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    OpenPayerNPI Medicare & MedicaidColumbia Surgicare Of Augusta, LLC
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    Columbia Surgicare Of Augusta, LLC — Billing Profile & Reimbursement Data

    NPI 1548223068 · Augusta, GA · Ambulatory Surgical Clinic/Center

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    Columbia Surgicare Of Augusta, LLC is a ambulatory surgical clinic/center provider located in Augusta, Georgia. This profile covers 18 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
    OrganizationColumbia Surgicare Of Augusta, LLC
    Address915 Russell St
    CityAugusta
    StateGA
    ZIP30904
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$694.1K
    Medicaid$1.8K

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…280$370$102.6K
    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$790$85.1K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…50$1,430$75.8K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…180$420$73.2K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…50$1,430$68.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.310$200$63K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk120$390$45.2K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.70$530$37.3K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…90$310$27.8K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…60$400$22.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984271410190$160$103.1K
    6704051030$1,230$40.5K
    6704222020$1,200$31.1K
    6704121010$1,140$30.7K
    453855847060$290$26.6K
    6710861010$1,260$25.2K
    45384104030$230$16.1K
    453802147040$200$14.8K
    432392649070$120$11.9K
    G01052330030$270$11.8K

    Showing 1–10 of 18

    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
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.10$150$1.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.2930160$500$365K

    Nearby Providers

    Other providers in the same ZIP code as Columbia Surgicare Of Augusta, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Secure Care Augusta, LLCGAHome Health Agency$0$5.7M
    Dwight MirmowGAAnatomic Pathology & Clinical Pathology Physician$671.3K$0
    Deborah MakersonGAGeneral Practice Dentistry$0$607.6K
    Mark StewartGAInterventional Pain Medicine Physician$599.6K$0
    Capital City Ambulance Of Georgia IncGAAmbulance$513.7K$0
    Meghna KrishnanGADiagnostic Radiology Physician$198.9K$144.7K
    James PetitGADermatology Physician$305.5K$0
    Lauren PlochGADermatology Physician$297.6K$0
    Santo Nino Pediatric Clinic, PCGAPediatrics Physician$0$276.4K
    Henry BryantGAPodiatrist$192.9K$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. Georgia Distribution
    Columbia Surgicare Of Augusta, LLC — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Columbia Surgicare Of Augusta, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia