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    OpenPayerNPI Medicare & MedicaidMiami Children's Hospital Ambulatory Surgery Cente…
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    Miami Children's Hospital Ambulatory Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1316341514 · Miami, FL · Ambulatory Surgical Clinic/Center

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    Miami Children's Hospital Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Miami, Florida. This profile covers 0 Medicare and 12 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
    OrganizationMiami Children's Hospital Ambulatory Surgery Center, LLC
    Address800 Sw 108th Ave
    CityMiami
    StateFL
    ZIP33174
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 16, 2014

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

    Payer SourceTotal Paid
    Medicaid$11.3M
    Medicare$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.3,010$930$2.8M
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.2,180$1,150$2.5M
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.5,080$480$2.4M
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.2,850$350$1M
    30930In this procedure, the provider fractures one or more inferior turbinates to correct the overgrowth of the inferior turbinates and release the nasal airway obstruction.2,430$360$863.3K
    30802In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to perform ablation of the submucosal area of the inferior turbinates.3,310$210$705.7K
    54161The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.980$690$675.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…610$210$131.4K
    44361The provider uses an endoscope to examine the intestines for abnormalities, going past the second part of the duodenum but not including the ileum, the last part of the small intestine. He also takes…210$390$81.6K
    41010In this procedure, the provider makes an incision in the lingual frenum, a membranous ridge under the tongue, to allow greater movement of the tongue in patients with ankyloglossia.220$360$78.1K

    Showing 1–10 of 12

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.260100$710$379K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.440120$610$357.5K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.380230$400$331.4K
    54161The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.1040260$580$315.8K
    30930In this procedure, the provider fractures one or more inferior turbinates to correct the overgrowth of the inferior turbinates and release the nasal airway obstruction.110450$300$254.1K
    30802In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to perform ablation of the submucosal area of the inferior turbinates.110110$200$126.1K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.17330220$130$82.9K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…25120120$180$71K
    44361The provider uses an endoscope to examine the intestines for abnormalities, going past the second part of the duodenum but not including the ileum, the last part of the small intestine. He also takes…210390$130$51.8K
    54640The provider performs an orchiopexy using an inguinal and/or scrotal approach to move a patient's undescended testicle(s) into the scrotum.31030$1,140$42.2K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Miami Children's Hospital Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Variety Children's HospitalFLChildren's Hospital$0$175.3M
    Nicklaus Children's Pediatric Specialists, LLCFLPediatric Emergency Medicine (Pediatrics) Physician$0$66.2M
    Variety Children's HospitalFLChildren's Hospital$0$22.8M
    Variety Children's HospitalFLChildren's Hospital$0$15.5M
    Variety Children's HospitalFLChildren's Hospital$0$13.4M
    Variety Children's HospitalFLChildren's Hospital$0$10.6M
    Variety Childrens HospitalFLChildren's Hospital$0$8.2M
    Variety Children's HopsitalFLChildren's Hospital$0$7.4M
    Sergey ShkurovichMNDiagnostic Radiology Physician$162.1K$0
    Amir FallahianALDiagnostic Radiology Physician$151.4K$3K

    Nearby Providers

    Other providers in the same ZIP code as Miami Children's Hospital Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Asa Homecare IncFLHome Health Agency$0$19.9M
    Nations Home Health Agency IncFLHome Health Agency$0$12.8M
    Vennus Home Health Inc.FLHome Health Agency$0$8.1M
    Jose Simon CanellasFLNeurology Physician$74.6K$509.5K
    Vitro Molecular LaboratoriesFLClinical Medical Laboratory$367.7K$19.2K
    Daisy Borroto CondeFLNeurology Physician$67K$0
    Skin Pathology Center, Inc.FLClinical Medical Laboratory$37.3K$20
    Guido PerezFLGeneral Practice Physician$18.5K$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.

    Medicaid Revenue by Year vs. Florida Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Miami Children's Hospital Ambulatory Surgery Center, LLC — 5 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida