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    OpenPayerNPI Medicare & MedicaidFour States Surgery Center, PC
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    Four States Surgery Center, PC — Billing Profile & Reimbursement Data

    NPI 1508813627 · Joplin, MO · Ambulatory Surgical Clinic/Center

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    Four States Surgery Center, PC is a ambulatory surgical clinic/center provider located in Joplin, Missouri. This profile covers 4 Medicare and 1 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
    OrganizationFour States Surgery Center, PC
    Address1905 W 32nd St Ste 201
    CityJoplin
    StateMO
    ZIP64804
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 27, 2006

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

    Payer SourceTotal Paid
    Medicare$687.7K
    Medicaid$24.2K

    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.

    4 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…820$720$587.1K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.50$1,220$58.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.170$150$24.7K
    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…20$720$17.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841742050$390$74K
    6582094030$790$29.1K
    66982378020$610$22.5K
    668213722050$210$21.2K

    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.

    1 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…110$220$24.2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…276080$280$53.5K

    Nearby Providers

    Other providers in the same ZIP code as Four States Surgery Center, PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ozark CenterMOCommunity/Behavioral Health Agency$0$165.3M
    Jasper County Sheltered Facilities AssocMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$62.1M
    Mercy Hospital JoplinMOGeneral Acute Care Hospital$0$46.7M
    The Arc Of The OzarksMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$44.5M
    Freeman-oak Hill Health SystemMOGeneral Acute Care Hospital$0$33.2M
    The Independent Living Center, Inc.MOAttendant Care Provider$0$24.7M
    Jasper County Sheltered Facilities BoardMOCase Management Agency$0$21.3M
    Mercy Clinic Joplin LLCMOFamily Medicine Physician$0$20.4M
    Freeman-oak Hill Health SystemMOMulti-Specialty Clinic/Center$0$14.7M
    Jasper County Sheltered Facilities AssocMODevelopmentally Disabled Services Day Training Agency$0$13.2M

    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. Missouri Distribution
    Four States Surgery Center, PC — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Four States Surgery Center, PC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri