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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSt. Francis Mooresville Surgery Center, LLC
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    St. Francis Mooresville Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1558501916 · Mooresville, IN · Ambulatory Surgical Clinic/Center

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    St. Francis Mooresville Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Mooresville, Indiana. This profile covers 16 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
    OrganizationSt. Francis Mooresville Surgery Center, LLC
    Address1215 Hadley Rd
    CityMooresville
    StateIN
    ZIP46158
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 25, 2009

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

    Payer SourceTotal Paid
    Medicare$302.5K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).200$290$58.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$500$41.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…140$260$36.4K
    52356The provider performs a 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…20$1,440$28.8K
    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…60$450$27.1K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…90$250$22.5K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography80$210$16.6K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.20$840$15.1K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…10$1,100$13.2K
    46260In this procedure, the provider excises two or more internal and external hemorrhoids or hemorrhoid groups.10$870$11.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538518637060$260$26.5K
    644831819060$180$17.8K
    G0260133070$210$16.7K
    647219410030$420$16.2K
    646351715030$360$16.1K
    19301335020$530$13.8K
    4626021010$920$12.9K
    644932018050$180$12.2K
    523565110020$520$12K
    623235719050$150$10.8K

    Showing 1–10 of 16

    Nearby Providers

    Other providers in the same ZIP code as St. Francis Mooresville Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Franciscan Health Indianapolis & MooresvilleINGeneral Acute Care Hospital$0$12.3M
    Amanda LarsonINFamily Nurse Practitioner$262.8K$0
    John MedingINOrthopaedic Surgery Physician$145.1K$0
    Dipen MaunINColon & Rectal Surgery Physician$79K$0
    Paul BroderickINColon & Rectal Surgery Physician$76.6K$0
    R. MelbertINColon & Rectal Surgery Physician$49.3K$0
    Gregg ImelINAnesthesiology Physician$31.7K$0
    James MurrellINAnesthesiology Physician$27.8K$0
    Helmut FalkINAnesthesiology Physician$27.3K$0
    Christopher PraterINAnesthesiology Physician$26.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    St. Francis Mooresville Surgery Center, LLC — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana