Loading...
NPI 1326054172 · Knoxville, TN · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Fort Sanders West Op Surgery Center is a ambulatory surgical clinic/center provider located in Knoxville, Tennessee. This profile covers 31 Medicare and 1 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 | Fort Sanders West Op Surgery Center |
| Address | 210 Fort Sanders West Blvd |
| City | Knoxville |
| State | TN |
| ZIP | 37922 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $10 |
FORT SANDERS WEST OP SURGERY CENTER is organized as an Ambulatory Surgical Clinic/Center and bills predominantly for urology and pelvic procedures under Medicare, with total Medicare revenue of $2.1M. The detailed CPT mix (numerous cystoscopy codes, ureteroscopy/lithotripsy, TURP codes and neurostimulator implant/replacement codes such as 64590 and 64561) indicates an ASC-focused operation handling both diagnostic endoscopy and therapeutic urologic interventions. 52000, 52356, 52351, 52601 and related codes dominate the procedural profile, supported by high Medicare volumes for cystoscopic services.
Revenue concentration on Medicare is high and focused: the precomputed top 3 Medicare codes account for 46.0% of the provider's Medicare revenue. Those top three are C9740 (revenue $356.8K; 17.5%), 64590 (revenue $339.1K; 16.6%), and 64561 (revenue $242.4K; 11.9%), showing that a small set of device-implant and procedure codes drive nearly half of Medicare reimbursement. This concentration suggests the business is strategically centered on a few high-revenue procedure types rather than broad outpatient medical services.
Cystoscopy and endourology are a standout service-line: 52000 appears with 1.3K claims and $225.4K revenue (11.0% of Medicare revenue) and is labeled an "extreme outlier, far above typical national volume." Additional cystoscopy/ureteroscopy codes such as 52356 ($124.9K, 6.1%) and 52351 ($27.8K, 1.4%) also sit at very high national percentiles, reinforcing that the center performs very high procedural throughput for bladder and upper-tract endoscopy relative to peers. This profile implies substantial instrumentation, perioperative staffing, and turnover capacity centered on endourologic care.
The center is a high-volume implant and device site for neuromodulation and related procedures: 64590 (26 claims, $339.1K; 16.6% of Medicare revenue) and 64561 (72 claims, $242.4K; 11.9%) together account for a large share of revenue and rank in the 81th and 90th percentiles nationally, respectively. C9740 (74 claims, $356.8K; 17.5%) also ranks at the 93th percentile and is noted as "notably above typical national volume," indicating strength in procedures that require implants or specialized devices. These patterns point to a business model that supports device inventory management and device-procedure workflows as material drivers of revenue.
On competitive standing, the facility shows national-level prominence for several codes: 52000 ranks #12 of 8548 providers (100th percentile; extreme outlier) and C9740 ranks #11 of 162 providers (93th percentile; notably above typical national volume). Other Medicare codes such as 52356 (#23 of 3090; 99th percentile; extreme outlier) and 55700 (#23 of 4425; 100th percentile; extreme outlier) further indicate the provider is an outlier with unusually high activity in specific urology procedures compared with national peers. Overall, the center appears to be a major volume performer for particular urologic procedures rather than a modest or average-volume provider across the board.
Payer mix is effectively Medicare-dominant: Medicare revenue is $2.1M while total Medicaid revenue is reported as $6, so Medicaid is negligible in scale compared with Medicare. The Medicaid claims table lists 52000 with 12 claims and $12 revenue (100.0% of this provider's total Medicaid revenue in the file), which is the only Medicaid-coded activity captured here, while the dataset also reports a $6 total Medicaid revenue figure — both indicate minimal Medicaid business relative to Medicare. For contracting and utilization analysis, treat this entity as functionally single-payer (Medicare) in operational and revenue planning.
The provider has sustained presence in the registry with NPI enumerated 2006-08-01 (~20 years ago), indicating long tenure as an ASC-level operator in Knoxville, TN. That longevity combined with the concentrated, high-volume procedural profile suggests established referral patterns and institutional experience in the urology service lines it bills heavily for. This history is relevant to network decisions and capacity assessments.
Multiple codes are flagged as high percentile or "extreme outlier," signaling statistical concentration that has operational implications: 52000, 52356 and 55700 are described as "extreme outlier, far above typical national volume," while C9740 is "notably above typical national volume." These labels, together with the revenue and claim counts for device/implant codes, imply sustained high throughput for specific procedures, which should be considered when evaluating staffing, OR scheduling, supply procurement (e.g., neurostimulators, lithotripsy disposables, stents), and competitive positioning in the region.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 70 | $4,820 | $356.8K |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 30 | $13,040 | $339.1K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 70 | $3,370 | $242.4K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 1,260 | $180 | $225.4K |
| 55700 | Code deleted December 31, 2025. | 300 | $560 | $166.3K |
| 52356 | The 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… | 90 | $1,470 | $124.9K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 14,300 | $10 | $71.5K |
| 52287 | The 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… | 100 | $560 | $53.5K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 30 | $1,530 | $51.9K |
| 52648 | Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with… | 30 | $1,530 | $44.3K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 1 | 10 | 50 | $5,070 | $223.2K |
| 64590 | 5 | 30 | 20 | $3,740 | $67.3K |
| 55874 | 12 | 10 | 30 | $1,760 | $65.2K |
| J0585 | 17 | 70 | 7,500 | $1 | $47K |
| 64561 | 2 | 30 | 20 | $1,560 | $43.7K |
| 52649 | 7 | 10 | 40 | $670 | $30.1K |
| 52351 | 5 | 10 | 20 | $560 | $23.6K |
| 52234 | 3 | 10 | 20 | $850 | $22.1K |
| 52353 | 9 | 20 | 20 | $850 | $19.5K |
| 52224 | 7 | 10 | 20 | $380 | $18.4K |
Showing 1–10 of 31
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 10 | $1 | $10 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 29 | 30 | 110 | $50 | $18.5K |
Other providers in the same ZIP code as Fort Sanders West Op Surgery Center, ranked by combined Medicare and Medicaid revenue.
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.