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NPI 1457350449 · Oxford, MS · Ambulatory Surgical Clinic/Center
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Baptist And Physicians Outpatient Surgery Center Of North Ms, LP is a ambulatory surgical clinic/center provider located in Oxford, Mississippi. This profile covers 21 Medicare and 7 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 | Baptist And Physicians Outpatient Surgery Center Of North Ms, LP |
| Address | 499 Azalea Dr |
| City | Oxford |
| State | MS |
| ZIP | 38655 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 20, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.4M |
| Medicare | $2.4M |
BAPTIST AND PHYSICIANS OUTPATIENT SURGERY CENTER OF NORTH MS, LP is registered as an Ambulatory Surgical Clinic/Center and its Medicare revenue is concentrated in high-dollar procedural codes typical of orthopedics and ophthalmology. The facility’s top three Medicare codes (including 27447, 66984, and 27130) together account for 66.2% of its total Medicare revenue, which aligns with an ASC model performing joint arthroplasties and cataract surgery as primary service lines rather than a broad mix of low-acuity procedures.
The provider reports identical scale for public payers: Total Medicare revenue is $2.4M and Total Medicaid revenue is $2.4M. This parity means the organization has a balanced public-payer footprint, exposing it to policy or rate movement across both programs rather than dependence on a single government payer.
Medicaid business is heavily concentrated in pediatric ENT procedures. The top three Medicaid codes (69436, 42820, 42830) represent 97.7% of Medicaid revenue, driven chiefly by 69436 (tympanostomy) with $1.2M in revenue and 42820 (tonsil/adenoid removal in <12) with $923.6K, indicating the center functions as a regional outpatient destination for ear, nose and throat surgeries for Medicaid patients.
Medicare revenue concentration introduces operational risk tied to a few high-value procedures. With the top three Medicare codes contributing 66.2% of Medicare revenue and single codes like 27447 generating $817.6K (34.3% of Medicare revenue), the facility’s financial performance is sensitive to changes in referral patterns, reimbursement policy, or clinical capacity for those procedures.
The center shows national-level strength on select Medicare codes and high in-state standing on key Medicaid procedures. 27447 ranks #394 of 12089 providers nationally (97th percentile; notably above typical national volume for this code), reflecting unusually high knee arthroplasty activity for an ASC; C9290 also ranks #16 of 451 providers nationally (97th percentile; notably above typical national volume for this code), signaling outsized use of bupivacaine liposome injections compared with peers.
On the Medicaid side the facility is a top in-state performer for routine pediatric procedures. 69436 ranks #4 of 46 providers in-state (93rd percentile) and 42820 ranks #4 of 30 providers in-state (90th percentile), which supports the interpretation that the center captures meaningful regional share of tympanostomy and tonsil/adenoid volume for Medicaid populations.
Operational mix and ancillary utilization patterns reinforce specialty focus: Medicare volume includes 643 claims for 66984 (cataract/IOL insertion) with $455.9K revenue and 2.8K claims for J1097 yielding $214.9K revenue, indicating significant cataract procedural throughput and routine use of the specified ophthalmic irrigation product. Simultaneously, a large claim count for C9290 (46.7K claims, $46.7K revenue) suggests extensive utilization of a specific local analgesic product at low per-claim reimbursement, which may reflect packaged supply billing or frequent use in short procedures.
The provider has long-established billing tenure—NPI enumerated 2005-07-20 (~21 years ago)—consistent with an entrenched outpatient surgical center. That longevity, combined with concentrated code-level strength (notably in joint arthroplasty, cataract, and pediatric ENT), suggests stable referral relationships and a focused service-line strategy but also a reliance on a narrow set of high-volume procedures for financial performance.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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… | 130 | $6,150 | $817.6K |
| 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… | 640 | $710 | $455.9K |
| 27130 | In 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… | 50 | $6,310 | $303K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,830 | $80 | $214.9K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 70 | $1,170 | $79.4K |
| 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… | 50 | $1,470 | $69.2K |
| 29828 | The 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 | $2,120 | $59.3K |
| 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… | 30 | $2,210 | $57.4K |
| C9290 | Injection, bupivacaine liposome, 1 mg | 46,680 | $1 | $46.7K |
| 64721 | Neuroplasty 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… | 80 | $550 | $42K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 7 | 10 | 3,040 | $80 | $244.1K |
| 27447 | 10 | 90 | 50 | $2,160 | $164.5K |
| 66984 | 19 | 240 | 70 | $470 | $90.5K |
| 27130 | 17 | 70 | 30 | $2,070 | $87.1K |
| 66991 | 19 | 20 | 40 | $1,300 | $62.6K |
| 25609 | 8 | 10 | 20 | $1,850 | $35.1K |
| 29827 | 9 | 50 | 20 | $1,020 | $33.6K |
| 66174 | 2 | 10 | 50 | $680 | $29.2K |
| 29828 | 4 | 30 | 20 | $1,070 | $27.7K |
| G0260 | 3 | 20 | 150 | $190 | $26.3K |
Showing 1–10 of 21
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 3,560 | $350 | $1.2M |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 700 | $1,310 | $923.6K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 380 | $580 | $221K |
| 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… | 270 | $180 | $46.8K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 180 | $50 | $8.6K |
| 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… | 200 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 80 | $0 | $0 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 4 | 30 | 70 | $1,790 | $891.2K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 4 | 10 | 440 | $1,090 | $571.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 4 | 50 | 300 | $510 | $483.3K |
| 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… | 24 | 40 | 300 | $180 | $191.9K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 7 | 10 | 190 | $20 | $12.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 21 | 40 | 140 | $1 | $590 |
| 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… | 40 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Baptist And Physicians Outpatient Surgery Center Of North Ms, LP, ranked by combined Medicare and Medicaid revenue.
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