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NPI 1285690073 · Birmingham, AL · Ambulatory Surgical Clinic/Center
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Birmingham Outpatient Surgery Center Ltd is a ambulatory surgical clinic/center provider located in Birmingham, Alabama. This profile covers 28 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Birmingham Outpatient Surgery Center Ltd |
| Address | 2720 University Blvd |
| City | Birmingham |
| State | AL |
| ZIP | 35233 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $0 |
The provider’s billed activity is effectively single-payer Medicare: lifetime Medicare revenue is $2.3M while Medicaid revenue is $0, indicating no Medicaid billing on file and concentrated exposure to Medicare reimbursement and referral flows. This payer mix suggests the center’s commercial and Medicare business lines are likely the operational focus rather than state Medicaid programs.
Revenue is highly concentrated in a handful of high-dollar procedures: the precomputed top 3 Medicare codes (69930, 66984, 63685) account for 68.8% of the provider’s total Medicare revenue. In particular, 69930 alone represents 40.8% of Medicare revenue, 66984 16.2%, and 63685 11.8%, showing the practice depends on a few dominant services for most of its Medicare receipts.
The code mix and taxonomy (Ambulatory Surgical Clinic/Center) point to a surgical-implant and specialty outpatient model: 69930 (cochlear implant), 63685 and 63650 (spinal neurostimulator device procedures), and 66984/66982 (cataract/IOL insertion) together indicate the center performs implantable device cases and ophthalmic surgery in an outpatient setting. The presence of both high-dollar implant codes and routine ophthalmology and ENT procedures implies operating-room and device-management capabilities consistent with an ASC that handles a mix of complex device implants and standard same-day surgeries.
69930 is a meaningful national outlier for this provider: it generated $916.1K on 43 claims with $21305 avg paid/claim and the code ranks #2 of 176 providers nationally (99th percentile), described in the source as an "extreme outlier." This position makes the provider a dominant national participant specifically for cochlear implant billing volume and revenue, relative to peers.
By contrast, the other top revenue drivers show typical national positioning: 66984 produced $364.1K across 476 claims ($765 avg paid/claim) and is described as "typical, unremarkable volume" (rank #3025 of 15965), while 63685 produced $265.1K across 17 claims ($15593 avg paid/claim) and is also labeled "typical, unremarkable volume" (rank #590 of 1281). Those ranks indicate the provider’s cataract and spinal neurostimulator activity are within ordinary peer ranges rather than uniquely dominant.
Several ancillary procedure codes show above-average activity for interventional pain and ENT relative to national peers: for example, 64483 (227 claims, $285 avg paid/claim, $64.7K revenue) is labeled at an elevated peer percentile, and 69436 (34 claims, $320 avg paid/claim, $10.9K revenue) is noted among the higher-percentile ENT performers. These patterns support a clinical footprint that combines implant surgery with higher-than-typical volume in targeted pain management and ENT services.
Because a large share of Medicare revenue is tied to a small number of device-driven, high-dollar codes (notably 69930 with $21305 avg paid/claim and 63685 with $15593 avg paid/claim), the provider’s financial performance is sensitive to changes in device reimbursement, payment policy, or referral networks for those specific services. Any material shifts in utilization or reimbursement for these high-revenue codes could disproportionately affect the center’s overall Medicare revenue.
The practice appears established and long-tenured: the NPI was enumerated on 2006-04-21 (~20 years ago), indicating sustained operation as an ambulatory surgical center. Despite that longevity, lifetime Medicare revenue of $2.3M signals a modest overall Medicare scale, with outsized dependency on a few highly reimbursed procedures rather than broad high-volume Medicare throughput.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
28 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69930 | The 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… | 40 | $21,310 | $916.1K |
| 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… | 480 | $770 | $364.1K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $15,590 | $265.1K |
| 0275T | N/A | 40 | $3,410 | $129.5K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,480 | $90.3K |
| 64483 | This 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). | 230 | $290 | $64.7K |
| 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… | 50 | $770 | $40.1K |
| 22514 | The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a… | 20 | $2,110 | $38K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 20 | $2,100 | $37.9K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 20 | $1,530 | $36.6K |
Showing 1–10 of 28
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
28 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 69930 | 1 | 10 | 20 | $8,190 | $196.6K |
| 22514 | 3 | 10 | 20 | $3,470 | $72.8K |
| 66984 | 104 | 280 | 230 | $70 | $65.2K |
| 63685 | 7 | 20 | 20 | $3,490 | $62.9K |
| 63650 | 10 | 10 | 30 | $1,240 | $42.3K |
| 0275T | 1 | 10 | 20 | $1,400 | $36.5K |
| 15769 | 1 | 10 | 50 | $600 | $27K |
| 31267 | 7 | 10 | 20 | $810 | $24.3K |
| 66982 | 7 | 60 | 20 | $590 | $19.4K |
| 29827 | 18 | 90 | 20 | $870 | $19.2K |
Showing 1–10 of 28
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 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… | 30 | $0 | $0 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 90 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 18 | 30 | 70 | $60 | $10.2K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 23 | 30 | 220 | $0 | $0 |
Other providers in the same ZIP code as Birmingham Outpatient Surgery Center Ltd, ranked by combined Medicare and Medicaid revenue.
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