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NPI 1619972791 · Spartanburg, SC · Ambulatory Surgical Clinic/Center
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Ambulatory Surgery Center Of Spartanburg, LLC is a ambulatory surgical clinic/center provider located in Spartanburg, South Carolina. This profile covers 26 Medicare and 6 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 | Ambulatory Surgery Center Of Spartanburg, LLC |
| Address | 720 N Pine St |
| City | Spartanburg |
| State | SC |
| ZIP | 29303 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $638.2K |
| Medicaid | $517.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 240 | $430 | $102.1K |
| 52356 | The 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… | 40 | $1,680 | $63.8K |
| 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… | 140 | $370 | $52.5K |
| 55700 | Code deleted December 31, 2025. | 80 | $620 | $48.6K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 20 | $1,960 | $47K |
| 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. | 210 | $200 | $41.8K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 90 | $400 | $34.5K |
| 52332 | The 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 | $880 | $30K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 60 | $400 | $23.7K |
| 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… | 80 | $270 | $20.9K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0585 | 68 | 90 | 7,800 | $1 | $60.8K |
| 45385 | 38 | 270 | 90 | $270 | $36.9K |
| 64721 | 55 | 60 | 40 | $400 | $20.4K |
| 29827 | 34 | 90 | 20 | $880 | $20.1K |
| 45380 | 57 | 260 | 60 | $170 | $18.9K |
| 52000 | 139 | 140 | 100 | $150 | $17.3K |
| 43239 | 51 | 270 | 90 | $120 | $16.1K |
| G0105 | 28 | 170 | 40 | $260 | $16K |
| 29880 | 10 | 20 | 20 | $710 | $15.6K |
| 50590 | 23 | 30 | 20 | $480 | $15.5K |
Showing 1–10 of 26
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,190 | $220 | $260.4K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 330 | $440 | $144.8K |
| 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. | 390 | $160 | $60.5K |
| 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… | 320 | $160 | $50.4K |
| 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… | 10 | $150 | $1.8K |
| L8699 | Prosthetic implant, not otherwise specified | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
6 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 | 480 | $160 | $147.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 14 | 40 | 140 | $220 | $87.4K |
| 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… | 15 | 40 | 110 | $120 | $48K |
| 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. | 41 | 110 | 180 | $60 | $33.8K |
| L8699 | Prosthetic implant, not otherwise specified | 2 | 10 | 30 | $370 | $11.2K |
| 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… | 27 | 30 | 30 | $40 | $7.1K |
Other providers in the same ZIP code as Ambulatory Surgery Center Of Spartanburg, LLC, ranked by combined Medicare and Medicaid revenue.
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