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NPI 1326340852 · Monroe, MI · Ambulatory Surgical Clinic/Center
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The Surgical Institute Of Monroe Ambulatory Surgery Center LLC is a ambulatory surgical clinic/center provider located in Monroe, Michigan. This profile covers 12 Medicare and 3 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 | The Surgical Institute Of Monroe Ambulatory Surgery Center LLC |
| Address | 1051 S Telegraph Rd |
| City | Monroe |
| State | MI |
| ZIP | 48161 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 5, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $370.2K |
| Medicaid | $71.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 260 | $770 | $202.2K |
| 45380 | The 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… | 90 | $340 | $30.9K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 300 | $100 | $30.1K |
| 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… | 30 | $730 | $19.8K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 40 | $470 | $19.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 40 | $400 | $16.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 40 | $380 | $14.9K |
| 43239 | The 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. | 40 | $220 | $9.7K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $390 | $9.4K |
| 29848 | The 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. | 20 | $540 | $9.2K |
Showing 1–10 of 12
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 67 | 480 | 70 | $470 | $69.5K |
| J1096 | 6 | 10 | 450 | $100 | $48K |
| 15823 | 18 | 50 | 30 | $540 | $23.7K |
| 66982 | 57 | 130 | 30 | $630 | $22.2K |
| 29848 | 32 | 40 | 40 | $440 | $19.4K |
| 45385 | 259 | 530 | 40 | $270 | $18.3K |
| G0105 | 66 | 260 | 20 | $260 | $10.1K |
| 45380 | 58 | 490 | 30 | $170 | $9.4K |
| 43239 | 287 | 510 | 50 | $110 | $8.2K |
| G0121 | 80 | 230 | 20 | $260 | $7.5K |
Showing 1–10 of 12
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 210 | $170 | $37.2K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 100 | $260 | $25.7K |
| 45380 | The 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… | 40 | $230 | $9K |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The 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. | 138 | 220 | 440 | $180 | $249.7K |
| 45380 | The 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… | 112 | 150 | 240 | $280 | $214.5K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 36 | 60 | 170 | $260 | $184.1K |
Other providers in the same ZIP code as The Surgical Institute Of Monroe Ambulatory Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Chs Group LLC | MI | Case Manager/Care Coordinator | $0 | $61.2M |
| Monroe County Community Mental Health Authority | MI | Community/Behavioral Health Agency | $0 | $55.3M |
| Monroe Community Ambulance | MI | Ambulance | $1.6M | $5.9M |
| Passion Of Mind Healing Center | MI | Methadone Clinic | $163.1K | $6.1M |
| Mahmood Moosa | MI | Endocrinology, Diabetes & Metabolism Physician | $215.1K | $4.2K |
| Abdul Kabir | MI | Internal Medicine Physician | $219.3K | $0 |
| Michael Tilson | MI | Family Medicine Physician | $137.9K | $0 |
| Kristi Simmons | MI | Physician Assistant | $8K | $0 |
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