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NPI 1164486809 · Lees Summit, MO · Ambulatory Surgical Clinic/Center
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Saint Luke's Surgicenter - Lee's Summit is a ambulatory surgical clinic/center provider located in Lees Summit, Missouri. This profile covers 52 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 | Saint Luke's Surgicenter - Lee's Summit |
| Address | 120 Ne Saint Lukes Blvd |
| City | Lees Summit |
| State | MO |
| ZIP | 64086 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $0 |
This provider is effectively single‑payer: lifetime Medicare revenue is $2.3M while reported Medicaid revenue is $0, so all recorded public‑payer activity in the dataset comes from Medicare claims. That concentration implies Medicaid populations are not part of this billing footprint or are routed elsewhere, which matters for network access assessments and Medicaid-specific population health contracts.
Revenue is concentrated in a small set of high‑value procedures: the top three Medicare codes (27447, 66984, C9740) together account for 38.8% of the provider's total Medicare revenue. Individually, 27447 contributes $307.6K (15.2%), 66984 contributes $257.3K (12.7%), and C9740 contributes $222.6K (11.0%), so negotiating or utilization shifts in these codes would materially affect overall Medicare revenue.
The CPT/HCPCS mix indicates a multi‑specialty ambulatory surgical operation: high‑value orthopedic joint procedures (27447, 27130, 29828, 29827), ophthalmology (66984), gastrointestinal endoscopy (45380, 45385, 43239), and urology/uroendoscopic services (C9740, 52356, 52332) all appear among top billings. This breadth suggests the site functions as an ASC supporting several surgical service lines rather than a single‑specialty clinic, with procedural capacity across ENT/ophthalmology, GI, orthopedics, and urology.
The provider is an outlier on colonoscopy volumes: 45380 ranks #298 of 16427 providers nationally (98th percentile) and is labeled an "extreme outlier" for volume, and 45385 ranks in the 97th percentile as "notably above typical" national volume. Those high‑percentile endoscopy volumes make the center a major regional/national participant for diagnostic and polypectomy colonoscopy care relative to peers.
Urology and related procedural volumes show a mixed competitive picture: C9740 is a significant revenue contributor ($222.6K, 11.0%) but is characterized as "typical, unremarkable" in national ranking (75th percentile), while 52356 (ureteroscopy with stent) ranks #48 of 3090 providers (98th percentile) and is "notably above typical." In practical terms this means the center earns material urology revenue and holds exceptional volume in some urologic interventions but is not uniformly dominant across all urology codes.
Top revenue orthopedic and ophthalmology codes are important revenue drivers but not extreme relative to peers: 27447 (knee replacement) contributes $307.6K (15.2%) and ranks at the 67th percentile (typical), while 66984 (cataract with IOL) contributes $257.3K (12.7%) and ranks at the 76th percentile (typical). These figures indicate the ASC derives sizable Medicare dollars from joint and eye surgery, but those service lines are within normal national volume ranges rather than being outlier specialties.
The NPI was enumerated on 2006-04-12 (~20 years ago), which signals long tenure in the Medicare program and suggests an established referral base and operational stability. Longevity combined with concentrated procedural strengths (notably endoscopy and selected urology procedures) could be relevant to contracting strategy and partner selection.
Revenue concentration in a few high‑value codes (top three = 38.8%) creates both risk and leverage: the center is relatively dependent on a set of procedures for a large share of Medicare revenue, so changes in utilization, reimbursement, or referral patterns for 27447, 66984, or C9740 would have outsized impact. At the same time, exceptional endoscopy and select urology volumes (several codes at the 96–98th percentiles) represent negotiating leverage for payers seeking capacity for colorectal screening and urologic stone/implant services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
52 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 50 | $6,840 | $307.6K |
| 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… | 320 | $800 | $257.3K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 40 | $5,430 | $222.6K |
| 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… | 440 | $370 | $163.2K |
| 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… | 340 | $420 | $143.8K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 20 | $7,150 | $114.4K |
| 52356 | The 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 | $1,610 | $104.9K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 40 | $2,240 | $92K |
| 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. | 320 | $210 | $66.5K |
| 50590 | Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters. | 60 | $1,110 | $62.2K |
Showing 1–10 of 52
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 52 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
52 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 1 | 10 | 20 | $5,430 | $141.2K |
| 66984 | 55 | 420 | 50 | $390 | $74K |
| J0585 | 56 | 90 | 8,850 | $1 | $72.5K |
| 27447 | 78 | 250 | 30 | $1,140 | $50.2K |
| 15822 | 1 | 10 | 70 | $490 | $35K |
| 27130 | 102 | 160 | 20 | $1,050 | $31.6K |
| 29827 | 10 | 70 | 20 | $990 | $24.6K |
| 66982 | 58 | 80 | 20 | $610 | $22.5K |
| 45385 | 6 | 340 | 60 | $250 | $21K |
| 29828 | 3 | 30 | 20 | $920 | $19.4K |
Showing 1–10 of 52
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 |
|---|---|---|---|---|
| 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… | 30 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 22 | 30 | 100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 13 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as Saint Luke's Surgicenter - Lee's Summit, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rediscover | MO | Community/Behavioral Health Agency | $0 | $213.9M |
| Children's Mercy-community Choice Pediatrics | MO | Pediatrics Physician | $0 | $9M |
| Kc Pain Asc, LLC | MO | Ambulatory Surgical Clinic/Center | $2.5M | $12.5K |
| David Fieleke | MO | Dermatology Physician | $823.2K | $0 |
| Sarah Foster | MO | Family Nurse Practitioner | $675.5K | $0 |
| Kevin Skelsey | MO | Ophthalmology Physician | $479.1K | $0 |
| Zhineng Yang | MO | Hematology & Oncology Physician | $413.4K | $6.9K |
| Gary Mcewen | MO | Dermatology Physician | $379.6K | $0 |
| Michael Hellman | MO | Orthopaedic Surgery Physician | $313K | $0 |
| Wesley Frevert | MO | Sports Medicine (Orthopaedic Surgery) Physician | $232.3K | $0 |
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