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    OpenPayerNPI Medicare & MedicaidSummit Surgery Center LP
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    Summit Surgery Center LP — Billing Profile & Reimbursement Data

    NPI 1528021573 · Hermitage, TN · Ambulatory Surgical Clinic/Center

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    Summit Surgery Center LP is a ambulatory surgical clinic/center provider located in Hermitage, Tennessee. This profile covers 19 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
    OrganizationSummit Surgery Center LP
    Address3901 Central Pike
    CityHermitage
    StateTN
    ZIP37076
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$655.4K
    Medicare$559.9K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$6,820$115.9K
    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…140$770$108.4K
    29827The 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…30$1,910$51.6K
    28750In 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…10$3,300$42.9K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…10$2,290$32.1K
    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…30$1,060$31.8K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).60$430$26.9K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.50$440$20K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.30$600$18.5K
    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…20$810$15.3K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984241450170$120$89.5K
    2744722228030$1,440$67.8K
    29827229020$1,110$26.7K
    644839115070$190$25.8K
    646356715040$360$25.6K
    669829111030$620$24.9K
    29828193020$1,130$24.9K
    2875071010$1,540$24.6K
    G0260162060$190$20K
    64721759030$400$16.9K

    Showing 1–10 of 19

    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
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1,130$580$655.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    1 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.830410$520$719.2K

    Nearby Providers

    Other providers in the same ZIP code as Summit Surgery Center LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medistaff, LLCTNIn Home Supportive Care Agency$0$34M
    Advancecare Health Services, LLCTNIn Home Supportive Care Agency$0$23.4M
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$22.1M
    Hermitage Pediatric DentistryTNDental Clinic/Center$0$19.1M
    Childrens Medical GroupTNPediatrics Physician$0$4M
    Children's Clinic EastTNPediatrics Physician$0$3.9M
    Two Rivers Emergency Physicians PLLCTNEmergency Medicine Physician$0$2.6M
    Chirag AminTNHematology & Oncology Physician$820K$0
    Lisa LayaTNInfectious Disease Physician$222.2K$274.2K
    Laura BlakelyTNHematology & Oncology Physician$417.9K$0

    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. Tennessee Distribution
    Summit Surgery Center LP — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Summit Surgery Center LP — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee