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NPI 1205364981 · Merced, CA · Ambulatory Surgical Clinic/Center
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Merced Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Merced, California. This profile covers 33 Medicare and 15 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 | Merced Ambulatory Surgery Center, LLC |
| Address | 1390 E Yosemite Ave Ste B |
| City | Merced |
| State | CA |
| ZIP | 95340 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 25, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.1M |
| Medicare | $2.8M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
33 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… | 530 | $1,020 | $539.1K |
| 64590 | The 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… | 20 | $18,000 | $270K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 50 | $4,650 | $251.2K |
| 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… | 80 | $3,050 | $244K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 300 | $600 | $177K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 20 | $6,730 | $148K |
| 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). | 430 | $310 | $131K |
| 33208 | The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle. | 20 | $7,190 | $115.1K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 340 | $310 | $105.4K |
| 33285 | The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions. | 20 | $6,540 | $98.1K |
Showing 1–10 of 33
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
33 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 3 | 10 | 20 | $6,820 | $170.4K |
| 64590 | 14 | 30 | 20 | $7,280 | $131.1K |
| 66984 | 81 | 1,250 | 90 | $690 | $122.8K |
| 33285 | 92 | 130 | 20 | $2,940 | $85.3K |
| 66991 | 19 | 180 | 30 | $1,940 | $77.7K |
| 64561 | 1 | 30 | 20 | $2,560 | $58.8K |
| 66174 | 12 | 140 | 30 | $860 | $37.1K |
| 45385 | 466 | 1,410 | 60 | $340 | $33.9K |
| 66982 | 121 | 510 | 30 | $800 | $32K |
| 29827 | 177 | 290 | 20 | $1,320 | $30.3K |
Showing 1–10 of 33
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.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 1,720 | $690 | $1.2M |
| 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). | 2,600 | $300 | $784K |
| 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… | 1,220 | $510 | $622.6K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 1,660 | $360 | $605K |
| 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. | 750 | $390 | $295.5K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 620 | $450 | $276.8K |
| 47562 | The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. | 60 | $2,940 | $182.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 540 | $110 | $60.4K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 90 | $370 | $31.6K |
| 64640 | Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques. | 290 | $100 | $29.7K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 55 | 380 | 210 | $510 | $333.1K |
| 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. | 280 | 780 | 350 | $180 | $200.7K |
| 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… | 349 | 410 | 180 | $310 | $178.8K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 13 | 60 | 140 | $230 | $168.3K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 134 | 530 | 140 | $240 | $158.4K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 8,052 | 14,520 | 760 | $10 | $122.8K |
| 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). | 12 | 170 | 150 | $160 | $122.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 6 | 60 | 120 | $240 | $119.4K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 16 | 140 | 230 | $120 | $95.3K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 23 | 40 | 140 | $160 | $68K |
Showing 1–10 of 15
Other providers in the same ZIP code as Merced Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dignity Health | CA | General Acute Care Hospital | $0 | $106.5M |
| San Joaquin Emergency Medical Associates | CA | Emergency Medicine Physician | $0 | $29.8M |
| Vikram Lakireddy | CA | Cardiovascular Disease Physician | $4.8M | $0 |
| Steven Hansen | CA | Diagnostic Radiology Physician | $1.2M | $0 |
| David Pilkington | CA | Dermatology Physician | $755.2K | $440 |
| Sunit Patel | CA | Specialist | $618.4K | $0 |
| Mario Sablan | CA | Orthopaedic Surgery Physician | $617.2K | $0 |
| Timothy Johnston | CA | Family Medicine Physician | $605.7K | $0 |
| Aegis Treatment Centers, LLC | CA | Methadone Clinic | $588.6K | $2.3K |
| James Rabago | CA | Family Medicine Physician | $197K | $0 |
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