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NPI 1386721249 · South Bend, IN · Ambulatory Surgical Clinic/Center
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Allied Physicians Surgery Center, LLC is a ambulatory surgical clinic/center provider located in South Bend, Indiana. This profile covers 48 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Allied Physicians Surgery Center, LLC |
| Address | 53990 Carmichael Dr |
| City | South Bend |
| State | IN |
| ZIP | 46635 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $125.7K |
This facility’s billed Medicare volume is the primary revenue stream: Total Medicare revenue is $2.8M compared with total Medicaid revenue of $125.7K, making Medicare the dominant payer on file for this ambulatory surgical clinic. The Medicaid footprint exists but is small in scale relative to Medicare.
Revenue concentration on Medicare is tightly focused: the precomputed top 3 Medicare codes by revenue account for 46.9% of the provider’s total Medicare revenue, driven primarily by 66984, 64483, and 66991. That mix indicates the center derives a large share of Medicare dollars from cataract surgery and intraocular device work (66984/66991) alongside a high-volume spine injection code (64483), suggesting a blended ophthalmology–and pain-management service line.
On Medicaid the provider shows an even stronger concentration: the precomputed top 3 Medicaid codes by revenue account for 100.0% of the provider’s total Medicaid revenue, with 64483 (367 claims, $91K) and 66984 (173 claims, $31.3K) making up the bulk of billed Medicaid activity. This indicates that Medicaid billing for this clinic is effectively limited to the same spine injection and cataract surgery services that dominate Medicare revenue.
Competitive standing is highly code-dependent. For Medicare 64483 ranks #128 of 8202 providers nationally (98th percentile) and is labeled an "extreme outlier," indicating unusually high national volume for transforaminal epidural injections, while 66984 ranks #1927 of 15965 (88th percentile) and is described as a typical, unremarkable volume for cataract procedures. In other words, the clinic is a national outlier for a specific pain-management procedure but a more typical-volume cataract surgery provider.
The procedure mix reported for Medicare shows meaningful diversity beyond ophthalmology: multiple orthopedic and hand codes appear at high percentiles (for example, 29827 ranks in the 97th percentile and is described as "notably above typical national volume," 29881 is in the 97th percentile labeled similarly, and 64721 is in the 96th percentile). This pattern suggests the ambulatory surgical center operates as a multidisciplinary ASCs-style site that manages ophthalmic surgery along with substantial orthopedics and hand/foot procedural throughput.
Several individual CPT/HCPCS codes are material revenue contributors and worth operational attention. For Medicare, 66984 accounts for $870.9K (34.4% of Medicare revenue) and 64483 accounts for $170.2K (6.7%); other mid-range drivers include 66991 at $146.6K (5.8%) and J1096 at $135.5K (5.3%). These figures show a few high-reimbursement ophthalmic and injection services underpin the clinic’s top-line Medicare performance.
Medicaid competitive positioning within Indiana is modest for the same core procedures: 64483 ranks #21 of 46 in-state (56th percentile) and 66984 ranks #38 of 62 in-state (39th percentile), both labeled typical or unremarkable for state peers. That indicates while the clinic’s Medicare profile includes a nationally extreme volume for 64483, its Medicaid activity for that code is not similarly dominant within the state.
The provider’s NPI was enumerated on 2006-10-31 (~20 years ago), indicating an established operating history consistent with a stable ambulatory surgical clinic. Combined with the concentration of high-revenue ophthalmic and spine injection codes and a broad set of notably above-typical orthopedic and hand procedure volumes, the profile is consistent with a long-standing ASC that mixes ophthalmology, pain-management injections, and orthopedic/hand surgical services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
48 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… | 1,040 | $840 | $870.9K |
| 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). | 580 | $300 | $170.2K |
| 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… | 60 | $2,530 | $146.6K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1,370 | $100 | $135.5K |
| 29827 | The 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… | 60 | $1,780 | $110.5K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,810 | $102.8K |
| 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… | 350 | $260 | $90.6K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 150 | $530 | $79.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 120 | $660 | $75.3K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 20 | $3,290 | $72.5K |
Showing 1–10 of 48
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
48 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63650 | 45 | 50 | 50 | $1,870 | $110.5K |
| 66984 | 14 | 450 | 50 | $480 | $87.5K |
| J1096 | 2 | 10 | 660 | $100 | $83K |
| 66991 | 7 | 20 | 50 | $1,420 | $79.3K |
| 25609 | 1 | 10 | 20 | $3,270 | $62.1K |
| 65820 | 17 | 30 | 30 | $840 | $38.6K |
| 67904 | 2 | 20 | 50 | $560 | $37.8K |
| 66982 | 23 | 120 | 30 | $600 | $29.4K |
| 15823 | 14 | 20 | 30 | $540 | $28.3K |
| 29828 | 1 | 10 | 20 | $930 | $19.4K |
Showing 1–10 of 48
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 370 | $250 | $91K |
| 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… | 170 | $180 | $31.3K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 10 | $250 | $3.3K |
| 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… | 280 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 220 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 38 | 60 | 350 | $270 | $229.7K |
| 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). | 21 | 50 | 310 | $140 | $94.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 75 | 80 | 80 | $160 | $45.3K |
| 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… | 37 | 70 | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 23 | 40 | 240 | $0 | $0 |
Other providers in the same ZIP code as Allied Physicians Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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