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NPI 1639553779 · Minneapolis, MN · Ambulatory Surgical Clinic/Center
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University Of Minnesota Health Clinics And Surgery Center, Inc. is a ambulatory surgical clinic/center provider located in Minneapolis, Minnesota. This profile covers 39 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | University Of Minnesota Health Clinics And Surgery Center, Inc. |
| Address | 909 Fulton St Se |
| City | Minneapolis |
| State | MN |
| ZIP | 55414 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 18, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $0 |
This entity appears to operate as an ambulatory surgical clinic with a strong procedural focus on device implantation and ophthalmology: the top Medicare revenue codes include 64590 and 64561 (neurostimulator pulse generator insertion and sacral nerve electrode implantation) and 66984 (cataract extraction with IOL insertion). The mix of high-revenue implant/device procedures and high-volume endoscopic and ophthalmic codes suggests an ASC performing specialized surgical implants alongside routine ophthalmic surgeries and endoscopy services.
Medicare revenue is the material payer in the dataset: lifetime Medicare revenue is reported as $1.3M while Medicaid revenue is $0, indicating the provider is effectively single-payer in these records and relies entirely on Medicare as the documented public payer source. Analysts should treat Medicaid-related insights as absent rather than merely low.
Revenue concentration in Medicare is moderately focused: the precomputed top-3 Medicare codes account for 49.4% of the provider’s total Medicare revenue, showing that roughly half of Medicare receipts derive from a small set of high-value services (notably neurostimulator implantation and cataract surgery). This concentration implies business sensitivity to demand or reimbursement changes for those specific procedures.
Code-level competitive standing is mixed. For 64561 the provider ranks #104 of 564 nationally (81st percentile), which indicates a stronger-than-typical national volume for sacral nerve electrode implantation; by contrast 64590 ranks #269 of 561 (46th percentile), reflecting unremarkable national volume for pulse-generator implantation. Cataract surgery code 66984 ranks in the 65th percentile nationally (#5596 of 15965), consistent with typical regional activity for ophthalmic procedures.
There are notable volume outliers within the code list: 36561 (central venous access catheter placement) ranks #123 of 3475 providers (96th percentile) and is labeled as notably above typical national volume, suggesting the clinic performs more tunneled central venous access procedures than most peers. Similarly, 38222 (bone marrow biopsy/aspiration) ranks at the 94th percentile (#184 of 3230), indicating elevated activity in hematologic diagnostic procedures for an ASC. These high-percentile placements point to specific service lines that are unusually active relative to national peers.
Several other codes show high claim counts but lower per-claim payments, highlighting procedural breadth. For example, J0585 (onabotulinumtoxina) appears in 6.3K claims with $5 avg paid/claim totaling $31.5K, and common endoscopy/colonoscopy codes (e.g., 43239, 45380, 45385) appear across the top-25 list, signaling routine GI and outpatient procedural throughput alongside higher-revenue implant cases. This mix indicates the center balances high-frequency, low-unit-revenue services with fewer high-dollar implant procedures.
The provider’s NPI was enumerated on 2015-07-18 (~11 years ago), so it has an established operational tenure sufficient to build procedural volumes and referral patterns reflected in Medicare billing. Tenure supports interpretation of observed code mix as a stable service profile rather than a transient billing footprint.
Across the top codes, most rank percentiles are described as typical or unremarkable, indicating the provider is generally a modest participant nationally for many service lines rather than a dominant national center. Exceptions (the high percentiles for 36561 and 38222, and the strong percentile for 64561) identify specific service niches where this ASC punches above typical volume and may represent strategic clinical strengths or referral focal points.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
39 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 20 | $15,730 | $251.7K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 50 | $4,060 | $211.1K |
| 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… | 190 | $860 | $164.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,480 | $66.2K |
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 50 | $1,170 | $57.5K |
| 38222 | The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when… | 60 | $870 | $51.4K |
| 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… | 100 | $480 | $45.7K |
| 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 | $2,660 | $42.6K |
| 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… | 40 | $1,010 | $37.3K |
| 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… | 100 | $360 | $35.8K |
Showing 1–10 of 39
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
39 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 4 | 10 | 20 | $3,680 | $110.3K |
| 64590 | 3 | 10 | 20 | $4,980 | $79.6K |
| 64561 | 1 | 10 | 30 | $2,330 | $77K |
| J0585 | 53 | 80 | 7,600 | $1 | $58.2K |
| 66984 | 152 | 300 | 190 | $50 | $56K |
| 66991 | 29 | 30 | 30 | $1,460 | $53.9K |
| 15823 | 16 | 40 | 30 | $530 | $25K |
| G0260 | 12 | 20 | 80 | $210 | $24.2K |
| 66982 | 25 | 70 | 30 | $610 | $23.2K |
| 67904 | 5 | 20 | 40 | $580 | $22K |
Showing 1–10 of 39
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 140 | $0 | $0 |
| X5622 | N/A | 330 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| X5622 | N/A | 163 | 300 | 470 | $60 | $159.8K |
| 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… | 7 | 20 | 130 | $0 | $0 |
Other providers in the same ZIP code as University Of Minnesota Health Clinics And Surgery Center, Inc., ranked by combined Medicare and Medicaid revenue.
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