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NPI 1366422370 · Germantown, TN · Ambulatory Surgical Clinic/Center
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Urlogy Ambulatory Surgery Center LLC is a ambulatory surgical clinic/center provider located in Germantown, Tennessee. This profile covers 40 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 | Urlogy Ambulatory Surgery Center LLC |
| Address | 1325 Wolf Park Drive |
| City | Germantown |
| State | TN |
| ZIP | 38138 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $0 |
This facility’s payer mix is effectively single‑payer: reported lifetime Medicare revenue is $2.9M while Medicaid revenue is $0, indicating near‑exclusive reliance on Medicare reimbursement for its billed services and little to no Medicaid exposure in the dataset. That concentration should be considered when evaluating reimbursement risk and market access for dual‑eligible populations.
The provider has an established presence in the market, with its NPI enumerated on 2006-01-18 (~20 years ago), suggesting long‑standing operations as an ambulatory surgical clinic/center in Germantown, TN. That tenure supports interpretation of high procedural volumes as an operational pattern rather than a short‑term anomaly.
Revenue is materially concentrated: the precomputed top‑three Medicare codes account for 32.8% of the provider’s total Medicare revenue. Those top codes are 54405 ($319.3K, 11.7%), 52000 ($296.1K, 10.8%), and 52356 ($281K, 10.3%), indicating a small set of procedures drive a large share of receipts.
The CPT mix indicates the ASC is organized around high‑volume endoscopic urology and device implantation: dominant services include cystoscopy/ureteroscopy and stone management (52000, 52356, 52332, 52353, 52310, 50590) alongside implant procedures such as penile prosthesis and artificial sphincter placement (54405, 53445) and neurostimulator work (64590, 64561, 64581). This combination is consistent with an ambulatory surgical center specializing in diagnostic and therapeutic endourology plus select implantable device interventions.
For several core cystoscopy/ureteroscopy codes the facility is a national high‑volume outlier: 52000 ranks #6 of 8548 providers nationally (100th percentile; extreme outlier), 52356 ranks #3 of 3090 (100th percentile; extreme outlier), and 52332 ranks #4 of 3938 (100th percentile; extreme outlier). These rankings position the center as a dominant national provider for basic cystoscopic and ureteroscopic services by volume.
By contrast, implantable device procedures appear less dominant versus national peers. For example, 54405 ranks #18 of 111 providers (82th percentile; typical, unremarkable volume), 53445 ranks #17 of 34 (39th percentile; typical, unremarkable), and 64590 ranks #221 of 561 (57th percentile; typical, unremarkable). This suggests the center performs implants regularly but is not a leading national outlier for most device implantation codes.
The dataset shows a disparity between claim count and dollar impact for certain services: J0585 records 18.4K claims at $4 avg paid/claim for $73.7K total (2.7% of Medicare revenue), indicating very high procedural or unit counts with low per‑unit reimbursement and limited revenue contribution. Operationally, this pattern can drive clinic throughput and encounter volume without substantially changing overall revenue mix.
Beyond the top three, multiple additional codes are labeled as extreme outliers or notably above typical national volume (examples include 55700 #20 of 4425, 52601 #6 of 1140, 50590 #27 of 1163, 52310 #30 of 2547, and 52353 #4 of 145). The breadth of extreme‑volume flags across diagnostic, therapeutic, and stone‑management codes points to a high‑throughput specialty practice—useful when benchmarking capacity, referral patterns, or negotiating network arrangements, while remaining a descriptive operational signal rather than an indicator of irregularity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
40 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 54405 | The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir… | 30 | $11,400 | $319.3K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 1,540 | $190 | $296.1K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 190 | $1,520 | $281K |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 20 | $13,850 | $249.3K |
| 55700 | Code deleted December 31, 2025. | 310 | $590 | $179.9K |
| 53445 | The provider places an inflatable artificial sphincter that includes a cuff that fits around the bladder neck, a pressure regulating balloon, and a pump at the scrotum to inflate and deflate the… | 10 | $11,940 | $155.3K |
| 52332 | The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 180 | $780 | $140.3K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 30 | $3,570 | $107.2K |
| 52287 | The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the… | 180 | $600 | $104.1K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 70 | $1,520 | $100.5K |
Showing 1–10 of 40
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
40 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 54405 | 3 | 10 | 20 | $4,920 | $103.3K |
| C9769 | 1 | 10 | 20 | $4,740 | $90K |
| 64590 | 7 | 30 | 20 | $3,740 | $67.3K |
| 53445 | 1 | 10 | 10 | $4,200 | $54.5K |
| J0585 | 9 | 70 | 7,500 | $1 | $47K |
| 64561 | 6 | 30 | 20 | $1,560 | $43.7K |
| 52354 | 3 | 10 | 30 | $750 | $27.7K |
| 52351 | 4 | 10 | 20 | $560 | $23.6K |
| 52234 | 1 | 10 | 20 | $850 | $22.1K |
| 55150 | 1 | 10 | 30 | $800 | $20.7K |
Showing 1–10 of 40
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… | 30 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
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
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… | 57 | 70 | 160 | $1 | $10 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 44 | 50 | 100 | $0 | $0 |
Other providers in the same ZIP code as Urlogy Ambulatory Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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