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NPI 1215904131 · Lincoln, NE · Ambulatory Surgical Clinic/Center
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Nebraska Surgery Center LLC is a ambulatory surgical clinic/center provider located in Lincoln, Nebraska. This profile covers 30 Medicare and 3 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 | Nebraska Surgery Center LLC |
| Address | 1730 S 70th St |
| City | Lincoln |
| State | NE |
| ZIP | 68506 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $957.3K |
| Medicaid | $85.3K |
NEBRASKA SURGERY CENTER LLC is an ambulatory surgical clinic/center with an NPI enumerated 2006-03-01 (~20 years ago), indicating long-standing participation in Medicare and Medicaid program billing. Its lifetime Medicare revenue of $957.3K substantially exceeds its lifetime Medicaid revenue of $85.3K, so the operation is effectively Medicare-driven in scale.
Revenue concentration on Medicare is meaningful: the precomputed top 3 Medicare codes account for 45.0% of this provider's total Medicare revenue, with 15823, 45385, and 67904 as the principal drivers. This concentration implies that a small set of procedures—upper eyelid skin excision and eyelid/levator repairs plus colonoscopic polypectomy—represent a nearly half share of Medicare receipts, which shapes the clinic’s service-line focus and financial sensitivity to volume changes in those procedures.
The provider appears to have a strong ophthalmic surgery footprint on Medicare: 15823 (upper eyelid skin excision) and 67904 (levator muscle repair) are both national-level outliers, each described as an "extreme outlier" and ranked very high (15823 ranks #14 of 1718 providers, 67904 ranks #15 of 991 providers, both in the 99th percentile). These rank positions indicate the clinic performs eyelid procedures at volumes far above the typical national provider, consistent with a specialized eyelid/ocular plastics specialty within an ASC setting.
Colonoscopic procedures are also a major Medicare revenue source: 45385 (colonoscopy with polypectomy) contributed $146.5K and is characterized as "notably above typical national volume," ranking #567 of 16310 providers (97th percentile). This suggests the ASC combines specialty ophthalmic surgical volume with moderate to high endoscopy throughput, reflecting a mixed service-line model rather than a single-procedure center.
Medicaid revenue is very concentrated and small in absolute terms: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and the single largest Medicaid code, 69436 (tympanostomy with tube), represents $76.3K or 89.3% of the provider's Medicaid revenue. State-level ranking for 69436 is mid-pack (rank #9 of 19, 56th percentile), indicating typical in-state volume for pediatric ENT procedures rather than dominance in the Medicaid market.
The overall payer mix is heavily skewed to Medicare: lifetime Medicare revenue $957.3K versus lifetime Medicaid revenue $85.3K, so Medicare is by far the primary payer. Medicaid activity appears narrowly focused on a small set of procedures (chiefly 69436 and a small number of other miscellaneous dental or unspecified codes), which makes Medicaid a minor, highly concentrated part of the clinic's revenue base.
Beyond the top ophthalmic and colonoscopy codes, the Medicare CPT list shows a diversified set of outpatient surgical procedures (e.g., 29827 rotator cuff repair, 64721 carpal tunnel release, 36561 tunneled central venous catheter placement, and various arthroscopies). Those additional codes and typical-to-unremarkable national percentiles suggest the ASC supports a broad outpatient surgical mix—orthopedics, hand surgery, gastroenterology, and minor ENT/ocular procedures—consistent with an ambulatory surgical center serving multiple specialties.
From a competitive standing perspective, the clinic is a major outlier nationally for select ophthalmic procedures (15823 and 67904 as "extreme outlier" volumes) and a notable high-volume colonoscopy performer (45385 "notably above typical"). For Medicaid, the clinic is a modest, typical in-state participant for 69436 and related codes. Together, these patterns signal a center that competes at a specialty-high volume level in specific ophthalmic procedures while remaining a more typical regional player for other surgical and Medicaid-coded 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.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 15823 | In 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… | 330 | $470 | $151.1K |
| 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… | 330 | $440 | $146.5K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 230 | $530 | $123.2K |
| 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 | $2,020 | $60.5K |
| 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 | $46.8K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 100 | $410 | $41.2K |
| 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… | 110 | $370 | $40.8K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 80 | $510 | $38.5K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 70 | $410 | $28.5K |
| 67950 | Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis… | 50 | $610 | $27.4K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 290 | $260 | $76.3K |
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 20 | $540 | $9.1K |
| 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… | 90 | $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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 13 | 20 | 460 | $1,260 | $1.8M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 9 | 20 | 240 | $900 | $448.5K |
| 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… | 7 | 20 | 40 | $1 | $10 |
Other providers in the same ZIP code as Nebraska Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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