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    OpenPayerNPI Medicare & MedicaidOsu Wexner Medical Center Ambulatory Surgery Cente…
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    Osu Wexner Medical Center Ambulatory Surgery Center — Billing Profile & Reimbursement Data

    NPI 1629664156 · Westerville, OH · Ambulatory Surgical Clinic/Center

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    Osu Wexner Medical Center Ambulatory Surgery Center is a ambulatory surgical clinic/center provider located in Westerville, Ohio. This profile covers 18 Medicare and 22 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
    OrganizationOsu Wexner Medical Center Ambulatory Surgery Center
    Address6100 N Hamilton Rd Suite 2d
    CityWesterville
    StateOH
    ZIP43081
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 18, 2020

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$907.2K

    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
    64582The provider uses an open approach to implant a hypoglossal nerve neurostimulator electrode array and also implants a programmable pulse generator and one or more distal respiratory sensor…50$19,220$884.1K
    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…350$440$152.8K
    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…330$320$105.3K
    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…120$840$102.2K
    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.220$250$56.4K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk80$410$33K
    51715In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a…10$1,550$21.7K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.70$310$21.3K
    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.30$570$16.4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$410$14.2K

    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
    6458211020$7,500$187.6K
    66984332530210$110$92.8K
    453852467050$270$22.9K
    6448326427050$170$17.7K
    G0260273040$200$17.5K
    G01053334020$260$9.7K
    45380967040$160$9K
    6232322628050$120$8.9K
    432393667050$110$8.8K
    432494316020$240$7.3K

    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.

    22 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.920$350$323K
    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…470$460$215.3K
    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…600$320$189.9K
    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$850$96K
    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…210$340$72.1K
    J3490Unclassified drugs400$20$6.8K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.20$250$3.8K
    J7999Compounded drug, not otherwise classified40$10$400
    J0171Injection, adrenalin, epinephrine, 0.1 mg60$0$0
    J0665Injection, bupivicaine, not otherwise specified, 0.5 mg20$0$0

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    22 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.112280570$250$276.5K
    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…5790180$410$234.6K
    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…36180190$320$139.3K
    J3490Unclassified drugs131220860$30$131.3K
    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…29150140$450$129.5K
    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…3210060$370$72.3K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.567040$350$48.7K
    J7999Compounded drug, not otherwise classified3240350$1$7.2K
    J2405Injection, ondansetron hydrochloride, per 1 mg1631904,900$1$4K
    J2704Injection, propofol, 10 mg1261602,440$1$3.8K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Osu Wexner Medical Center Ambulatory Surgery Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Osu Wexner Medical Center Ambulatory Surgery CenterOHAmbulatory Surgical Clinic/Center$623.6K$240.4K

    Nearby Providers

    Other providers in the same ZIP code as Osu Wexner Medical Center Ambulatory Surgery Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mount Carmel Health SystemOHGeneral Acute Care Hospital$0$42.4M
    Perfect Hands Healthcare Group, LLCOHHome Health Agency$0$15.6M
    Lincare IncOHDurable Medical Equipment & Medical Supplies$0$13M
    The Vine Home Health Care Inc.OHHome Health Agency$0$9.5M
    21st Century Home Health Services LLCOHHome Health Agency$0$8.5M
    Cep America - Ohio LLCOHEmergency Medicine Physician$0$6.7M
    Dreamers Home Health Care (llc)OHHome Health Agency$0$6.6M
    Juan LebronOHRetina Specialist (Ophthalmology) Physician$2.7M$0
    City Of WestervilleOHAmbulance$350K$715K
    David SchnitzerOHRetina Specialist (Ophthalmology) Physician$858K$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. Ohio Distribution
    Osu Wexner Medical Center Ambulatory Surgery Center — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Osu Wexner Medical Center Ambulatory Surgery Center — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio