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NPI 1619933835 · Davenport, IA · Ambulatory Surgical Clinic/Center
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Mississippi Medical Plaza, Lc is a ambulatory surgical clinic/center provider located in Davenport, Iowa. This profile covers 31 Medicare and 8 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Mississippi Medical Plaza, Lc |
| Address | 3400 Dexter Ct |
| City | Davenport |
| State | IA |
| ZIP | 52807 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $906.6K |
MISSISSIPPI MEDICAL PLAZA, LC presents as an ambulatory surgical clinic with a strong procedural mix concentrated in orthopedic joint replacement and endoscopy; its top Medicare codes include 27447 (knee replacement), 27130 (hip replacement), and multiple endoscopy/colonoscopy codes (43239, 45385, 45380) which together indicate the facility performs both major outpatient joint arthroplasty and high-volume GI procedural work. The Medicare revenue profile is $2.2M total, and the facility’s service mix is consistent with an ASC that handles both orthopedic implant procedures and diagnostic/therapeutic GI cases rather than being limited to minor office procedures.
Revenue concentration on Medicare is high: the precomputed top-3 Medicare codes account for 76.2% of the provider’s total Medicare revenue, with 27447 alone representing $1.2M (53.6% of Medicare revenue). This indicates heavy dependence on a small set of high‑priced surgical procedures for Medicare income and suggests that changes in utilization or reimbursement for those codes would materially affect the provider’s Medicare revenue.
On Medicaid the provider generated $906.6K in lifetime revenue with an even stronger concentration: the precomputed top-3 Medicaid codes account for 82.8% of its Medicaid revenue. Medicaid activity is dominated by upper-GI endoscopy with biopsy (43239, $340K, 37.5% of Medicaid) and tympanostomy with tube insertion (69436, $318.5K, 35.1% of Medicaid), indicating pediatric or ENT procedural volume that drives most Medicaid billing.
Comparing payer scale, the clinic has larger lifetime Medicare revenue ($2.2M) than Medicaid ($906.6K), so Medicare is the larger single-payer source but Medicaid still represents a meaningful share of total public-payer volume; the mix suggests the facility serves an adult Medicare surgical population (joint replacements and GI) alongside Medicaid-heavy pediatric/ENT volumes.
Competitive standing for its largest Medicare procedure is extreme: the provider’s 27447 volume ranks #133 of 12089 nationally (99th percentile) and is labeled an "extreme outlier," which positions the clinic as a nationally high-volume outlier for knee arthroplasty among Medicare-reporting providers. By contrast, its other high-volume Medicare codes such as 27130 (hip replacement) and 66984 (cataract extraction+IOL) sit at more typical national percentiles (81st and 68th respectively), indicating the clinic is a dominant national outlier for one specific high-revenue procedure but otherwise a more typical regional participant.
Within the state Medicaid landscape the provider is a leading but not singular participant for key codes: 43239 ranks #7 of 56 in-state (89th percentile) and 69436 ranks #12 of 52 (78th percentile), showing above-typical in-state volume for both upper-GI biopsy and tympanostomy procedures; it also ranks #1 of 2 in-state for 43248, indicating niche leadership for esophageal dilatation via endoscope relative to the small in-state peer set.
The provider has long tenure in national enrollment with an NPI enumerated on 2006-04-25 (~20 years ago), which supports interpreting observed high volumes—particularly the exceptional 27447 knee replacement volume—as an established service line rather than a short-lived spike. This longevity is consistent with an ASC that has developed durable specialty capacity in orthopedics and endoscopy.
Several codes show statistically notable deviations versus peers beyond the knee arthroplasty outlier: colonoscopic polypectomy 45385 ranks in the 96th percentile nationally for Medicare and is also a top Medicaid code (10.2% of Medicaid revenue), reflecting consistently above-typical endoscopy volume across payers. Together, the pattern of extreme Medicare concentration in knee arthroplasty and high Medicaid shares in GI and tympanostomy suggests the facility draws from mixed patient populations and has distinct high-volume service lines across different payers.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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… | 180 | $6,490 | $1.2M |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 50 | $6,560 | $328.2K |
| 66984 | The 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… | 220 | $760 | $166.1K |
| 45385 | The 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… | 300 | $410 | $123.2K |
| 43239 | The 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. | 280 | $210 | $58.4K |
| 45380 | The 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… | 150 | $290 | $44.1K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 20 | $2,190 | $41.6K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 20 | $2,280 | $34.3K |
| C9290 | Injection, bupivacaine liposome, 1 mg | 25,400 | $1 | $25.4K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 90 | $260 | $22.5K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 5 | 10 | 810 | $80 | $149.5K |
| 66984 | 42 | 340 | 50 | $340 | $50.4K |
| 66991 | 17 | 20 | 30 | $1,360 | $50.2K |
| 27447 | 1 | 190 | 40 | $870 | $41.7K |
| 45385 | 11 | 150 | 80 | $250 | $29.6K |
| 27130 | 25 | 140 | 30 | $790 | $25.4K |
| 64635 | 26 | 40 | 40 | $340 | $21.8K |
| 64721 | 28 | 50 | 30 | $430 | $20.5K |
| 29827 | 30 | 40 | 20 | $950 | $18.1K |
| C9290 | 1 | 10 | 11,170 | $1 | $14.2K |
Showing 1–10 of 31
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 1,340 | $250 | $340K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 620 | $510 | $318.5K |
| 45385 | The 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… | 310 | $300 | $92.1K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 150 | $600 | $89.5K |
| 45380 | The 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… | 200 | $270 | $53K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 30 | $300 | $9.1K |
| 45378 | The 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… | 10 | $330 | $4.3K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 230 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 12 | 50 | 170 | $410 | $153.8K |
| 43239 | The 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. | 7 | 60 | 260 | $210 | $109.2K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 6 | 30 | 60 | $750 | $96.1K |
| 45380 | The 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… | 8 | 20 | 90 | $270 | $85.7K |
| 45378 | The 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… | 10 | 10 | 30 | $340 | $68.9K |
| 45385 | The 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… | 6 | 30 | 60 | $280 | $43.2K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 1 | 10 | 20 | $270 | $5.8K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 3 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as Mississippi Medical Plaza, Lc, ranked by combined Medicare and Medicaid revenue.
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