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    OpenPayerNPI Medicare & MedicaidRed Hills Surgical Center, LLC
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    Red Hills Surgical Center, LLC — Billing Profile & Reimbursement Data

    NPI 1255634044 · Tallahassee, FL · Ambulatory Surgical Clinic/Center

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    Red Hills Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Tallahassee, Florida. This profile covers 5 Medicare and 2 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
    OrganizationRed Hills Surgical Center, LLC
    Address1608 Surgeons Dr
    CityTallahassee
    StateFL
    ZIP32308
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 16, 2010

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

    Payer SourceTotal Paid
    Medicaid$129.4K
    Medicare$69.8K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.40$550$19.2K
    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…20$1,020$17.4K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).30$480$13.8K
    28296The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes distal metatarsal osteotomy, cutting and realigning a long…10$840$10K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).40$250$9.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448340164050$210$21.6K
    58558296020$680$14.2K
    28285238030$400$12.4K
    2829621010$660$7.9K
    30140207020$270$7.5K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.440$240$107.4K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.30$730$21.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.4560100$710$379K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.3180230$400$331.4K

    Nearby Providers

    Other providers in the same ZIP code as Red Hills Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tallahassee Medical Center IncFLGeneral Acute Care Hospital$0$26.8M
    Tallahassee Memorial Healthcare IncFLGeneral Acute Care Hospital$0$20.6M
    Vitas Healthcare Corporation Of FloridaFLCommunity Based Hospice Care Agency$0$18.6M
    Dva Healthcare Renal Care, Inc.FLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.6M
    Big Bend Hospice, Inc.FLCommunity Based Hospice Care Agency$0$8.8M
    Maxim Healthcare Services, Inc.FLHome Health Agency$0$8.7M
    Aaron FlandersFLHematology & Oncology Physician$3.5M$0
    Harold BrooksFLOphthalmology Physician$3.2M$0
    Charles NewellFLOphthalmology Physician$2.5M$0
    Robert SteinmetzFLOphthalmology Physician$2.4M$0

    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. Florida Distribution
    Red Hills Surgical Center, LLC — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Red Hills Surgical Center, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida