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    OpenPayerNPI Medicare & MedicaidOutpatient Women's And Children's Surgery Center, …
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    Outpatient Women's And Children's Surgery Center, Ltd — Billing Profile & Reimbursement Data

    NPI 1225091739 · Houston, TX · Ambulatory Surgical Clinic/Center

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    Outpatient Women's And Children's Surgery Center, Ltd is a ambulatory surgical clinic/center provider located in Houston, Texas. This profile covers 11 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
    OrganizationOutpatient Women's And Children's Surgery Center, Ltd
    Address7700 Fannin St
    CityHouston
    StateTX
    ZIP77054
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$494.6K
    Medicaid$204.9K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69930The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…10$21,640$259.7K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.30$3,910$105.6K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…20$2,090$31.3K
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…30$1,050$27.4K
    21235The provider applies autogenous cartilage graft, taken from the patient’s own ear, to the nose or ear, to repair deformity due to fracture, injury, tumor resection, or congenital defect.20$1,000$15K
    45172In this procedure, the provider makes an incision in the rectum to excise a tumor. He performs this procedure using a transanal approach, through the anus, and the excision the provider makes…20$970$14.5K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…30$370$9.6K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…20$600$9K
    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…20$440$8.3K
    45380The 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…30$300$7.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6993091010$5,660$84.8K
    64561214030$2,040$73.3K
    J05851882007,900$1$56.4K
    453859481,13050$280$26.4K
    453808991,16050$190$16.4K
    4517211020$970$14.5K
    5855823010$810$13K
    45384347030$220$12.1K
    52287597030$300$11.4K
    57288406020$420$9.7K

    Showing 1–10 of 11

    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
    54161The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.200$1,040$204.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    54161The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.63090$420$55K

    Nearby Providers

    Other providers in the same ZIP code as Outpatient Women's And Children's Surgery Center, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tcg Interests, LLCTXDurable Medical Equipment & Medical Supplies$0$52.4M
    Texas Quality One Medical Services Inc.TXPersonal Care Attendant$0$31.7M
    Siblings Healthcare Solutions LLCTXHome Health Agency$0$19.7M
    National Seating & Mobility, Inc.TXDurable Medical Equipment & Medical Supplies$0$17.7M
    Option Care Enterprises, Inc.TXHome Infusion Therapy Pharmacy$0$13.8M
    Optimal In Home Care Inc.TXPersonal Care Attendant$0$13.6M
    United Seating And Mobility LLCTXDurable Medical Equipment & Medical Supplies$0$11.6M
    Privia Medical Group Gulf Coast, PLLCTXObstetrics & Gynecology Physician$0$11.3M
    Access Dx Laboratory LLCTXClinical Medical Laboratory$458.3K$4.3M
    Ignacio ValdesTXPsychiatry Physician$404.4K$2.1M

    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. Texas Distribution
    Outpatient Women's And Children's Surgery Center, Ltd — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Outpatient Women's And Children's Surgery Center, Ltd — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas