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    OpenPayerNPI Medicare & MedicaidDoctors Outpatient Surgery Center LLC
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    Doctors Outpatient Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1104858513 · Lafayette, LA · Ambulatory Surgical Clinic/Center

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    Doctors Outpatient Surgery Center LLC is a ambulatory surgical clinic/center provider located in Lafayette, Louisiana. This profile covers 10 Medicare and 8 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)

    FieldValue
    Entity TypeOrganization
    OrganizationDoctors Outpatient Surgery Center LLC
    Address1101 S College Rd
    CityLafayette
    StateLA
    ZIP70503
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 7, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$545K
    Medicare$213.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…60$1,360$79.1K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.30$1,330$35.8K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…20$1,370$24.7K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…90$250$22K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.30$490$16.7K
    62323The 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)…60$230$14.8K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…30$230$6.8K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography30$210$5.7K
    64483This 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).20$280$4.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$180$3.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6704222020$1,110$26.6K
    6703641020$950$23.7K
    646356312040$340$23.5K
    6710851020$1,100$22K
    6448313714060$170$20.2K
    G0260162070$190$17.2K
    6682114917040$220$16.5K
    644933812050$170$15.4K
    623233612040$130$8.3K
    62321429030$140$6.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.3,930$110$420.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.410$160$64.4K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.330$150$49.4K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.220$40$8.2K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.20$150$2.4K
    C1889Implantable/insertable device, not otherwise classified440$1$440
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).10$0$0
    L8699Prosthetic implant, not otherwise specified3,330$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.3030160$520$413.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.79160380$170$194.7K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.480220$140$122.4K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).1520270$190$90.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1750180$240$75.4K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.1440110$240$73.8K
    C1889Implantable/insertable device, not otherwise classified310440$1$1.2K
    L8699Prosthetic implant, not otherwise specified210110$1$290

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Merakey PennsylvaniaLACommunity/Behavioral Health Agency$0$37.7M
    Lafayette General Medical Center IncLAGeneral Acute Care Hospital$0$31.1M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$28.5M
    Gulf Coast Teaching Family Services, Inc.LACommunity/Behavioral Health Agency$0$13.1M
    Coolidge Emergency Group LLCLAEmergency Medicine Physician$0$11.1M
    Pediatrust Acadiana, LLCLAMedically Fragile Infants and Children Day Care$0$8.6M
    Critical Care Newborn ServicesLANeonatal-Perinatal Medicine Physician$0$7.6M
    New Day Personal Care ServicesLAIn Home Supportive Care Agency$0$6.9M
    A Blessing Personal Home CareLAIn Home Supportive Care Agency$0$6.4M
    Priority Medical Care Inc.LAHome Health Agency$0$6.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Doctors Outpatient Surgery Center LLC — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Doctors Outpatient Surgery Center LLC — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana