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NPI 1336246099 · Harlingen, TX · Ambulatory Surgical Clinic/Center
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Valley Baptist Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Harlingen, Texas. This profile covers 12 Medicare and 11 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 | Valley Baptist Ambulatory Surgery Center, LLC |
| Address | 2220 Pease St |
| City | Harlingen |
| State | TX |
| ZIP | 78550 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4M |
| Medicare | $858.2K |
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 |
|---|---|---|---|---|
| 0275T | N/A | 80 | $3,430 | $281.1K |
| 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… | 240 | $770 | $183.8K |
| 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… | 260 | $390 | $101.6K |
| 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… | 280 | $270 | $77K |
| 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… | 90 | $750 | $69.3K |
| 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. | 320 | $210 | $67.9K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 50 | $530 | $25.5K |
| 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… | 30 | $470 | $15.8K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 40 | $380 | $14.6K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 40 | $300 | $12.5K |
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 | 221 | 990 | 100 | $560 | $113.9K |
| 0275T | 1 | 40 | 20 | $2,080 | $58.2K |
| 15823 | 61 | 120 | 30 | $530 | $27.5K |
| 45385 | 56 | 1,130 | 50 | $280 | $26.4K |
| 66982 | 17 | 270 | 20 | $650 | $23.4K |
| 45380 | 51 | 1,160 | 50 | $190 | $16.4K |
| 43239 | 44 | 1,210 | 70 | $120 | $11.3K |
| G0121 | 126 | 610 | 20 | $270 | $8.9K |
| 43248 | 146 | 230 | 30 | $160 | $6.8K |
| 43251 | 7 | 110 | 20 | $300 | $6.7K |
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.
11 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. | 4,520 | $470 | $2.1M |
| 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. | 6,740 | $170 | $1.1M |
| 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… | 2,270 | $210 | $481K |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an… | 120 | $1,290 | $149.8K |
| 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… | 480 | $150 | $70.7K |
| 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… | 410 | $130 | $53.8K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 10 | $1,750 | $24.5K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 50 | $160 | $7.7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 50 | $60 | $2.8K |
| 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… | 2,820 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
11 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. | 8 | 70 | 370 | $760 | $1M |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an… | 14 | 20 | 330 | $1,140 | $456.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 88 | 110 | 80 | $1,260 | $398.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 87 | 130 | 150 | $370 | $240.6K |
| 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. | 2 | 160 | 80 | $160 | $64.7K |
| 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… | 1 | 40 | 70 | $190 | $49.6K |
| 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… | 10 | 60 | 100 | $160 | $33.6K |
| 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… | 2 | 20 | 50 | $130 | $17.7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 6 | 10 | 40 | $150 | $16.6K |
| 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… | 2 | 140 | 110 | $0 | $0 |
Showing 1–10 of 11
Other providers in the same ZIP code as Valley Baptist Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| First Primary Home Care, Inc | TX | Home Health Agency | $0 | $161.5M |
| Texas Visiting Nurse Service, Ltd. | TX | Home Health Agency | $0 | $138.2M |
| Agua Cristalina Home Care, LLC | TX | Home Health Agency | $0 | $108.1M |
| Apc Home Health Service, Inc. | TX | Home Health Agency | $0 | $97.1M |
| Mizpah Residential Care. Inc. | TX | Home Health Agency | $0 | $45.5M |
| Su Clinica Familiar | TX | Federally Qualified Health Center (FQHC) | $0 | $37.6M |
| Vicki Roy Home Health Service, LP | TX | Home Health Agency | $0 | $29.5M |
| Nuevo Destino Primary Home Care LLC | TX | Personal Care Attendant | $0 | $26.6M |
| Santa Cruz Health Services, Inc | TX | Home Health Agency | $0 | $23.8M |
| Vhs Harlingen Hospital Company LLC | TX | General Acute Care Hospital | $0 | $23.6M |
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