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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Center For Urologic Surgery LLC (NPI 1093230450)

Field	Value
Entity Type	Organization
Organization	Center For Urologic Surgery LLC
Address	12855 N 40 Dr Ste 100
City	Saint Louis
State	MO
ZIP	63141
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 7, 2017

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: total Medicare revenue is $1.9M and there is no Medicaid billing on file, so the clinic’s commercial/Medicare mix is dominated by Medicare receipts and Medicaid does not appear in its payer footprint. Analysts should treat Medicare trends as representing the overwhelming source of reported public reimbursement for this entity.

Revenue is highly concentrated in a handful of procedures: the precomputed top 3 Medicare codes account for 57.7% of total Medicare revenue, with the single largest code 64590 representing 27.9% of Medicare revenue and the second largest 64561 representing 22.0%. This concentration means changes in reimbursement, utilization, or coding for those few services would have outsized impact on the clinic’s revenue.

Clinical focus leans toward advanced urologic interventions and device procedures: the top codes include 64590 (neurostimulator pulse generator, avg paid/claim $14791), 64561 (sacral nerve electrode implants, avg paid/claim $3817), and procedural stone and endoscopic work such as 50590 (ESWL, avg paid/claim $1049) and multiple cystoscopy/ureteroscopy codes. The mix of high‑value implant/device codes and common endourology codes is consistent with an ambulatory surgical clinic that performs both implantable device procedures and outpatient stone/endoscopic treatments.

Competitive standing is mixed by code: 64561 ranks #29 of 564 providers nationally (95th percentile; typical, unremarkable volume for this code) and 64590 ranks #53 of 561 providers nationally (91th percentile; typical, unremarkable volume for this code), indicating the clinic sits high in national placement for sacral neuromodulation and neurostimulator implants yet is described by the dataset as having typical volumes for those codes. This suggests the practice is a notable national participant in neuromodulation work but not uniquely dominant given the dataset’s characterization.

Several specific codes are statistical outliers versus national peers, signaling pockets of especially high relative activity: 55700 ranks #31 of 4425 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), 50590 ranks #9 of 1163 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), and 52332 ranks #34 of 3938 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). These extreme outlier labels indicate the clinic’s activity in certain procedures (including a now‑deleted code, see below) is far above typical national volumes and may define local specialization.

One operational caveat is code lifecycle: 55700 is noted as deleted December 31, 2025, yet it still accounts for $149.3K (7.8% of Medicare revenue) in lifetime billing here. Because 55700 is both a high‑revenue contributor and labeled an extreme outlier, its deletion and any replacement coding will materially affect historical comparability and future revenue patterns for the practice.

Procedure-level reimbursement skew favors device/implant work: several of the highest avg paid/claim values are for device or implant codes (64590 avg paid/claim $14791; C9740 avg paid/claim $5522; 64561 avg paid/claim $3817), which explains why a relatively small number of device procedures can generate a large share of the $1.9M Medicare lifetime revenue. Analysts should monitor utilization counts on these high‑unit‑value codes as primary drivers of revenue volatility or growth.

The provider has an established NPI tenure (enumerated 2017-08-07, ~9 years ago), indicating the ambulatory surgical clinic has had several years to develop referral relationships and service lines; combined with the concentrated, high‑value code mix, this suggests a mature niche practice model focused on urologic implants and procedural care rather than broad primary care or high Medicaid volume.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

22 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	$14,790	$532.5K
64561	The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.	110	$3,820	$419.9K
55700	Code deleted December 31, 2025.	240	$630	$149.3K
50590	Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.	140	$1,050	$144.8K
C9740	Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants	20	$5,520	$127K
52332	The provider performs 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…	90	$890	$78.9K
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…	30	$2,720	$73.4K
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	$1,730	$71K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	20	$2,400	$52.8K
51715	In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a…	30	$1,520	$40.9K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Center For Urologic Surgery LLC — 6 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
C9740	3	10	20	$5,430	$141.2K
64590	1	20	20	$3,770	$71.6K
64561	1	20	20	$1,710	$51.4K
55874	5	10	30	$1,030	$25.8K
52224	1	10	20	$1,080	$22.6K
50590	1	40	20	$610	$15.2K
63047	31	90	20	$590	$13.6K
52356	5	60	20	$560	$13.4K
52351	2	10	10	$810	$13K
52000	154	170	80	$150	$12.8K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospitals East Communities	MO	General Acute Care Hospital	$0	$56.5M
Bayada Home Health Care, Inc.	MO	Home Health Agency	$0	$41.2M
Mercy Clinic East Communities	MO	Internal Medicine Physician	$0	$22.2M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$19.8M
Biotech X-ray Inc	MO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$5.1M	$6M
Western Anesthesiology Associates, Inc.	MO	Anesthesiology Physician	$0	$10.9M
Team Select Home Care Of Missouri, Inc.	MO	Nursing Care Agency	$0	$10.7M
Physician Groups Lc	MO	Multi-Specialty Clinic/Center	$0	$9.8M
Sensory Solutions, LLC	MO	Occupational Therapist	$0	$7.3M
Excel Home Care, Inc.	MO	Home Health Agency	$0	$6.2M

Center For Urologic Surgery LLC — Billing Profile & Reimbursement Data

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Center For Urologic Surgery LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References