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NPI 1295713568 · Hutchinson, KS · Ambulatory Surgical Clinic/Center
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Hutchinson Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Hutchinson, Kansas. This profile covers 16 Medicare and 6 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 | Hutchinson Ambulatory Surgery Center, LLC |
| Address | 2205 N Waldron St |
| City | Hutchinson |
| State | KS |
| ZIP | 67502 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $846.5K |
HUTCHINSON AMBULATORY SURGERY CENTER's Medicare revenue totals $1.3M while Medicaid accounts for $846.5K, so the facility operates on a meaningful dual-payer mix rather than being single-payer dependent. The two payers drive different service lines, with Medicare skewed toward spinal/neurostimulation and pain procedures and Medicaid concentrated in pediatric ENT surgery, indicating differentiated patient populations by payer.
Revenue concentration is high on both payers: the top 3 Medicare codes by revenue account for 77.2% of this provider's total Medicare revenue, which indicates Medicare income is heavily dependent on a small set of procedures. Likewise, the top 3 Medicaid codes constitute 100.0% of Medicaid revenue, meaning all reported Medicaid billing is concentrated in three specific procedures (69436, 42820, 42830).
Medicare code mix points to a substantial interventional pain and neuromodulation footprint: 63685 and 63650 together generate large Medicare contributions ($454.9K and $376.3K respectively), and 64483 and other spine injection codes also appear in the top items, suggesting the ASC performs both device implantation and image-guided spine injections rather than only routine outpatient surgery. This combination of neurostimulator implantation (63685) and epidural lead placement (63650) alongside high-volume injection codes is consistent with a center that accommodates complex pain-management procedures in an ambulatory setting.
One Medicare procedure stands out as a national-volume outlier: 64483 (transforaminal epidural injection) is listed as an "extreme outlier, far above typical national volume for this code" and contributes $158.3K of Medicare revenue, which signals a pronounced specialization in image-guided epidural injections relative to national peers. In contrast, 63685 and 63650 rank in modest-to-high national percentiles (#262/1281 and #135/1371), described in the source as typical or unremarkable volumes, so the facility combines one nationally exceptional volume line with other more typical neuromodulation services.
On the Medicaid side the facility is a dominant in-state provider for pediatric ENT: 69436 (tympanostomy) generates $607.3K and is ranked #1 of 23 in-state as an "extreme outlier, far above typical state volume for this code," while 42820 (tonsil/adenoid) and 42830 (adenoidectomy) are also #1 in-state and together with 69436 make up 100.0% of Medicaid revenue. This position indicates the ASC is a regional center for pediatric ear, nose, and throat surgical procedures under Medicaid and likely a key Medicaid supplier for those services in Kansas.
Competitive standing differs sharply by payer and code: for Medicaid the provider is effectively the statewide leader for the primary pediatric ENT procedures (three #1 in-state rankings), whereas for Medicare the facility is nationally notable primarily for 64483 (99th percentile) but otherwise occupies typical national positions for its other top codes. Analysts should treat the center as a market leader in state-level pediatric ENT while being a specialized but less dominant national player for neuromodulation and implant codes.
The concentration of revenue in a few high-volume procedures exposes the facility to utilization or reimbursement shifts tied to those services: with the top three Medicare codes accounting for 77.2% of Medicare revenue and the top three Medicaid codes accounting for 100.0% of Medicaid revenue, changes in coverage policy, referral patterns, or clinical guidelines for those specific codes could have outsized financial impact. This risk profile is especially pronounced on the Medicaid side given the extreme state-level concentration in tympanostomy and tonsil/adenoid work.
HUTCHINSON AMBULATORY SURGERY CENTER has an established operating history, with its NPI enumerated on 2006-01-05 (~20 years ago), suggesting long tenure in the market that is consistent with the observed specialization and the ability to cultivate referral relationships that sustain both its high-volume pediatric ENT Medicaid practice and its interventional pain/Medicare service lines. That longevity reinforces that the observed code mix is likely an intentional service-line focus rather than a transient pattern.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $16,850 | $454.9K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 110 | $3,450 | $376.3K |
| 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… | 210 | $770 | $158.8K |
| 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). | 630 | $250 | $158.3K |
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 20 | $1,000 | $18K |
| 49505 | The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it. | 20 | $1,060 | $17K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 70 | $250 | $16.2K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 90 | $180 | $15.4K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 20 | $570 | $13.1K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 60 | $190 | $11.2K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63650 | 4 | 30 | 50 | $1,500 | $103.7K |
| 63685 | 4 | 30 | 20 | $4,800 | $100.8K |
| 66984 | 50 | 300 | 40 | $430 | $67.4K |
| 64483 | 3 | 80 | 110 | $170 | $27K |
| 66821 | 60 | 110 | 60 | $210 | $24.8K |
| G0260 | 6 | 10 | 50 | $200 | $16.8K |
| 64721 | 24 | 50 | 20 | $360 | $12.7K |
| 62323 | 114 | 120 | 60 | $110 | $12.4K |
| 30520 | 16 | 30 | 20 | $470 | $11.8K |
| 64493 | 30 | 80 | 50 | $160 | $11.2K |
Showing 1–10 of 16
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 2,350 | $260 | $607.3K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 610 | $330 | $203.4K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 120 | $310 | $36K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 10 | $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… | 100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kansas median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1 | 20 | 120 | $220 | $101.2K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 1 | 20 | 120 | $300 | $56.2K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 1 | 10 | 40 | $260 | $14.9K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 308 | 320 | 350 | $1 | $1.5K |
| 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… | 7 | 20 | 60 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 5 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Hutchinson Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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