Loading...
NPI 1336202704 · Sheridan, WY · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Sheridan Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Sheridan, Wyoming. This profile covers 14 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 | Sheridan Surgical Center, LLC |
| Address | 1524 W 5th St |
| City | Sheridan |
| State | WY |
| ZIP | 82801 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $553.1K |
| Medicaid | $36.7K |
Business profile: SHERIDAN SURGICAL CENTER, LLC is classified as an Ambulatory Surgical Clinic/Center and its Medicare billing pattern is dominated by ophthalmic procedures and gastrointestinal endoscopy. The single largest Medicare code is 66984 (cataract extraction with intraocular lens) and other high-volume entries include 66982 and 45380, which together indicate an ASC operating with a core cataract surgery service complemented by endoscopy/colorectal procedures.
Medicare revenue concentration: This provider's top three Medicare codes account for 77.2% of its total Medicare revenue, with 66984 generating $347.4K (62.8% of Medicare revenue), 66982 contributing $42.3K (7.6%), and 45380 contributing $37.5K (6.8%). The concentration in a small number of high-revenue surgical codes points to a narrow set of service lines driving most Medicare receipts.
Medicaid concentration and composition: All Medicaid revenue (100.0% of Medicaid revenue) is reported under a single miscellaneous dental procedure code, 41899, which accounts for $36.7K on 26 claims. That code ranks #7 of 8 in-state (14th percentile) and is described as typical, unremarkable volume among Wyoming peers, indicating Medicaid activity is small and narrowly coded to dental/alveolar procedures.
Payer mix and scale: Lifetime Medicare revenue ($553.1K) substantially exceeds lifetime Medicaid revenue ($36.7K), so this facility is effectively Medicare-dominant in scale. The disparity in absolute dollar amounts suggests the center operates primarily as a Medicare-serving ASC with only limited Medicaid billing.
Competitive standing for key Medicare codes: For its principal Medicare procedure, 66984, the provider ranks #3262 of 15965 nationally (80th percentile) and is characterized as typical, unremarkable volume — meaning the center has above-median activity on cataract extractions but is not a national outlier or dominant provider. Other high-ranking codes such as 66982 (#1033 of 4580, 77th percentile) and 45380 (#3614 of 16427, 78th percentile) similarly land in above-median percentiles and are also described as typical, unremarkable volume.
Code-level drivers and payment mix: High lifetime Medicare revenue is driven both by volume and per-claim payments for ophthalmic surgery—66984 records 419 claims with an average paid/claim of $829, making it the single largest revenue driver. Several secondary codes (43239, 43248, 45385) have meaningful claim counts and positive average payments as well, showing that revenue comes from a mix of relatively high-volume, moderately remunerated surgical and endoscopic procedures.
Service breadth beyond ophthalmology: In addition to cataract surgery, the Medicare code mix includes a cluster of gastrointestinal endoscopy codes (45380, 43239, 43248, G0105, G0121) and some musculoskeletal/pain procedure codes (64721, 29824, 64483, 62323). This pattern suggests the ASC supports multiple procedural specialties — notably ophthalmology and GI endoscopy — rather than being exclusive to a single surgical subspecialty.
Tenure and implied operational size: The NPI was enumerated on 2006-12-18 (~20 years ago), indicating the entity has been established for two decades. Coupled with lifetime Medicare revenue of $553.1K, the data imply a long-standing but relatively small-to-midsize ambulatory surgical operation rather than a large, high-throughput surgical center.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 420 | $830 | $347.4K |
| 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… | 50 | $830 | $42.3K |
| 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… | 100 | $380 | $37.5K |
| 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. | 150 | $180 | $27K |
| 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). | 70 | $280 | $20.9K |
| 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… | 30 | $440 | $14.4K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 60 | $230 | $13.1K |
| 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 | $650 | $11.7K |
| 29824 | The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure… | 10 | $720 | $10.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $410 | $9.5K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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 |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 30 | $1,410 | $36.7K |
How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wyoming median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 7 | 10 | 110 | $1,770 | $828.4K |
Other providers in the same ZIP code as Sheridan Surgical Center, LLC, 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.