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 & MedicaidCarmel Ambulatory Surgery Center LLC
    Ask Trek AI about this page

    Table of contents

    Progress1 / 10

    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

    Carmel Ambulatory Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1497782833 · Carmel, IN · Ambulatory Surgical Clinic/Center

    Customize your policy alerts

    Sign up for Carmel Ambulatory Surgery Center LLC — 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.

    Carmel Ambulatory Surgery Center LLC is a ambulatory surgical clinic/center provider located in Carmel, Indiana. This profile covers 14 Medicare and 3 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
    OrganizationCarmel Ambulatory Surgery Center LLC
    Address13421 Old Meridian St
    CityCarmel
    StateIN
    ZIP46032
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 28, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    Medicare$403.9K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…210$850$182.3K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…50$1,120$50.4K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.40$860$34.5K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…30$850$29K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…80$250$21.1K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.20$1,000$21K
    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…10$1,120$13.5K
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…10$1,060$11.7K
    19301The 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.20$620$11.1K
    28308The provider performs an osteotomy of any metatarsal bone other than the first. He may or may not lengthen, shorten, or correct an angular deformity of the metatarsal. He performs the procedure to…10$880$10.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669849545050$480$87.5K
    669825912030$600$29.4K
    3647542030$620$23.6K
    2828562030$490$16.6K
    1430172020$730$15.4K
    5855891010$850$15.2K
    19301335020$530$13.8K
    31267101010$690$12.5K
    623236119050$150$10.8K
    2830861020$420$10.5K

    Showing 1–10 of 14

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.4,830$430$2.1M
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…790$960$757.4K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.70$600$43.2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.130450$1,270$886.9K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…110230$1,990$624K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.3960150$480$221.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aspire Indiana Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$26.2M
    Landmark Recovery Of Carmel LLCINSubstance Abuse Rehabilitation Facility$0$26.2M
    Little Star Center, Inc.INEarly Intervention Provider Agency$0$22.7M
    Arrow Consultation Services, Inc.INDevelopmentally Disabled Services Day Training Agency$0$10.5M
    Indiana University Health North Hospital IncINGeneral Acute Care Hospital$0$6.9M
    Option Care Enterprises, Inc.INHome Infusion Therapy Pharmacy$0$5.2M
    Impact Physician Group, Indiana LLCINInternal Medicine Physician$0$4.2M
    Westmed, LLCINDurable Medical Equipment & Medical Supplies$0$4M
    Chinthala, PCINPsychiatry Physician$0$3.9M
    American Health Network Of Indiana, LLCINClinical Medical Laboratory$2.2M$1.6M

    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. Indiana Distribution
    Carmel Ambulatory Surgery Center LLC — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana
    Medicaid Revenue by Year vs. Indiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Carmel Ambulatory Surgery Center LLC — 2 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana