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    OpenPayerNPI Medicare & MedicaidSaint Francis Surgery Center, LLC
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    Saint Francis Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1164458634 · Memphis, TN · Ambulatory Surgical Clinic/Center

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    Saint Francis Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Memphis, Tennessee. This profile covers 40 Medicare and 1 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
    OrganizationSaint Francis Surgery Center, LLC
    Address5999 Park Ave
    CityMemphis
    StateTN
    ZIP38119
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 24, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    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.

    40 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…10$13,850$193.9K
    54405The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir…10$11,820$141.9K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.30$3,570$99.9K
    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…50$1,550$71.3K
    52351The provider performs a diagnostic cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…70$970$71K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants10$4,950$69.3K
    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…30$1,560$51.6K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…90$450$42.4K
    52353The 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…20$1,460$35.1K
    55700Code deleted December 31, 2025.60$550$33.8K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974041050$5,070$223.2K
    5440581020$4,920$103.3K
    64590163020$3,740$67.3K
    6456183020$1,560$43.7K
    15823126050$490$33K
    67904144040$510$30.2K
    4538520432060$260$27.1K
    29827889020$1,110$26.7K
    644838615070$190$25.8K
    5235131020$560$23.6K

    Showing 1–10 of 40

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient 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…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8907Patient 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…6470160$1$10

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut Medical Group IncTNMulti-Specialty Clinic/Center$0$53.1M
    Amisub (sfh), Inc.TNGeneral Acute Care Hospital$0$20.2M
    Maxim Healthcare Services, Inc.TNHome Health Agency$0$18.5M
    Mid-south Maternal Fetal Medicine PCTNMaternal & Fetal Medicine Physician$0$8.1M
    Elect Home Care, LLCTNIn Home Supportive Care Agency$0$7.6M
    First Choice Community Services, IncTNIn Home Supportive Care Agency$0$7.5M
    Tennessee Emergency Physicians, PLLCTNEmergency Medicine Physician$0$6.3M
    Dar Salud Care PLLCTNFamily Medicine Physician$0$5.2M
    Silver Angels Of Tennessee - Shelby, LLCTNIn Home Supportive Care Agency$0$5.1M
    Abundant Care LLCTNIn Home Supportive Care Agency$0$4.1M

    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. Tennessee Distribution
    Saint Francis Surgery Center, LLC — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Saint Francis Surgery Center, LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee