Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Advanced Urology Surgery Center (NPI 1376884585)

Field	Value
Entity Type	Organization
Organization	Advanced Urology Surgery Center
Address	1557 Janmar Rd
City	Snellville
State	GA
ZIP	30078
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 13, 2013

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

This facility reports $2.3M in lifetime Medicare revenue and has no Medicaid billing on file, making its commercial footprint effectively single-payer Medicare in the available data. The absence of any Medicaid claims indicates the center operates primarily within the Medicare population and should be treated as Medicare-dominant for payer-mix analysis and network strategy.

Revenue concentration is heavily focused: the precomputed top 3 Medicare codes (64590, 64561, C9740) account for 84.0% of the provider's total Medicare revenue. That level of concentration suggests the center's financial performance depends largely on a narrow set of implant and transprostatic procedures, creating exposure to reimbursement or utilization shifts for those specific services.

The top revenue-driving codes indicate a specialized implant and endourology practice: 64590 (generator/receiver insertion/replacement) and 64561 (sacral-region electrode implantation) together make up the majority of revenue and point to a high-volume neuromodulation/implantation service line. C9740 (transprostatic implant) further supports a procedure mix centered on device-based urologic interventions performed in an ambulatory surgical clinic/center setting.

Competitive standing for device/implant procedures is strong nationally—64561 ranks #9 of 564 providers (99th percentile) and 64590 ranks #13 of 561 providers (98th percentile), both described as notably above typical national volume. By contrast, C9740 ranks #32 of 162 providers (80th percentile) and is characterized as typical; this combination suggests the center is a national outlier for sacral neuromodulation and pulse-generator procedures but only a solid, not dominant, participant for transprostatic implants.

Several individual CPT/HCPCS codes are statistical outliers in national volume, which underscores operational specialization: 52005 is flagged as an extreme outlier and ranks #9 of 491 providers (98th percentile), and 74420 ranks #13 of 3813 providers (100th percentile) and is also an extreme outlier. These atypically high volumes for select cystoscopy and retrograde urography codes suggest concentrated diagnostic and intra-procedural imaging activity alongside the implantation services.

The provider’s code-level mix beyond the top three shows routine endoscopic and stone-management services (e.g., 52351, 50590, 52356) at unremarkable to typical volumes and payment levels, indicating that while implants drive revenue, the center also delivers a baseline of standard urologic ambulatory procedures. This breadth supports an ambulatory surgical center operation that pairs specialized device implantation with conventional urology casework.

Tenure data show the NPI was enumerated on 2013-03-13 (~13 years ago), indicating over a decade of Medicare billing history. That duration combined with persistent high percentiles on implant codes suggests an established clinical program rather than a transient or newly launched service line.

From a payor and risk perspective, the heavy reliance on a few high-revenue implant codes (top 3 = 84.0% of Medicare revenue) creates business sensitivity to changes in device reimbursement, coding policy, or referral patterns for neuromodulation and transprostatic implant procedures. Analysts and contract negotiators should prioritize review of utilization trends and contract provisions for 64590 and 64561 due to their outsized impact on the provider’s Medicare revenue base.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	60	$14,390	$906.3K
64561	The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.	190	$3,770	$728.2K
C9740	Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants	50	$5,470	$256.9K
52005	The provider performs a cystourethroscopy, inspection of the interior areas of the bladder, urethra, and ureteric pelvis; he may or may not irrigate the bladder, instill fluids, or perform imaging of…	90	$640	$59.2K
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…	60	$640	$39.4K
J0585	Injection, onabotulinumtoxina, 1 unit	7,500	$10	$37.5K
52351	The provider performs a diagnostic cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…	30	$1,110	$36.7K
50590	Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.	30	$1,100	$36.3K
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…	20	$1,660	$34.9K
74420	The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…	180	$150	$27K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Advanced Urology Surgery Center — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
C9740	2	20	20	$5,460	$142K
64590	1	20	20	$4,910	$93.4K
64561	1	40	30	$2,300	$92.1K
J0585	49	100	7,280	$1	$48.3K
50590	5	40	20	$640	$16K
52260	6	10	40	$390	$14.8K
52000	129	270	70	$140	$13.8K
52351	1	10	10	$800	$12.8K
C1747	4	10	20	$590	$11.1K
52356	26	100	20	$500	$10.1K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Advanced Urology Surgery Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Private In Home Care LLC	GA	Home Health Agency	$0	$7.8M
Geetha Jonnala	GA	Rheumatology Physician	$962.4K	$0
Carlin Vision Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$527.5K	$0
Ayyaz Qureshi	GA	Internal Medicine Physician	$509.6K	$3K
Markus Porkert	GA	Cardiovascular Disease Physician	$493.3K	$0
Tracy Mcelveen	GA	Radiation Oncology Physician	$453.8K	$0
Gwinnett Advanced Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$354.5K	$0
Jessica Mercer	GA	Dermatology Physician	$325.9K	$0
Jae Pak	GA	Geriatric Psychiatry Physician	$319.9K	$0
Charmaine Baker	GA	Pediatrics Physician	$0	$263K

Advanced Urology Surgery Center — Billing Profile & Reimbursement Data

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Advanced Urology Surgery Center — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References