | $2,070 | $87.1K |
| 28730 | 1 | 10 | 20 | $3,970 | $67.5K |
| 22551 | 2 | 20 | 20 | $1,950 | $44.8K |
| 64483 | 3 | 70 | 110 | $180 | $36.7K |
| 25609 | 1 | 10 | 20 | $1,850 | $35.1K |
Showing 1–10 of 59
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 380 | $60 | $21.8K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 90 | $60 | $6K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 10 | $120 | $1.7K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 50 | $10 | $680 |
| 20985 | A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a… | 20 | $0 | $0 |
| C1776 | Joint device (implantable) | 10 | $0 | $0 |
| 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… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 18 | 30 | 110 | $120 | $55.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 20 | 40 | 280 | $110 | $46.9K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 15 | 20 | 440 | $20 | $22.4K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 2 | 10 | 10 | $320 | $11.2K |
| C1776 | Joint device (implantable) | 12 | 10 | 60 | $20 | $2.4K |
| 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… | 53 | 60 | 520 | $1 | $200 |
| 20985 | A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a… | 1 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as Madison Physician Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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