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    OpenPayerNPI Medicare & MedicaidSilver Springs Surgery Center LLC
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    Silver Springs Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1437116274 · Cape Girardeau, MO · Ambulatory Surgical Clinic/Center

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    Silver Springs Surgery Center LLC is a ambulatory surgical clinic/center provider located in Cape Girardeau, Missouri. This profile covers 13 Medicare and 10 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
    OrganizationSilver Springs Surgery Center LLC
    Address319 S Silver Springs Rd
    CityCape Girardeau
    StateMO
    ZIP63703
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicaid$744.3K
    Medicare$413.3K

    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.

    13 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…220$770$171.3K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml760$80$57.5K
    45380The 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…160$320$51.4K
    45385The 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…80$390$30.7K
    45378The 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…60$300$17.6K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…70$230$15.3K
    43239The 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.100$150$14.9K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$610$14.7K
    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…20$590$9.4K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…10$640$8.9K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10976101,360$80$106.4K
    669848842050$390$74K
    4538513334060$250$21K
    14060204020$550$18.1K
    64721587030$400$15.6K
    14040152020$540$14K
    G010511419030$240$9.4K
    453802335040$150$9.1K
    G012110916020$250$7.4K
    432398337060$100$6.9K

    Showing 1–10 of 13

    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.

    10 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…1,330$350$465.8K
    D9999N/A200$970$193.6K
    D2930N/A180$300$54.5K
    D2390N/A50$340$16.1K
    D3220N/A70$180$12.8K
    D1120Prophylaxis–child30$20$580
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients30$10$420
    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…140$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis110$0$0
    V2632Posterior chamber intraocular lens230$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D9999N/A720100$700$320.8K
    D2930N/A5690420$140$118.4K
    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…16080$280$53.5K
    D1120Prophylaxis–child467520500$30$30K
    D3220N/A2840120$80$28.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients469520490$20$21.3K
    D2390N/A61080$170$20K
    V2632Posterior chamber intraocular lens31040$20$2.7K
    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…1030100$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis31050$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Counseling CenterMOMental Health Clinic/Center (Including Community Mental Health Center)$0$91.4M
    Saint Francis Medical CenterMOGeneral Acute Care Hospital$0$56.4M
    Semo Alliance For Disability Independence, Inc.MOAttendant Care Provider$0$27.3M
    Regency Management, IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$18M
    Blue Sky Cimmunity ServicesMODevelopmentally Disabled Services Day Training Agency$0$14M
    Saint Francis Medical CenterMOInternal Medicine Physician$0$11.7M
    Semo Alliance For Disability IndependenceMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.3M
    Crown Hospice IncMOCommunity Based Hospice Care Agency$0$8.3M
    Cape Radiology Group, P.C.MODiagnostic Radiology Physician$0$5.5M
    David WestrichMORetina Specialist (Ophthalmology) Physician$3.3M$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. Missouri Distribution
    Silver Springs Surgery Center LLC — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Silver Springs Surgery Center LLC — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri