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    OpenPayerNPI Medicare & MedicaidAmbulatory Surgical Associates LLC
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    Ambulatory Surgical Associates LLC — Billing Profile & Reimbursement Data

    NPI 1356307565 · Tullahoma, TN · Ambulatory Surgical Clinic/Center

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    Ambulatory Surgical Associates LLC is a ambulatory surgical clinic/center provider located in Tullahoma, Tennessee. This profile covers 15 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)

    FieldValue
    Entity TypeOrganization
    OrganizationAmbulatory Surgical Associates LLC
    Address725 Kings Ln
    CityTullahoma
    StateTN
    ZIP37388
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$785.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…580$730$425.4K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…30$2,200$61.7K
    66982The 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…70$700$47.8K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…120$390$45.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk120$360$41.5K
    43239The 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.180$200$35.6K
    45380The 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$360$32.4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk80$370$30.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.90$150$13.2K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…10$980$12.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984139450170$120$89.5K
    66991184030$1,400$47.8K
    4538525732060$260$27.1K
    669821411030$620$24.9K
    668218923060$120$20.8K
    453807432040$190$15.3K
    G01051820040$250$13.1K
    432393834070$110$11.2K
    G01211018020$250$8.7K
    43249678030$230$8.6K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…20$0$0
    G8907Patient 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…60$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis40$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The 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…5370250$110$96.9K
    G8907Patient 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…4870160$1$10
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis3450100$0$0

    Nearby Providers

    Other providers in the same ZIP code as Ambulatory Surgical Associates LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Skills Development Services, Inc.TNDevelopmentally Disabled Services Day Training Agency$0$9M
    Tullahoma Pediatrics PLLCTNPediatrics Physician$0$6.1M
    Vanderbilt Coffee Hospital, LLCTNGeneral Acute Care Hospital$0$4.1M
    Tullahoma Hma LLCTNGeneral Acute Care Hospital$0$4M
    Tullahoma Hma Physician Management, LLCTNInternal Medicine Physician$0$2.2M
    Robert CollierTNRetina Specialist (Ophthalmology) Physician$1.1M$0
    Isaac BryanTNDermatology Physician$896K$0
    Charles DrummondTNVascular Surgery Physician$708.5K$8.9K
    William BradfordTNRadiation Oncology Physician$438.6K$0
    Stephen BillsTNInternal Medicine Physician$242.7K$1.3K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Ambulatory Surgical Associates LLC — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Ambulatory Surgical Associates LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee