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    OpenPayerNPI Medicare & MedicaidJacksonville Surgery Center, Ltd
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    Jacksonville Surgery Center, Ltd — Billing Profile & Reimbursement Data

    NPI 1134182546 · Jacksonville, FL · Ambulatory Surgical Clinic/Center

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    Jacksonville Surgery Center, Ltd is a ambulatory surgical clinic/center provider located in Jacksonville, Florida. This profile covers 24 Medicare and 4 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
    OrganizationJacksonville Surgery Center, Ltd
    Address7021 A C Skinner Pkwy
    CityJacksonville
    StateFL
    ZIP32256
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$349.5K

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64590The 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…30$13,500$418.4K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants60$5,190$316.7K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.70$3,530$240.2K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…140$780$105K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…70$360$25.7K
    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.110$220$24.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…40$410$18K
    52356The 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…10$1,250$15K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$830$14.1K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$750$13.5K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974032030$5,230$193.3K
    64590188020$6,330$151.8K
    66984395940100$570$125.5K
    64561168030$2,080$95.8K
    J05852953107,780$1$59.6K
    658208510030$960$37.6K
    4599031070$520$37.2K
    453856681,14060$300$31K
    6698223029030$660$27.7K
    6463539756040$400$26.4K

    Showing 1–10 of 24

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.600$480$284.1K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.50$550$29.9K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.50$600$27.6K
    99070Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…20$340$7.7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.4060100$710$379K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.2640120$610$357.5K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2980230$400$331.4K
    99070Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…203040$1$1.4K

    Nearby Providers

    Other providers in the same ZIP code as Jacksonville Surgery Center, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ambassador Health Services, IncFLHome Health Agency$0$42.6M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$27.9M
    Cr & Ra Investments LLCFLHome Health Agency$0$24.4M
    Pediatric Services Of America, LLCFLNursing Care Agency$0$18.6M
    Fletcher's Medical Supplies, Inc.FLDurable Medical Equipment & Medical Supplies$0$17.5M
    Rmed LLCFLInternal Medicine Physician$0$11.9M
    Cancer Specialists, LLCFLHematology & Oncology Physician$0$7.5M
    Lakeside Dental Surgery Center LLCFLAmbulatory Surgical Clinic/Center$0$7.5M
    John SullivanFLOphthalmology Physician$3.8M$0
    The Medical Imaging Partnership-jax1 LLCFLRadiology Clinic/Center$2.5M$3K

    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. Florida Distribution
    Jacksonville Surgery Center, Ltd — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Jacksonville Surgery Center, Ltd — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida