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NPI 1477886406 · Phoenix, AZ · Ambulatory Surgical Clinic/Center
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Biltmore Surgical Partners, LLC is a ambulatory surgical clinic/center provider located in Phoenix, Arizona. This profile covers 25 Medicare and 5 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 | Biltmore Surgical Partners, LLC |
| Address | 19646 N 27th Ave Ste 101 |
| City | Phoenix |
| State | AZ |
| ZIP | 85027 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 9, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1M |
| Medicare | $974.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 30 | $3,640 | $123.9K |
| 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… | 230 | $460 | $106K |
| 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… | 280 | $370 | $104K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 30 | $3,490 | $94.1K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 60 | $1,560 | $93.5K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 10 | $5,580 | $67K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 80 | $660 | $53.5K |
| 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. | 220 | $220 | $48K |
| 19301 | The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes. | 40 | $760 | $33.3K |
| 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… | 20 | $2,050 | $32.8K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 6 | 10 | 30 | $5,340 | $192.3K |
| 64561 | 12 | 30 | 30 | $2,530 | $167.1K |
| 45385 | 34 | 330 | 50 | $290 | $28.4K |
| 28750 | 3 | 10 | 20 | $1,410 | $28.2K |
| 29827 | 58 | 100 | 20 | $1,020 | $25.4K |
| 64721 | 62 | 70 | 40 | $440 | $23.5K |
| 45380 | 27 | 350 | 60 | $210 | $21.4K |
| 26055 | 48 | 80 | 40 | $290 | $17K |
| 19301 | 11 | 50 | 30 | $480 | $15.7K |
| 28285 | 2 | 40 | 30 | $420 | $15.6K |
Showing 1–10 of 25
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.
5 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 | $220 | $429.2K |
| 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… | 1,430 | $280 | $399.8K |
| 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… | 680 | $290 | $197.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 40 | $240 | $9.2K |
| 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… | 10 | $230 | $2.8K |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
5 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 | 180 | 590 | $250 | $360.9K |
| 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… | 18 | 120 | 330 | $280 | $206.3K |
| 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… | 24 | 80 | 150 | $290 | $157.8K |
| 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… | 82 | 90 | 140 | $270 | $149K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 17 | 20 | 70 | $230 | $36.3K |
Other providers in the same ZIP code as Biltmore Surgical Partners, LLC, ranked by combined Medicare and Medicaid revenue.
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