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    OpenPayerNPI Medicare & MedicaidSurgery Center Of Gilbert LLC
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    Surgery Center Of Gilbert LLC — Billing Profile & Reimbursement Data

    NPI 1245239656 · Mesa, AZ · Ambulatory Surgical Clinic/Center

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    Surgery Center Of Gilbert LLC is a ambulatory surgical clinic/center provider located in Mesa, Arizona. This profile covers 19 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)

    FieldValue
    Entity TypeOrganization
    OrganizationSurgery Center Of Gilbert LLC
    Address6003 E Baseline Rd
    CityMesa
    StateAZ
    ZIP85206
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 18, 2005

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$650.1K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…410$850$348.5K
    15823In 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…380$440$165.4K
    38222The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…110$810$90.4K
    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…170$500$83K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.70$1,010$73.6K
    67900The 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…120$480$59.3K
    52356The 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…30$1,750$50.7K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…90$490$41.2K
    52332The provider performs 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…50$890$41K
    52235The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…30$1,100$28.6K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698452270150$580$159.7K
    1582324050$520$49.9K
    6790413050$560$32.4K
    6682115621070$220$26.5K
    15260495020$690$23.5K
    52648122020$820$17.2K
    6790012020$400$14.3K
    6791712020$450$13.5K
    30140113030$250$11.7K
    5059016020$490$11.4K

    Showing 1–10 of 19

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.930$370$345.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.210$1,480$304.1K
    L8699Prosthetic implant, not otherwise specified710$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arizona median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.2040210$1,710$1.2M
    L8699Prosthetic implant, not otherwise specified820560$570$405.3K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.840190$540$334.2K

    Nearby Providers

    Other providers in the same ZIP code as Surgery Center Of Gilbert LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acumen Fiscal Agent LLCAZCommunity/Behavioral Health Agency$0$1.1B
    Affinity Family Care, LLC.AZHome Health Agency$0$63.8M
    Residents At The Heights, LLCAZSubstance Abuse Rehabilitation Facility$0$33.2M
    Banner Baywood Medical CenterAZGeneral Acute Care Hospital$0$29.6M
    A Brighter Avenue LLCAZSpeech-Language Pathologist$0$28.6M
    Emergency Physicians Southwest, PCAZEmergency Medicine Physician$0$27M
    Health Care Alternatives, Inc.AZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$26.1M
    Christian3 Mega Clinic LLCAZSubstance Use Disorder Rehabilitation Clinic/Center$0$22.3M
    Horizon Pediatric Therapy, Inc.AZMusic Therapist$0$17.9M
    Zarephath Inc.AZCommunity/Behavioral Health Agency$0$17M

    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. Arizona Distribution
    Surgery Center Of Gilbert LLC — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona
    Medicaid Revenue by Year vs. Arizona Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Surgery Center Of Gilbert LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona