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    OpenPayerNPI Medicare & MedicaidUrological Clinic Of Valdosta Ambulatory Surgical …
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    Urological Clinic Of Valdosta Ambulatory Surgical Center, LLC — Billing Profile & Reimbursement Data

    NPI 1528404803 · Valdosta, GA · Ambulatory Surgical Clinic/Center

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    Urological Clinic Of Valdosta Ambulatory Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Valdosta, Georgia. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUrological Clinic Of Valdosta Ambulatory Surgical Center, LLC
    Address3294 N Oak Street Ext
    CityValdosta
    StateGA
    ZIP31605
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 14, 2013

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

    Payer SourceTotal Paid
    Medicare$260.7K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants30$4,900$122.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…240$190$44.6K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$1,010$28.4K
    55706The provider performs multiple needle biopsies of the prostate gland through the perineum (the area between the scrotum and the anus) using a stereotactic template system that helps precisely guide…30$1,020$27.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$770$14.7K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…30$560$14.7K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…10$550$7.1K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.40$40$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974062020$5,460$142K
    50590214020$640$16K
    520001427070$140$13.8K
    52281172030$320$13.6K
    5570611020$510$10.2K
    52310338020$320$9K
    523322812020$200$4.5K
    768725714030$50$2.1K

    Nearby Providers

    Other providers in the same ZIP code as Urological Clinic Of Valdosta Ambulatory Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Georgia Toxicology, IncGAClinical Medical Laboratory$2.2M$2.8M
    Hardy GrayGADentist$0$2M
    Patrick ParkerGAUrology Physician$783.5K$0
    Gregory MartinGASurgery Physician$517K$0
    Jarod BaileyGAInternal Medicine Physician$373.1K$0
    Charles ParramoreGAMental Health Counselor$0$370.1K
    Cindy MathisGAProfessional Counselor$0$294.4K
    Alford BradyGAInternal Medicine Physician$276.9K$0
    Jonathan UnderwoodGAInternal Medicine Physician$266.4K$0
    Brian GrinerGAPediatrics Physician$233.8K$8.3K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Urological Clinic Of Valdosta Ambulatory Surgical Center, LLC — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia