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NPI 1376536482 · Bend, OR · Ambulatory Surgical Clinic/Center
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Bend Surgery Center LLC is a ambulatory surgical clinic/center provider located in Bend, Oregon. This profile covers 55 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 | Bend Surgery Center LLC |
| Address | 1342 Ne Medical Center Dr Ste 170 |
| City | Bend |
| State | OR |
| ZIP | 97701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 24, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.8M |
| Medicaid | $1.7M |
BEND SURGERY CENTER LLC reports $4.8M in lifetime Medicare revenue and $1.7M in lifetime Medicaid revenue, so Medicare is the larger payer relationship on file. Both payers are active; this is not a single‑payer profile, with Medicare representing the majority of lifetime public-payer receipts for the entity.
Revenue concentration differs markedly by payer: the top 3 Medicare codes account for 47.3% of this provider's total Medicare revenue, driven primarily by 66984 (31.7% of Medicare revenue, $1.4M revenue, 1.6K claims), 27130 (8.9% of Medicare revenue, $388.5K revenue) and 63685 (6.7% of Medicare revenue, $293.5K revenue). On the Medicaid side the top 3 codes account for 77.8% of Medicaid revenue, with 45380 (30.8% of Medicaid revenue, $520.4K revenue, 1.6K claims), L8699 (25.2% of Medicaid revenue, $425.1K revenue, 335 claims) and 43239 (21.8% of Medicaid revenue, $368.7K revenue, 1.6K claims) concentrating most Medicaid receipts.
The code mix indicates an ambulatory surgical center model with multiple specialty lines: high-volume cataract surgery (66984: 1.6K claims Medicare, 656 claims Medicaid), extensive GI endoscopy/colonoscopy activity (45380, 45385, G0121, G0105 across both payers), orthopedics/large-joint arthroplasty (27130, 27447), and interventional pain/neurostimulation services (63685, 63650, 64635). This blend of ophthalmic, GI, orthopedic, and pain-procedure codes suggests the facility operates as a multi-specialty ASC rather than a single-service clinic.
National competitive standing for several Medicare procedure lines is strong: 45380 ranks #124 of 16427 providers (99th percentile) and is labeled an "extreme outlier, far above typical national volume," while 45385 ranks #269 of 16310 providers (98th percentile) and G0121 ranks #71 of 7750 providers (99th percentile); these ranks indicate the provider is a major national-volume center for colonoscopy services. By contrast, 66984 (cataract) generates the largest single Medicare revenue share ($1.4M, 31.7% of Medicare revenue) but sits at the 91th percentile and is described as "typical, unremarkable volume" in national comparisons, indicating high revenue impact without unusually high per‑code market share.
State-level competitive posture on Medicaid is meaningful but less dominant than Medicare national rankings: 45380 ranks #7 of 51 in-state (88th percentile) and 43239 ranks #15 of 60 (76th percentile), which positions the facility as a significant in-state provider of GI endoscopy and upper endoscopy services. L8699 (prosthetic implant) ranks #4 of 10 in-state (67th percentile), showing notable in-state activity in implantable device billing but among a smaller specialty set of peers.
Several individual codes are statistical outliers on Medicare and should be noted for volume concentration: 45380 and 45385 are labeled "extreme outlier, far above typical national volume," G0121 is an "extreme outlier, far above typical national volume," and C9088 is "notably above typical national volume" (rank #2 of 52). These labels signal unusually high procedural throughput in specific service lines that drive a disproportionate share of Medicare revenue.
The provider has an established operational history with NPI enumeration dated 2005-08-24 (~21 years ago), consistent with a long-standing ambulatory surgical operation that has developed multiple high-volume procedural lines over time. That tenure, combined with concentrated revenue in a few high-revenue codes, suggests an established business model centered on repeat procedural throughput rather than nascent or recently expanded service offerings.
Concentration risk is asymmetrical across payers: Medicaid revenue is highly dependent on three codes (top 3 = 77.8% of Medicaid revenue), indicating that changes in Medicaid policy or local referral patterns for colonoscopy, upper endoscopy, and prosthetic implants could materially affect Medicaid receipts. Medicare is somewhat more diversified (top 3 = 47.3% of Medicare revenue) but still relies heavily on a few high-dollar surgical procedures (notably 66984 and 27130), so payer rules or competitive shifts in those specialties could disproportionately affect overall revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
55 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… | 1,560 | $890 | $1.4M |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 50 | $7,930 | $388.5K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $19,560 | $293.5K |
| 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… | 550 | $490 | $271.6K |
| 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… | 640 | $400 | $256.3K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 30 | $7,500 | $210.1K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 40 | $4,100 | $172K |
| 28730 | In this procedure, the provider surgically immobilizes multiple or transverse midtarsal or tarsometatarsal joints with the help of fixation devices. Midtarsal joints are combined joints of either the… | 20 | $8,060 | $169.2K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 20 | $5,570 | $122.5K |
| 66991 | The 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… | 40 | $2,620 | $102.2K |
Showing 1–10 of 55
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 55 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
55 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 16 | 20 | 20 | $11,390 | $239.2K |
| C9740 | 2 | 10 | 20 | $5,930 | $130.4K |
| 63650 | 16 | 40 | 40 | $2,140 | $117.8K |
| 28730 | 1 | 10 | 20 | $5,480 | $87.7K |
| 66984 | 2 | 260 | 70 | $540 | $82.7K |
| 27447 | 92 | 170 | 30 | $1,590 | $60.3K |
| 27130 | 19 | 110 | 30 | $1,610 | $53.1K |
| 28750 | 1 | 10 | 10 | $3,190 | $47.9K |
| 66991 | 5 | 20 | 20 | $1,680 | $47.2K |
| 20900 | 1 | 10 | 10 | $2,180 | $30.6K |
Showing 1–10 of 55
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 |
|---|---|---|---|---|
| 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… | 1,560 | $330 | $520.4K |
| L8699 | Prosthetic implant, not otherwise specified | 340 | $1,270 | $425.1K |
| 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. | 1,620 | $230 | $368.7K |
| 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… | 660 | $320 | $212.5K |
| 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… | 240 | $380 | $90K |
| 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… | 230 | $320 | $72.9K |
| 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… | 230 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 21 | 40 | 310 | $420 | $325.7K |
| L8699 | Prosthetic implant, not otherwise specified | 4 | 10 | 240 | $460 | $268.4K |
| 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. | 15 | 60 | 350 | $260 | $251.9K |
| 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… | 7 | 50 | 200 | $370 | $238.2K |
| 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 | 40 | 120 | $330 | $175.5K |
| 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… | 8 | 30 | 70 | $390 | $111.2K |
| 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… | 16 | 40 | 110 | $1 | $1 |
Other providers in the same ZIP code as Bend Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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.