Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Florida (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Surgery Center Of Naples, LLC (NPI 1487198495)

Field	Value
Entity Type	Organization
Organization	Surgery Center Of Naples, LLC
Address	11161 Health Park Blvd
City	Naples
State	FL
ZIP	34110
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 9, 2016

Payer Source	Total Paid
Medicare	$6M
Medicaid	$0

Key Findings

Operates as an implant- and procedure-focused ambulatory surgical center: the Medicare top-line shows heavy activity in implantable-device and minimally invasive procedures, led by neurostimulation and transprostatic implants. The three revenue leaders are 64590 ($771.8K), C9740 ($727.7K), and 63685 ($710.1K), which together drive much of the clinical mix and point to a practice built around device implantation and urologic/endourologic interventions rather than primarily medical management. These code-level revenues align with an ASC model performing higher-cost device insertions and select arthroscopic and laparoscopic surgeries on an outpatient basis.

Medicare revenue concentration is significant: lifetime Medicare revenue is $6M and the precomputed share shows the top 3 Medicare codes by revenue account for 40.1% of this provider's total Medicare revenue. That degree of concentration means a substantial portion of dollars is tied to a small set of high-value procedures, which magnifies the financial impact of volume changes for those codes. Reporting highlights should therefore prioritize shifts in utilization for these top codes.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $6M and there is no Medicaid billing on file, so the provider has zero Medicaid revenue reported. This makes the entity highly Medicare-dependent for its public-payer business, with minimal direct exposure to state Medicaid reimbursement dynamics or patient populations. Analysts should treat Medicaid as absent when benchmarking in-state payer behavior for this ASC.

The provider is a national outlier on several specific procedures, suggesting market-leading volume for narrow services. Notably, C9740 ranks #1 of 162 providers nationally (100th percentile; extreme outlier) with $727.7K revenue, and 64590 ranks #14 of 561 (98th percentile; notably above typical national volume) with $771.8K revenue, indicating dominant national standing for the transprostatic implant and peripheral/sacral/gastric neurostimulator pocket/receiver insertion procedures. At the same time, 63685 ($710.1K) ranks #114 of 1281 (91th percentile; typical, unremarkable volume), so the provider pairs extreme leadership in a small set of codes with more typical participation in closely related device procedures.

Beyond neuromodulation, the center shows extreme or notable volume in several ambulatory surgical domains, implying a broader service line footprint. Urologic and pelvic procedures show strength—57288 has $117.6K and ranks #3 of 670 (100th percentile; extreme outlier)—and orthopedic arthroscopy codes such as 29881 ($86.5K, rank #2 of 1125, 100th percentile; extreme outlier) and 29824 ($75.9K, rank #8 of 1304, 99th percentile; extreme outlier) are also unusually concentrated. These multiple extreme-outlier ranks across different surgical specialties suggest the ASC attracts targeted referrals for both device implantation and high-volume outpatient orthopedics/urology.

Cardiac device work is a meaningful component of the Medicare mix, indicating electrophysiology/cardiac rhythm services are part of the center's capabilities. Codes for pacemaker and defibrillator procedures appear across the top lines: 33285 ($316.5K, rank #98 of 1716, 94th percentile), 33228 ($222.2K, rank #14 of 911, 98th percentile; extreme outlier), 33208 ($147.9K, rank #1123 of 3026, 60th percentile), and 33264 ($189.9K, rank #121 of 154, reported as typical). The presence of multiple implanted cardiac device codes with substantial revenue supports designation as a multi-device implant center rather than a single-specialty pain or urology clinic.

Provider tenure supports development of specialized volumes: the NPI was enumerated on 2016-12-09 (~10 years ago), giving the center roughly a decade to establish referral relationships and build concentrated procedural lines. That tenure is consistent with the observed pattern of sustained, high-volume billing in a narrow set of device and ambulatory surgical codes. Analysts should consider historical trends over the past several years to confirm whether these high-volume positions are stable or recently emergent.

Operational and commercial implications follow from the observed concentration and outlier status: with top three codes accounting for 40.1% of Medicare revenue and several codes labeled as "extreme outlier" or "notably above typical national volume," the center appears referral-driven and specialized, which can be a competitive advantage for capturing high-margin outpatient device cases. However, the same concentration concentrates revenue risk—changes in referral patterns, local competing ASCs, or reimbursement policy for those specific codes could materially affect the provider's Medicare revenue profile.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

51 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…	60	$14,030	$771.8K
C9740	Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants	140	$5,310	$727.7K
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	40	$18,210	$710.1K
64561	The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.	140	$3,670	$528.8K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	130	$3,620	$459.5K
33285	The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.	60	$5,190	$316.5K
64628	The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.	40	$7,280	$298.4K
33228	The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart…	40	$5,550	$222.2K
33264	The provider removes a previously placed implantable defibrillator pulse generator from the patient and replaces it with a new one. He performs this procedure for a patient with leads to at least…	10	$17,270	$189.9K
0275T	N/A	50	$3,550	$170.4K

Showing 1–10 of 51

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Surgery Center Of Naples, LLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

51 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
C9740	1	20	30	$5,230	$193.3K
63685	11	120	20	$7,440	$163.6K
64590	2	80	20	$6,330	$151.8K
63650	6	120	50	$1,980	$113K
64561	2	80	30	$2,080	$95.8K
64628	3	50	20	$4,330	$95.3K
33264	13	20	10	$5,740	$80.4K
0275T	14	90	20	$2,390	$71.6K
33285	22	230	20	$2,300	$66.7K
64708	11	20	30	$260	$28.2K

Showing 1–10 of 51

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Makhlouf	FL	Nuclear Medicine Physician	$4.2M	$0
Timothy Kerwin	FL	Radiation Oncology Physician	$3.4M	$0
Premier Endoscopy Center LLC	FL	Ambulatory Surgical Clinic/Center	$2.2M	$24.3K
Sergio Dromi	FL	Diagnostic Radiology Physician	$1.7M	$0
Doctors Outpatient Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.6M	$0
James Guerra	FL	Orthopaedic Surgery Physician	$1.3M	$0
Joseph Kandel	FL	Neurology Physician	$1.2M	$0
William Figlesthaler	FL	Urology Physician	$904.3K	$0
Javier Munoz	FL	Hematology & Oncology Physician	$879K	$0
Michael Novak	FL	Neurology Physician	$869.9K	$0

Surgery Center Of Naples, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References