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NPI 1154316339 · North Platte, NE · Ambulatory Surgical Clinic/Center
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North Platte Surgery Center LLC is a ambulatory surgical clinic/center provider located in North Platte, Nebraska. This profile covers 24 Medicare and 2 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 | North Platte Surgery Center LLC |
| Address | 621 W Francis St |
| City | North Platte |
| State | NE |
| ZIP | 69101 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $5.7K |
NORTH PLATTE SURGERY CENTER LLC is effectively Medicare‑centric in scale: reported lifetime Medicare revenue is $1.1M versus total Medicaid revenue of $5.7K, so Medicare drives the vast majority of billed dollars for this entity and Medicaid activity is negligible in comparison. This payer mix implies that reimbursement trends and policy changes affecting Medicare will have an outsized impact on the facility's financials.
Revenue concentration is material at the code level: the precomputed top‑3 Medicare codes account for 55.5% of this provider's total Medicare revenue, and the top‑3 Medicaid codes account for 100.0% of its Medicaid revenue. That concentration means a small number of procedures — particularly the highest‑revenue Medicare codes — dominate financial performance and introduce sensitivity to volume shifts or reimbursement changes for those codes.
The code mix and volumes are consistent with operations of an ambulatory surgical center offering multi‑specialty, same‑day procedures: high Medicare revenue contributions from ophthalmic cataract surgery codes (66984, 66982, 66991), GI endoscopy/colorectal procedures (45380, G0121, 45385, 43239), and image‑guided spine injections/ pain procedures (64483, 62323, G0260). This combination suggests the center supports both eye surgery and endoscopy suites plus interventional pain procedures rather than a single‑specialty focus.
Cataract extraction with intraocular lens insertion (66984) is the single largest Medicare revenue driver: 66984 generated $411.6K and represents 36.5% of the provider's Medicare revenue. Its reported national standing is described as "typical, unremarkable volume" (82th percentile), which indicates steady cataract throughput at a level comparable with many peers rather than an extreme outlier.
The facility reports an unusually high national volume for transforaminal epidural injections (64483): this code produced $127.5K (11.3% of Medicare revenue) and is characterized in the data as "notably above typical national volume" (97th percentile). That ranking signals the provider is a relatively large national participant for that pain management procedure and may have referral patterns or clinician expertise that support higher throughput in this service line.
Endoscopy and colorectal services form a meaningful secondary revenue stream: 45380 produced $86.6K (7.7% of Medicare revenue) and G0121 produced $33.9K (3.0% of Medicare revenue); both codes show above‑typical national volumes (45380 at 95th percentile, G0121 at 94th percentile with G0121 labeled "notably above typical national volume"). These percentile signals indicate the center is an active local provider of screening and diagnostic colonoscopy services and holds competitive standing in that outpatient GI space.
Medicaid activity is minimal and concentrated: all reported Medicaid revenue ($5.7K) is from 43239 (27 claims, $212 avg paid/claim) and the in‑state rank for that code is #25 of 29 providers (14th percentile), indicating a modest Medicaid presence for this endoscopic code compared with in‑state peers. The dataset also shows 103 Medicaid claims for G8907 with $0 revenue, consistent with a non‑reimbursed administrative/quality reporting code rather than a revenue source.
The NPI was enumerated on 2005‑09‑14 (~21 years ago), indicating the facility has an established operating history. Combined with the code mix and concentrated Medicare dollars, this tenure supports the interpretation of a stable ambulatory surgical operation with mature service lines in ophthalmology, endoscopy, and interventional pain care.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 510 | $800 | $411.6K |
| 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). | 480 | $260 | $127.5K |
| 45380 | The 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… | 230 | $380 | $86.6K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 30 | $2,370 | $66.3K |
| 66982 | The 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… | 80 | $800 | $62.7K |
| 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… | 80 | $620 | $50.2K |
| 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… | 30 | $1,560 | $40.5K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 90 | $420 | $36.1K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 90 | $400 | $33.9K |
| 45385 | The 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… | 80 | $420 | $31.4K |
Showing 1–10 of 24
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 21 | 200 | 50 | $450 | $75.5K |
| 66991 | 18 | 30 | 30 | $1,410 | $56.4K |
| 45385 | 48 | 120 | 50 | $280 | $33.2K |
| 66982 | 10 | 50 | 40 | $570 | $30.1K |
| 64483 | 1 | 60 | 70 | $180 | $20K |
| 64721 | 5 | 30 | 20 | $400 | $17.5K |
| 45380 | 6 | 130 | 40 | $190 | $14.9K |
| 29827 | 9 | 40 | 20 | $640 | $14.2K |
| 29881 | 7 | 10 | 20 | $850 | $12.7K |
| G0260 | 6 | 10 | 50 | $210 | $12.5K |
Showing 1–10 of 24
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 30 | $210 | $5.7K |
| 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… | 100 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The 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. | 25 | 30 | 280 | $450 | $266.7K |
| 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… | 6 | 20 | 40 | $1 | $10 |
Other providers in the same ZIP code as North Platte Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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