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NPI 1346468253 · Maple Grove, MN · Ambulatory Surgical Clinic/Center
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Fairview Maple Grove Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Maple Grove, Minnesota. This profile covers 10 Medicare and 2 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 | Fairview Maple Grove Surgery Center, LLC |
| Address | 14500 99th Avenue North |
| City | Maple Grove |
| State | MN |
| ZIP | 55369 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 23, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $194.4K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 70 | $880 | $60.4K |
| 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… | 100 | $470 | $44.8K |
| 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… | 60 | $360 | $20.2K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 40 | $440 | $18.5K |
| 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. | 60 | $290 | $16.4K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 30 | $500 | $14.8K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 10 | $440 | $6.2K |
| 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… | 20 | $300 | $4.8K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 10 | $300 | $4.2K |
| 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). | 10 | $360 | $4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 780 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 550 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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 | 20 | 130 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3 | 10 | 80 | $0 | $0 |
Other providers in the same ZIP code as Fairview Maple Grove Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Al Shifa Dentistry PA | MN | Dental Clinic/Center | $0 | $18.4M |
| Regency Home Healthcare Services LLC | MN | Home Health Agency | $0 | $11.1M |
| Children's Clinic Network | MN | Primary Care Clinic/Center | $0 | $10M |
| Osseo Area Schools | MN | Local Education Agency (LEA) | $0 | $8.8M |
| Miso Dentistry, PC | MN | Dentist | $0 | $8.4M |
| Maple Grove Hospital Corporation | MN | General Acute Care Hospital | $0 | $7.6M |
| Interventional Spine And Pain Physicians, PA | MN | Specialist | $0 | $5.5M |
| North Memorial Health Care | MN | Urgent Care Clinic/Center | $0 | $4.5M |
| Metropolitan Surgical Center, LLC | MN | Ambulatory Surgical Clinic/Center | $1.6M | $1.3M |
| Asim Khan | MN | Rheumatology Physician | $2.4M | $0 |
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