Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidWichita Urology Surgery Center LLC
    Ask Trek AI about this page

    Wichita Urology Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1245806876 · Wichita, KS · Ambulatory Surgical Clinic/Center

    Customize your policy alerts

    Sign up for Wichita Urology Surgery Center LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Wichita Urology Surgery Center LLC is a ambulatory surgical clinic/center provider located in Wichita, Kansas. This profile covers 17 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWichita Urology Surgery Center LLC
    Address2620 N Webb Rd
    CityWichita
    StateKS
    ZIP67226
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 3, 2021

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    WICHITA UROLOGY SURGERY CENTER LLC operates as an ambulatory surgical clinic/center focused on urologic endoscopy and neuromodulation procedures. The top revenue-driving codes are procedure types that implant or manage neurostimulator devices (64561, 64590, C9740) alongside high-volume cystoscopy and ureteroscopy services (for example 52000, 52356, 52332), which together paint a picture of a surgery center that performs both implantable device surgeries and frequent diagnostic/therapeutic endoscopic cases. Total Medicare revenue for the entity is reported as $1.8M and there is no Medicaid billing on file, consistent with an outpatient surgical specialty footprint concentrated on Medicare patients.

    Revenue is highly concentrated in a few procedures: the precomputed top-three Medicare codes by revenue account for 54.6% of this provider's total Medicare revenue. Those three codes — 64561 ($433.8K, 23.7%), 64590 ($292.6K, 16.0%), and C9740 ($275.7K, 15.0%) — together represent the majority of Medicare dollars captured, indicating that neuromodulation and transprostatic implant services are the center’s principal revenue drivers. This concentration suggests that changes to reimbursement or utilization for these specific services would disproportionately affect the provider's financial performance.

    The provider is effectively single-payer in this dataset: Total Medicare revenue is $1.8M while Medicaid shows none (no Medicaid billing on file). That absence of Medicaid activity implies limited exposure to Medicaid populations and policy changes, but also increases the provider's revenue sensitivity to Medicare payment policy, utilization edits, or coverage decisions for the high-revenue codes it performs. Analysts should treat the entity as Medicare-dependent when modeling payer-mix risk or contracting opportunities.

    Competitive standing is mixed across codes when benchmarked nationally. For the high-revenue neuromodulation and implant codes the provider ranks as follows: 64561 ranks #20 of 564 (97th percentile; typical, unremarkable volume for this code), 64590 ranks #162 of 561 (68th percentile; typical, unremarkable volume for this code), and C9740 ranks #28 of 162 (83th percentile; typical, unremarkable volume for this code). While percentile ranks place some implant-related codes at relatively high national positions, the dataset labels for those codes are “typical, unremarkable,” suggesting that although the center shows notable activity on certain implant codes, it is not uniformly characterized as a national outlier across all implant procedures.

    Several lower-level cystoscopy and imaging codes are flagged as statistical outliers versus national peers, indicating unusually high volume in specific diagnostic and therapeutic endoscopic services. Notable examples include 52000 (1.1K claims, $187 avg paid/claim, $208.3K revenue; ranks #13 of 8548 nationally, 100th percentile; extreme outlier, far above typical national volume), 52356 (80 claims, $1610 avg paid/claim, $128.8K revenue; ranks #28 of 3090 nationally, 99th percentile; extreme outlier, far above typical national volume), 52310 (106 claims, $593 avg paid/claim, $62.9K revenue; ranks #28 of 2547 nationally, 99th percentile; extreme outlier, far above typical national volume), 55700 (351 claims, $603 avg paid/claim, $211.7K revenue; ranks #13 of 4425 nationally, 100th percentile; extreme outlier, far above typical national volume), and 76872 (353 claims, $40 avg paid/claim, $14.1K revenue; ranks #35 of 4483 nationally, 99th percentile; extreme outlier, far above typical national volume). These outlier labels point to a local practice pattern with heavy throughput of cystoscopic exams, stone management, stent procedures, and transrectal ultrasound services.

    One operational note with reimbursement and trend implications: code 55700 is listed here with substantial volume (351 claims, $211.7K revenue) but is documented as deleted December 31, 2025. That deletion will affect longitudinal analyses and may require mapping to replacement codes or monitoring of coding shifts in subsequent reporting periods. Analysts should treat historical revenue tied to 55700 carefully when projecting future Medicare revenue or comparing year-over-year trends.

    The provider’s NPI was enumerated on 2021-06-03 (~5 years ago), indicating a relatively recent active tenure for this surgical center. Given that timeframe and the concentrated procedure mix, the center appears to have scaled quickly into a high-volume urology endoscopy and device-implant niche; this recent entry should be considered when benchmarking against longer-established peers or when assessing growth and market penetration potential.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.120$3,530$433.8K
    64590The 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$13,940$292.6K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants50$5,110$275.7K
    55700Code deleted December 31, 2025.350$600$211.7K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…1,110$190$208.3K
    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…80$1,610$128.8K
    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…70$980$66.9K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…110$590$62.9K
    52234The 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$1,060$30.7K
    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…20$1,030$21.6K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974011020$5,220$130.5K
    6456111030$2,260$77K
    6459021020$4,980$74.7K
    J058535407,650$1$60.1K
    52000180110$130$17K
    5235614030$480$13.8K
    5570015040$240$11.2K
    5221431020$510$9.6K
    5223411020$500$9.5K
    52287112030$250$9.2K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.KSHome Health Agency$0$22.3M
    Hospice Care Of Kansas, LLCKSCommunity Based Hospice Care Agency$0$21.3M
    Proactive Associates, LLCKSHome Health Agency$0$19.6M
    Cypress Surgery Center LLCKSAmbulatory Surgical Clinic/Center$1.1M$6.8M
    Serenity Hospice Care, LLCKSCommunity Based Hospice Care Agency$0$6.9M
    Proactive Home Care, LLCKSHome Health Agency$0$5.9M
    Surgicare Of Wichita, LLCKSAmbulatory Surgical Clinic/Center$860.8K$4.7M
    Wichita Asc LPKSAmbulatory Surgical Clinic/Center$5.2M$0
    Promises Kept, LLCKSCommunity Based Hospice Care Agency$0$3.4M
    Redbud Pediatrics LLCKSPediatrics Physician$0$3.4M

    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. Kansas Distribution
    Wichita Urology Surgery Center LLC — 11 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas