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    OpenPayerNPI Medicare & MedicaidBienville Surgery Center, LLC
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    Bienville Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1417405812 · Vancleave, MS · Ambulatory Surgical Clinic/Center

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    Bienville Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Vancleave, Mississippi. This profile covers 24 Medicare and 4 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
    OrganizationBienville Surgery Center, LLC
    Address6300 East Lake Blvd.
    CityVancleave
    StateMS
    ZIP39565
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 14, 2016

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$53.3K

    Key Findings

    BIENVILLE SURGERY CENTER operates as an Ambulatory Surgical Clinic/Center with a code mix dominated by orthopedic joint procedures and image‑guided spine/pain services; its top Medicare revenue drivers are 27447 (knee arthroplasty), 27130 (hip arthroplasty), and 0627T (cellular/tissue injection), and the provider’s top 3 Medicare codes by revenue account for 54.9% of this provider's total Medicare revenue. This pattern indicates the facility performs both complex joint procedures and interventional spine treatments in an outpatient setting rather than solely minor ambulatory procedures.

    Revenue concentration is high on both payers: top 3 Medicare codes account for 54.9% of Medicare revenue, while the top 3 Medicaid codes account for 100.0% of Medicaid revenue. Total Medicare revenue is $1.6M compared with Total Medicaid revenue of $53.3K, showing Medicare is the dominant revenue source in scale.

    The provider is effectively Medicare‑focused in scale: Total Medicare revenue of $1.6M dwarfs Total Medicaid revenue of $53.3K, so Medicaid represents a very small portion of overall reported revenue. Medicaid billing is narrowly concentrated—62323 and G8907 together account for virtually all Medicaid revenue—suggesting limited participation in state Medicaid fee lines beyond spine injections and required quality/status codes.

    BIENVILLE is a high national outlier on certain image‑guided lumbar injection services: Medicare 62323 (lumbar epidural/nerve root injection) shows 518 claims and $112.9K revenue and is described as an "extreme outlier, far above typical national volume for this code" (rank #69 of 7397). Additional spine/facet codes such as 62321 and 64493 also report notably above‑typical national volumes, indicating a concentrated, high-volume interventional pain practice within its ambulatory setting.

    Orthopedic surgical volumes are meaningful but not nationally dominant: 27447 (knee arthroplasty) generates $493.7K (31.2% of Medicare revenue) and ranks #1486 of 12089 (87th percentile, labeled "typical, unremarkable volume"), while 27130 (hip arthroplasty) contributes $249.1K (15.7%) and ranks in the 70th percentile. These rankings suggest the center is an established regional provider of outpatient joint procedures with above‑median activity for some arthroplasty codes but not a top national center for volume.

    State Medicaid competitive standing is modest: Medicaid 62323 accounts for $47.8K (89.5% of Medicaid revenue) and ranks #16 of 44 in‑state (63rd percentile, labeled "typical, unremarkable volume"), and G8907 contributes $5.6K (10.5% of Medicaid revenue) and ranks #16 of 56 (73rd percentile). In other words, the facility is a routine but not dominant Medicaid participant for spine injection services within Mississippi.

    The provider’s payer profile and service mix create a diversified outpatient revenue base combining surgical arthroplasty (27447, 27130) and interventional spine/pain procedures (62323, 62321, 64493, 64483). This dual surgical/interventional footprint may position the center to serve both joint replacement episodes and ongoing image‑guided pain management referrals, as reflected in the claim and revenue distribution across those code groups.

    BIENVILLE’s NPI was enumerated 2016-09-14 (~10 years ago), indicating roughly a decade of billing history under this identifier. Combined with its Ambulatory Surgical Clinic/Center taxonomy and the billing profile above, the data portray a medium‑tenured outpatient specialty center focused on orthopedics and interventional spine services.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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…80$6,170$493.7K
    27130In 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…40$6,390$249.1K
    0627TThe provider injects a cellular or tissue–based product under fluoroscopic guidance to treat a lumbar intervertebral disc. This code applies to the first level injected. The injection may occur on…20$6,340$126.8K
    62323The 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)…520$220$112.9K
    27446In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…20$5,770$86.5K
    64493The 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…250$240$59.5K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…30$2,080$58.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.90$580$50.2K
    64483This 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).150$290$43.1K
    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…20$1,470$30.9K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744691060$2,920$192.6K
    27447299050$2,160$164.5K
    0627T142040$3,200$163K
    27130257030$2,070$87.1K
    644832470110$180$36.7K
    29827245020$1,020$33.6K
    2984891080$400$32.2K
    64635237060$340$31.3K
    2982843020$1,070$27.7K
    G0260820150$190$26.3K

    Showing 1–10 of 24

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    62323The 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)…410$120$47.8K
    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…1,120$10$5.6K
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)50$0$0
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time70$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    62323The 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)…1640280$110$46.9K
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)1620440$20$22.4K
    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…1660520$1$200
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time21070$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel WittersheimMSOrthopaedic Surgery Physician$224.9K$320
    Kelly ColemanMSInterventional Pain Medicine Physician$162.9K$0
    Charles WintersMSOrthopaedic Surgery Physician$129.7K$0
    Lennon BowenMSNeurology Physician$103.6K$0
    Amanda GalleMSNurse Practitioner$86.3K$0
    Matthew LewisMSOrthopaedic Surgery Physician$68.2K$0
    John MartinMSNurse Practitioner$34.5K$0
    David TaorminaMSOrthopaedic Surgery Physician$28.2K$0
    Clarissa PicardMSOccupational Therapist$15.2K$0

    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. Mississippi Distribution
    Bienville Surgery Center, LLC — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Bienville Surgery Center, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi