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    OpenPayerNPI Medicare & MedicaidEnt Surgery Center Of Augusta, LLC
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    Ent Surgery Center Of Augusta, LLC — Billing Profile & Reimbursement Data

    NPI 1548296296 · Evans, GA · Ambulatory Surgical Clinic/Center

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    Ent Surgery Center Of Augusta, LLC is a ambulatory surgical clinic/center provider located in Evans, Georgia. This profile covers 9 Medicare and 2 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
    OrganizationEnt Surgery Center Of Augusta, LLC
    Address340 N Belair Rd
    CityEvans
    StateGA
    ZIP30809
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 24, 2006

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

    Payer SourceTotal Paid
    Medicare$179K
    Medicaid$38.5K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…50$1,020$53.8K
    31276In this procedure, the provider inserts an endoscope into the frontal sinus to explore it for abnormalities. The provider may also remove bone, scar tissue, polyps, or other tissue from the frontal…30$1,060$27.6K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).60$390$23.9K
    31288In this procedure, the provider inserts an endoscope into the nasal cavity. The provider widens the sphenoid sinus opening. He then removes tissues from the sphenoid sinus.10$1,410$19.8K
    31254Partial surgical anterior ethmoidectomy involves the removal of the uncinate process (infundibulotomy), opening of the bulla, and partial removal of the anterior ethmoid cells.20$820$19.8K
    31253The provider performs a complete excision of the ethmoid air cells (anterior and posterior) with exploration of the frontal sinus; he may or may not remove tissue from frontal sinus. The procedure is…20$840$13.4K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.30$470$13.2K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.20$340$6.4K
    42975After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…20$60$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3127611020$870$15.7K
    3126711020$750$15.1K
    3125311020$870$14K
    3128821020$730$11.7K
    3125411020$640$11.6K
    3052011020$450$7.7K
    3014012020$320$7.6K
    6943621020$220$4.3K
    4297541020$70$1.2K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.160$220$33.6K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.10$410$4.9K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1520190$1,120$833.4K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1120260$560$608.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kristi HunterGAGeneral Practice Physician$6.4M$0
    The Pediatric Office, LLCGAPediatric Adolescent Medicine Physician$0$2M
    Sanders CallawayGAMOHS-Micrographic Surgery Physician$1.4M$0
    Augusta Endoscopy Center, LLC.GAEndoscopy Clinic/Center$911.9K$0
    Kidnetic Energy,incGAPhysical Therapist$0$832K
    Med Now Urgent Care, LLCGAUrgent Care Clinic/Center$0$713.5K
    Evans Imaging, LLCGARadiology Clinic/Center$435.4K$0
    Kenneth JohnsonGASurgical Physician Assistant$413K$0
    Jennifer WardGAInternal Medicine Physician$367.7K$0
    James KayGASpecialist$241.2K$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
    Ent Surgery Center Of Augusta, LLC — 5 of 9 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 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Ent Surgery Center Of Augusta, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia