Anmed Health Medicus Surgery Center LLC — Billing Profile & Reimbursement Data
NPI 1265435614 · Anderson, SC · Ambulatory Surgical Clinic/Center
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Anmed Health Medicus Surgery Center LLC is a ambulatory surgical clinic/center provider located in Anderson, South Carolina. This profile covers 9 Medicare and 16 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Anmed Health Medicus Surgery Center LLC |
| Address | 107 Professional Ct |
| City | Anderson |
| State | SC |
| ZIP | 29621 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 31, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.7M |
| Medicare | $974.8K |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 780 | $780 | $606K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,670 | $80 | $203.1K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 40 | $1,280 | $44.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 180 | $190 | $34.9K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 40 | $750 | $30K |
| 15823 | In 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… | 50 | $480 | $22.9K |
| 67904 | The 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… | 30 | $520 | $14.6K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 30 | $420 | $10.8K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 10 | $540 | $7.6K |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D2930 | N/A | 2,560 | $410 | $1M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 3,030 | $200 | $594.7K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 720 | $450 | $325.2K |
| D3220 | N/A | 770 | $270 | $204.3K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 580 | $280 | $160.4K |
| D2391 | Resin‑based composite – one surface, posterior | 280 | $280 | $78.1K |
| D2392 | Post 2 surface resin‑based composite | 260 | $240 | $62.7K |
| D2929 | N/A | 200 | $260 | $51.3K |
| D2330 | Resin-based composite - one surface, anterior | 200 | $250 | $49.5K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 70 | $430 | $28.1K |
Showing 1–10 of 16
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D2930 | N/A | 42 | 130 | 1,060 | $150 | $371.1K |
| D7240 | N/A | 49 | 60 | 450 | $260 | $370K |
| D2392 | Post 2 surface resin‑based composite | 209 | 350 | 520 | $100 | $175.3K |
| D1120 | Prophylaxis–child | 298 | 470 | 600 | $30 | $156.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 4 | 50 | 480 | $160 | $147.9K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 129 | 290 | 380 | $90 | $125K |
| D2391 | Resin‑based composite – one surface, posterior | 148 | 300 | 270 | $80 | $110.5K |
| D1351 | Sealant - per tooth | 197 | 200 | 840 | $30 | $108.9K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 277 | 410 | 670 | $20 | $95.1K |
| D3220 | N/A | 27 | 90 | 290 | $100 | $91.6K |
Showing 1–10 of 16
Nearby Providers
Other providers in the same ZIP code as Anmed Health Medicus Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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