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    OpenPayerNPI Medicare & MedicaidUrologic Ambulatory Surgery Center, LLC
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    Urologic Ambulatory Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1154867562 · Tupelo, MS · Ambulatory Surgical Clinic/Center

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    Urologic Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Tupelo, Mississippi. This profile covers 18 Medicare and 0 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
    OrganizationUrologic Ambulatory Surgery Center, LLC
    Address499 Gloster Creek Vlg Ste B8
    CityTupelo
    StateMS
    ZIP38801
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 9, 2017

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This facility reports Total Medicare revenue of $1.9M and has no Medicaid billing on file, so it operates effectively as a Medicare-focused ambulatory surgical center with no recorded Medicaid payer activity. The absence of Medicaid billing means payer negotiations and utilization visibility will be concentrated on Medicare flows rather than a mixed state/federal payer mix.

    Revenue is heavily concentrated in a small number of high-value procedures: the top 3 Medicare codes account for 68.3% of the provider's Medicare revenue, led by 64590 at $534.7K (28.4%), 64561 at $389.6K (20.7%), and C9740 at $360K (19.1%). This concentration indicates that a few implant and device procedures are the dominant revenue drivers for the practice.

    The provider’s taxonomy as an Ambulatory Surgical Clinic/Center combined with its code mix points to a focused interventional urology practice: high-revenue neuromodulation device work (64590, 64561), transprostatic/cystourethral implants (C9740), and routine endoscopic urology such as ureteroscopy and TURP (52356, 52332, 52601). These codes imply the center performs device implantation and endoscopic therapeutic procedures typical of a specialty urology ASC rather than general outpatient primary care or broad multispecialty services.

    Competitive standing varies by service line: neuromodulation codes 64590 (ranks #34 of 561 nationally, 94th percentile; typical, unremarkable volume for this code) and 64561 (ranks #27 of 564, 95th percentile; typical, unremarkable volume for this code) show the provider is above median but not dominant nationally in peripheral/sacral neurostimulator work, while C9740 (ranks #11 of 162, 93th percentile; notably above typical national volume for this code) represents a stronger relative position in transprostatic implant procedures. In sum, the center is a high-volume niche player for certain prostate/implant procedures and a solid but not market-leading participant for sacral/peripheral neuromodulation.

    Several codes register as statistical outliers against national peers, highlighting areas of exceptional throughput: 55700 (270 claims, $149K, ranks #26 of 4425 providers nationally, 99th percentile; extreme outlier, far above typical national volume for this code), 52356 (68 claims, $102.3K, ranks #38 of 3090, 99th percentile; notably above typical national volume for this code), 52332 (72 claims, $61.1K, ranks #55 of 3938, 99th percentile; extreme outlier, far above typical national volume for this code), 52601 (53 claims, $80K, ranks #15 of 1140, 99th percentile; extreme outlier, far above typical national volume for this code), and 76872 (284 claims, $9.7K, ranks #51 of 4483, 99th percentile; extreme outlier, far above typical national volume for this code). These outlier volumes point to unusually high procedural throughput in specific endoscopic and imaging workflows relative to national peers.

    Operationally, the center couples a small number of high-dollar implant procedures with very high claim counts for lower-reimbursement diagnostic imaging: 76872 appears 284 times (avg paid/claim $34, $9.7K revenue) while implants generate the majority of dollars. This pattern suggests routine peri-procedural imaging and diagnostic workflow supporting a high-throughput implant and endourology practice where revenue concentration remains with device and therapeutic codes.

    One coding note with operational implications: 55700 (270 claims, $149K; 7.9% of Medicare revenue) is listed as deleted December 31, 2025. Given this code’s current contribution and its designation as an extreme outlier, the deletion will likely alter future billing distributions and requires attention to how those services are reported or replaced in subsequent periods.

    The provider’s NPI was enumerated on 2017-01-09 (~9 years ago), indicating it is an established but relatively recent entrant compared with long-standing hospital-affiliated ASCs. Combined with the concentrated revenue mix and multiple code-level outliers, the profile is consistent with a focused, procedure-driven ambulatory urology center that has built significant volume in a few specialized service lines over its ~9-year tenure.

    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.

    18 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…40$13,040$534.7K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.120$3,360$389.6K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants70$4,870$360K
    55700Code deleted December 31, 2025.270$550$149K
    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…70$1,500$102.3K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…50$1,510$80K
    52332The 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…70$850$61.1K
    52214The provider uses a cystoscope passed through the urethra and into the bladder to inspect the structures; he destroys (fulgurates) tissue on the bladder trigone, bladder neck, prostatic fossa,…60$930$51.1K
    55874Under 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…20$2,400$40.9K
    51715In 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…20$1,380$23.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974021070$5,000$349.8K
    6459052030$6,100$201.4K
    6456142040$2,180$141.6K
    5171561030$900$22.5K
    5235633020$600$19.2K
    52000587090$130$18.3K
    5235341010$920$15.7K
    5260112020$740$15.6K
    5587421020$760$15.3K
    5223421020$940$14.1K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Urologic Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clarance FarmerMSUrology Physician$312.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Medical Center, Inc.MSGeneral Acute Care Hospital$0$117.7M
    North Mississippi Medical Clinics IncMSInternal Medicine Physician$0$16.9M
    Happy Smiles Dentistry - Tupelo LLCMSGeneral Practice Dentistry$0$16.2M
    North Mississippi Ambulatory Surgery Center LLCMSAmbulatory Surgical Clinic/Center$1.5M$7.1M
    Relias Emergency Medicine Specialists Of Tupelo LLCMSEmergency Medicine Physician$0$8.4M
    Sog Surgery Center LLCMSAmbulatory Surgical Clinic/Center$7.5M$480
    Prescribed Pediatric Extended Care, IncMSMedically Fragile Infants and Children Day Care$0$7.2M
    Kare-in-home Hospice Of North Mississippi, LLCMSCommunity Based Hospice Care Agency$0$5M
    North Mississippi Allergy And Asthma Center PLLCMSAllergy & Immunology Physician$0$4.3M
    Sanders Clinic For Women PAMSObstetrics & Gynecology Physician$0$3.8M

    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. Mississippi Distribution
    Urologic Ambulatory Surgery Center, LLC — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi