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NPI 1356369755 · Madison, AL · Ambulatory Surgical Clinic/Center
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Madison Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Madison, Alabama. This profile covers 24 Medicare and 7 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 | Madison Surgery Center, LLC |
| Address | 460 Lanier Rd |
| City | Madison |
| State | AL |
| ZIP | 35758 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $829.4K |
| Medicaid | $40K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 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. | 530 | $220 | $115.4K |
| 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… | 310 | $340 | $103.5K |
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 210 | $380 | $79.9K |
| 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… | 240 | $300 | $72.7K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 170 | $380 | $63.5K |
| 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). | 220 | $250 | $54.4K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 200 | $230 | $46.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 90 | $460 | $40.7K |
| 47563 | The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and… | 20 | $1,680 | $32K |
| 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… | 110 | $270 | $29.5K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 15823 | 8 | 20 | 30 | $490 | $25.1K |
| 64483 | 20 | 120 | 60 | $160 | $19K |
| 45385 | 7 | 210 | 50 | $240 | $18.2K |
| 45388 | 1 | 30 | 50 | $250 | $17.8K |
| 64635 | 11 | 70 | 40 | $350 | $16.8K |
| 62323 | 118 | 140 | 60 | $130 | $16K |
| 64721 | 28 | 60 | 30 | $400 | $14.6K |
| 64493 | 11 | 110 | 60 | $160 | $13.5K |
| 43249 | 37 | 100 | 30 | $220 | $11.5K |
| 26055 | 46 | 50 | 30 | $280 | $11.1K |
Showing 1–10 of 24
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 70 | $430 | $28.5K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 80 | $130 | $10.2K |
| 30801 | In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to ablate the superficial area of the inferior turbinates. | 20 | $80 | $1.2K |
| 69990 | Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing. | 30 | $0 | $0 |
| 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… | 140 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 30 | $0 | $0 |
| L8699 | Prosthetic implant, not otherwise specified | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 51 | 60 | 320 | $130 | $176.1K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 17 | 40 | 40 | $380 | $123.8K |
| 30801 | In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to ablate the superficial area of the inferior turbinates. | 1 | 10 | 20 | $80 | $1.2K |
| 69990 | Use this code in addition to the code for a primary procedure when the provider uses an operating microscope to facilitate microsurgical techniques involving cutting or suturing. | 2 | 10 | 290 | $0 | $0 |
| 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… | 20 | 30 | 220 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 18 | 20 | 150 | $0 | $0 |
| L8699 | Prosthetic implant, not otherwise specified | 4 | 10 | 210 | $0 | $0 |
Other providers in the same ZIP code as Madison Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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