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NPI 1467544684 · Saginaw, MI · Ambulatory Surgical Clinic/Center
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Towne Centre Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Saginaw, Michigan. This profile covers 37 Medicare and 8 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 | Towne Centre Surgery Center, LLC |
| Address | 4599 Towne Centre Road |
| City | Saginaw |
| State | MI |
| ZIP | 48604 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $927.9K |
TOWNE CENTRE SURGERY CENTER operates as an ambulatory surgical clinic/center with a mixed procedure mix that includes neuromodulation implants (64590, 64561), ophthalmologic cataract procedures (66984, 66991), and high-volume gastrointestinal endoscopy (45385 and multiple upper endoscopy codes). The top Medicare codes by revenue (64590, 66984, 45385) reflect a facility that performs device-based surgical implants alongside routine ophthalmic and endoscopic procedures, consistent with an ASCscope of services rather than a single-specialty clinic.
Revenue concentration differs markedly by payer: the provider’s top 3 Medicare codes account for 39.9% of Medicare revenue, while the top 3 Medicaid codes account for 86.7% of Medicaid revenue. This indicates a more diversified revenue mix on Medicare and a strong reliance on a very small set of GI/endoscopy codes for Medicaid receipts.
Payer scale and mix: Medicare revenue ($1.9M) exceeds Medicaid revenue ($927.9K), so the provider generates larger absolute revenue from Medicare while still maintaining substantial Medicaid activity. Medicaid is not negligible but appears concentrated in a few high-dollar endoscopy lines, whereas Medicare revenue is spread across implant, ophthalmology, and endoscopy services.
Medicaid service-line concentration is dominated by upper GI and colon procedures: 43239 generates $404.5K (43.6% of Medicaid revenue), 45385 generates $282.7K (30.5%), and 45380 generates $117.6K (12.7%). These three codes together explain the precomputed 86.7% concentration and show that Medicaid volumes and revenue are heavily tied to diagnostic upper endoscopy and colonoscopy/polypectomy services.
Competitive standing vs peers is mixed. On Medicare the provider is a clear outlier for 45385 (ranks #405 of 16310, 98th percentile; labeled "notably above typical national volume"), while its ophthalmology and neuromodulation codes are in typical to above-typical ranges (66984 at the 76th percentile, 64590 at the 61st percentile), indicating local/national prominence in colon polypectomy but otherwise modest participation for other specialty procedures.
Within the state Medicaid market the provider posts above-median but generally typical volumes for GI codes (43239 at the 79th percentile in-state; 45385 at the 75th percentile in-state; 45380 at the 61st percentile in-state). Those percentiles and the large Medicaid dollar shares for those codes suggest the center is a meaningful regional access point for endoscopy but not a dominant statewide leader across many procedures.
Operational signals: the Medicare file includes 4.6K claims for J0585 (onabotulinumtoxinA) that produce $23K (1.3% of Medicare revenue), indicating very high claim counts for low-paid injectable services alongside higher-reimbursement surgical implants and procedures. This combination is consistent with an ASC that supports both high-throughput, low-reimbursement office procedures and episodic, higher-reimbursement OR cases.
Tenure and stability: the NPI was enumerated 2006-09-28 (~20 years ago), indicating long-standing operation in the market. The longevity, paired with concentrated Medicaid endoscopy revenue and a nationally notable Medicare volume for 45385, points to an established ambulatory surgery operation with particular strength in endoscopic 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.
37 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… | 20 | $14,360 | $272.8K |
| 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… | 330 | $800 | $265.3K |
| 45385 | The 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… | 420 | $430 | $180.6K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 50 | $3,710 | $166.7K |
| 27446 | In 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… | 30 | $6,580 | $164.5K |
| 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 | $2,430 | $143.3K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 180 | $400 | $72K |
| 43239 | The 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. | 260 | $250 | $65.2K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 530 | $100 | $53.2K |
| 45380 | The 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… | 140 | $340 | $48.8K |
Showing 1–10 of 37
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
37 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64561 | 2 | 10 | 20 | $2,810 | $81.5K |
| 66984 | 47 | 480 | 70 | $470 | $69.5K |
| 64590 | 3 | 10 | 20 | $3,830 | $65K |
| 27446 | 6 | 20 | 20 | $2,460 | $61.4K |
| 66991 | 5 | 30 | 30 | $1,460 | $51.2K |
| J0585 | 44 | 60 | 7,200 | $1 | $49.9K |
| J1096 | 3 | 10 | 450 | $100 | $48K |
| 27437 | 1 | 10 | 30 | $1,170 | $32.6K |
| 65820 | 9 | 60 | 20 | $880 | $25.6K |
| 66982 | 70 | 130 | 30 | $630 | $22.2K |
Showing 1–10 of 37
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 1,980 | $200 | $404.5K |
| 45385 | The 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… | 1,010 | $280 | $282.7K |
| 45380 | The 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… | 420 | $280 | $117.6K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 250 | $240 | $58.8K |
| 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… | 70 | $450 | $29.9K |
| 45378 | The 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… | 140 | $210 | $29.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 10 | $250 | $2.9K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 20 | $160 | $2.4K |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The 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. | 46 | 220 | 440 | $180 | $249.7K |
| 45380 | The 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… | 60 | 150 | 240 | $280 | $214.5K |
| 45385 | The 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… | 27 | 110 | 300 | $270 | $207.5K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 15 | 40 | 100 | $330 | $117.5K |
| 45378 | The 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… | 52 | 110 | 110 | $180 | $81.7K |
| 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… | 13 | 20 | 80 | $340 | $72.2K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 48 | 60 | 90 | $140 | $64.5K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 7 | 10 | 80 | $270 | $21.6K |
Other providers in the same ZIP code as Towne Centre Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Victory Clinical Services Iv, LLC | MI | Methadone Clinic | $191.4K | $19.2M |
| Beacon Harbor Homes Inc. | MI | Mental Illness Community Based Residential Treatment Facility | $0 | $14.4M |
| Andersen Eye Surgery Center, LLC | MI | Ambulatory Surgical Clinic/Center | $837.1K | $157.2K |
| Sundhar Ramasamy | MI | Ophthalmology Physician | $797.6K | $0 |
| Melanie Mihlstin | MI | Ophthalmology Physician | $585.2K | $0 |
| Mackinaw Surgery Center LLC | MI | Ambulatory Surgical Clinic/Center | $474.9K | $63.6K |
| Nikolai Kinachtchouk | MI | Internal Medicine Physician | $381K | $0 |
| David O'donnell | MI | Dermatology Physician | $376.8K | $0 |
| Ryan Kim | MI | Vascular Surgery Physician | $360.7K | $0 |
| Jennifer Paulson | MI | Adult Health Nurse Practitioner | $312.8K | $0 |
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