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    OpenPayerNPI Medicare & MedicaidMontgomery Surgical Center, Ltd
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    Montgomery Surgical Center, Ltd — Billing Profile & Reimbursement Data

    NPI 1376634683 · Montgomery, AL · Ambulatory Surgical Clinic/Center

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    Montgomery Surgical Center, Ltd is a ambulatory surgical clinic/center provider located in Montgomery, Alabama. This profile covers 31 Medicare and 5 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
    OrganizationMontgomery Surgical Center, Ltd
    Address470 Taylor Rd
    CityMontgomery
    StateAL
    ZIP36117
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 28, 2006

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

    Payer SourceTotal Paid
    Medicare$896.1K
    Medicaid$78.8K

    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.

    31 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…320$740$236.4K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…70$1,900$133K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…150$420$63.2K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…100$550$55K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…20$2,630$39.5K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…40$930$37.3K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…40$800$28.9K
    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…70$370$25.6K
    31267In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus…20$1,110$25.4K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.30$710$21.4K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984121280230$70$65.2K
    3126751020$810$24.3K
    66982206020$590$19.4K
    2982729020$870$19.2K
    4538519721050$240$18.2K
    C929021014,170$1$15.3K
    2988092020$670$14.7K
    6472126030$400$14.6K
    2988132020$680$14.4K
    5855811020$940$14.2K

    Showing 1–10 of 31

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.800$80$61.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.80$220$17.1K
    69990Use 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.560$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…160$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2060320$130$176.1K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.164040$380$123.8K
    69990Use 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.110290$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…1930220$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis1920150$0$0

    Nearby Providers

    Other providers in the same ZIP code as Montgomery Surgical Center, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$12M
    Montgomery Pediatric Assoc, P.A.ALPediatric Adolescent Medicine Physician$0$8.3M
    Tooth Buds At Lagoon Park, LLCALGeneral Practice Dentistry$0$7.8M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALInternal Medicine Physician$0$7.5M
    Smiles From Us, PLLCALPediatric Dentistry$0$5.9M
    Dentists 4 Children, L.L.C.ALPediatric Dentistry$0$5.7M
    Pediatric Specialists Of Montgomery, L.L.C.ALPediatric Cardiology Physician$0$5.3M
    Alexander Pediatrics LLCALPediatrics Physician$0$4.8M
    River Region Psychiatry Associates LLCALPsychiatry Physician$0$4.5M
    Oral And Maxillofacial Surgery AssociatesALOral and Maxillofacial Surgery (Dentist)$0$4.4M

    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. Alabama Distribution
    Montgomery Surgical Center, Ltd — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Montgomery Surgical Center, Ltd — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama