Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidColumbia Surgical Specialists, Ps
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Columbia Surgical Specialists, Ps — Billing Profile & Reimbursement Data

    NPI 1477617751 · Spokane, WA · Ambulatory Surgical Clinic/Center

    Customize your policy alerts

    Sign up for Columbia Surgical Specialists, Ps — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Columbia Surgical Specialists, Ps is a ambulatory surgical clinic/center provider located in Spokane, Washington. This profile covers 15 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)

    FieldValue
    Entity TypeOrganization
    OrganizationColumbia Surgical Specialists, Ps
    Address217 W Cataldo
    CitySpokane
    StateWA
    ZIP99201
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    Medicare$891.1K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69930The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…20$24,470$587.4K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.40$1,810$78K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$2,020$38.4K
    31276In this procedure, the provider inserts an endoscope into the frontal sinus to explore it for abnormalities. The provider may also remove bone, scar tissue, polyps, or other tissue from the frontal…20$1,400$26.5K
    31267In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus…20$1,110$25.4K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).50$480$24.3K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.20$1,350$21.7K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.30$630$20.7K
    49507In this procedure, the provider surgically repairs an inguinal hernia that is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off. Use this code for initial hernia…20$1,310$19.6K
    21235The provider applies autogenous cartilage graft, taken from the patient’s own ear, to the nose or ear, to repair deformity due to fracture, injury, tumor resection, or congenital defect.10$1,120$14.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6993031020$9,270$213.2K
    2123561020$1,090$34.8K
    4538534838070$290$31K
    4538034337060$190$16.4K
    4950741020$830$15.8K
    3014032030$390$14.1K
    3126762020$680$13.5K
    4950592020$650$13K
    3127631020$700$11.9K
    3052022020$520$10.9K

    Showing 1–10 of 15

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1,710$360$608.4K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2,260$210$465.1K
    42821The provider removes the tonsils and adenoids of a patient age 12 or older.80$340$27.2K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.60$390$24.1K
    L8699Prosthetic implant, not otherwise specified610$40$22.6K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).30$140$3.7K
    C1781Mesh (implantable)10$80$1.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$1$30

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.43090$1,070$496.9K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.230110$740$316.7K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.510200$1,400$294.2K
    L8699Prosthetic implant, not otherwise specified310250$250$138.2K
    42821The provider removes the tonsils and adenoids of a patient age 12 or older.11060$980$51.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.511550400$1$36.5K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).21020$770$24K
    C1781Mesh (implantable)152080$1$340

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Columbia Surgical Specialists, Ps, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Joseph Hospital LLCIDGeneral Acute Care Hospital$0$4.7M
    Cancer Care Northwest Centers P SWAHematology & Oncology Physician$0$3M
    Danko MartincicIDHematology & Oncology Physician$2.6M$0
    Vijay NarendranFLHematology & Oncology Physician$2M$0
    Saritha ThummaWAHematology & Oncology Physician$1.8M$0
    Hakan KayaWAMedical Oncology Physician$1.8M$0
    Christopher LeeWARadiation Oncology Physician$1.7M$0
    Elizabeth GundersonWAMedical Oncology Physician$1.6M$0
    Srivalli GopaluniWAHematology & Oncology Physician$1.6M$0
    Wayne LamoreauxWARadiation Oncology Physician$1.5M$0

    Nearby Providers

    Other providers in the same ZIP code as Columbia Surgical Specialists, Ps, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Response Ambulance Service IncWAAmbulance$6.1M$29.1M
    Spokane Regional Health DistrictWAPublic Health or Welfare Agency$315.3K$33M
    Community Health Association Of SpokaneWAFederally Qualified Health Center (FQHC)$0$19.2M
    Aspire Human Services, LLCWAIntellectual Disabilities Intermediate Care Facility$0$17.4M
    Yakima Valley Farm Workers ClinicWAFederally Qualified Health Center (FQHC)$0$13.5M
    Ascend Network CorpWAPsychiatry Physician$0$10.2M
    Pioneer Human ServicesWACommunity/Behavioral Health Agency$0$8.6M
    Stepping Stones Pediatric TherapyWAPediatric Occupational Therapist$0$8.5M
    Native ProjectWAFederally Qualified Health Center (FQHC)$0$7.5M
    Pioneer Human ServicesWACommunity/Behavioral Health Agency$0$7.5M

    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. Washington Distribution
    Columbia Surgical Specialists, Ps — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Columbia Surgical Specialists, Ps — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington