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    OpenPayerNPI Medicare & MedicaidPhysicians Surgery Center At Good Samaritan, LLC
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    Physicians Surgery Center At Good Samaritan, LLC — Billing Profile & Reimbursement Data

    NPI 1285980151 · Mount Vernon, IL · Ambulatory Surgical Clinic/Center

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    Physicians Surgery Center At Good Samaritan, LLC is a ambulatory surgical clinic/center provider located in Mount Vernon, Illinois. This profile covers 12 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPhysicians Surgery Center At Good Samaritan, LLC
    Address2 Good Samaritan Way
    CityMount Vernon
    StateIL
    ZIP62864
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 30, 2012

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

    Payer SourceTotal Paid
    Medicare$399.9K
    Medicaid$0

    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.

    12 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…250$790$199.4K
    29827The 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…30$2,220$62.2K
    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$1,490$41.7K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.60$520$33.3K
    J0585Injection, onabotulinumtoxina, 1 unit4,100$10$20.5K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…30$600$15.5K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…40$240$9.2K
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…50$140$6.7K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography20$190$4.4K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…10$390$4.3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984319570360$70$97.8K
    J05851061506,560$1$43.7K
    298272111020$1,030$22.6K
    G0260162070$210$21.5K
    2984864040$450$19.9K
    6682131037050$70$16.4K
    45384354030$270$16.3K
    6232318027060$160$15.7K
    523562214020$500$10.9K
    52287387030$280$9.1K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Physicians Surgery Center At Good Samaritan, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher Greater Area Rural Health Planning CorporationILFederally Qualified Health Center (FQHC)$0$9.5M
    Amanda MckeeILFamily Nurse Practitioner$5.5M$1.6M
    One Hope UnitedILMental Health Clinic/Center (Including Community Mental Health Center)$0$4.9M
    Jefferson County ComprehensiveILMental Health Clinic/Center (Including Community Mental Health Center)$0$4.5M
    Heartland Women's Healthcare, LtdILRural Health Clinic/Center$0$4.4M
    Litton Ambulance Service, IncILAmbulance$739.6K$3.3M
    Spero Family ServicesILMental Health Clinic/Center (Including Community Mental Health Center)$0$3.9M
    Air Evac Ems IncILAir Ambulance$1.7M$1.4M
    Marion Eye Surgery Center LLCILAmbulatory Surgical Clinic/Center$1.6M$52.9K
    Neetin PatelILDiagnostic Radiology Physician$330.8K$1M

    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. Illinois Distribution
    Physicians Surgery Center At Good Samaritan, LLC — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois