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    OpenPayerNPI Medicare & MedicaidGainesville Surg Ctr LP
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    Gainesville Surg Ctr LP — Billing Profile & Reimbursement Data

    NPI 1215993100 · Gainesville, GA · Ambulatory Surgical Clinic/Center

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    Gainesville Surg Ctr LP is a ambulatory surgical clinic/center provider located in Gainesville, Georgia. This profile covers 23 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.

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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGainesville Surg Ctr LP
    Address1945 Beverly Rd
    CityGainesville
    StateGA
    ZIP30501
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 21, 2006

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

    Payer SourceTotal Paid
    Medicare$1.4M
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…30$18,610$521K
    63655In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…30$13,510$337.8K
    64555A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…30$4,210$117.9K
    67904The 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…100$520$51.7K
    45385The 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…110$450$46.8K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$2,360$44.9K
    64721Neuroplasty 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…60$600$38.1K
    29828The 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…20$2,260$33.9K
    29827The 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…20$1,670$33.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk70$410$30.1K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6455531030$3,430$123.4K
    6368534010$7,580$121.3K
    6365521010$5,170$87.9K
    6790473030$560$33.7K
    4538512347060$290$26.6K
    15823346040$520$23.5K
    298273711020$1,100$22.1K
    29828163020$1,110$21.1K
    6790881020$480$19.8K
    45384194030$230$16.1K

    Showing 1–10 of 23

    Nearby Providers

    Other providers in the same ZIP code as Gainesville Surg Ctr LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Georgia Medical Center, Inc.GAGeneral Acute Care Hospital$0$112.9M
    Georgia Emergency Department Services, P.C.GAEmergency Medicine Physician$0$17.9M
    S.y.a.h.GAUrgent Care Clinic/Center$0$6.5M
    Pediatric Associates LLPGAPediatrics Physician$0$5M
    William ChafinGARheumatology Physician$3.3M$0
    Marta BognarGARheumatology Physician$2.3M$0
    Brent FlickingerGARheumatology Physician$2.3M$0
    Gainesville Radiology Group, PCGADiagnostic Radiology Physician$0$2M
    Hall County GeorgiaGALand Ambulance$1.6M$0
    Northeast Georgia Physicians Group Urgent Care LLCGAFamily Medicine Physician$0$1.6M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Gainesville Surg Ctr LP — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia