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NPI 1649223124 · Tucson, AZ · Ambulatory Surgical Clinic/Center
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Camp Lowell Surgery Center,llc is a ambulatory surgical clinic/center provider located in Tucson, Arizona. This profile covers 45 Medicare and 10 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 | Camp Lowell Surgery Center,llc |
| Address | 4620 East Camp Lowell Drive |
| City | Tucson |
| State | AZ |
| ZIP | 85712 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.6M |
| Medicare | $3.4M |
CAMP LOWELL SURGERY CENTER,LLC operates as an ambulatory surgical clinic/center with a heavy ophthalmology and ENT/pediatric case mix: Medicare top-code 66984 (cataract extraction with IOL) generates $1.9M and 57.5% of the provider's total Medicare revenue, while Medicaid top-codes are dominated by 42820 (tonsil/adenoid removal) at $2M (56.6%) and 66984 at $1.1M (31.8%). The Medicaid top three codes together account for 98.7% of Medicaid revenue, and the Medicare top three account for 69.1% of Medicare revenue, indicating that surgical procedures in a few specialties drive almost all payer receipts for this facility.
Revenue concentration is extreme for both payers: the provider’s Medicare receipts are $3.4M with the single code 66984 responsible for 57.5% of that total, and the provider’s Medicaid receipts are $3.6M with the three-code bundle representing 98.7% of Medicaid revenue. This concentration implies the center’s financial performance is closely tied to procedural volumes in cataract surgery and a small set of ENT procedures, making those service lines critical to any network or payment negotiations.
On Medicare, 66984 ranks #741 of 15965 providers nationally (95th percentile) and is described as notably above typical national volume, identifying the center as a national high-volume cataract performer for this code. Additional Medicare codes with elevated national standing include 31267 (rank #9 of 389, 98th percentile, notably above typical) and 49650 (rank #88 of 2131, 96th percentile, notably above typical), which together show the facility maintains unusually high volumes in specific ENT and general surgical procedures relative to peers.
On Medicaid within Arizona, the center is a meaningful in-state participant for pediatric ENT and ophthalmology: 42820 ranks #9 of 39 in-state (79th percentile) and 66984 ranks #6 of 75 in-state (93rd percentile). These rankings indicate the center is among the larger private ambulatory settings in Arizona for tonsil/adenoid procedures and a leading Medicaid provider for cataract-related billing, supporting a strong market position in those lines.
Several Medicare codes are statistical outliers in national comparison, pointing to a specialized service mix: 30520 (septoplasty) is ranked #1 of 559 providers nationally (100th percentile, labeled an extreme outlier) and 30140 is ranked #12 of 646 (98th percentile, extreme outlier). Such extreme outlier status for septoplasty and related nasal procedures suggests the center either concentrates referral volume for these ENT surgeries or has a narrow procedural focus not typical for most ambulatory surgery centers.
The provider’s overall payer mix is effectively dual-payer and roughly comparable in scale: lifetime Medicare revenue is $3.4M and lifetime Medicaid revenue is $3.6M, indicating neither payer dominates the practice by an order of magnitude. This near parity means reimbursement policy or volume changes in either program could materially affect the center’s revenue profile.
Medicaid claim detail includes items with reported claims but $0 paid — for example L8699 (476 claims, $0 revenue) and several G89xx/G8918 entries with $0 revenue — which are recorded on the Medicaid file. These zero-paid line items are data signals worth confirming with claims adjudication or contract documentation (e.g., pass-through device billing, bundled payments, or non-covered service reporting) before drawing operational conclusions.
The center has longstanding presence with NPI enumerated 2006-05-18 (~20 years ago), consistent with the developed, concentrated procedural portfolio and apparent referral volumes. Tenure of this length increases the likelihood that observed high-volume specialties reflect established market positioning rather than a short-term fluctuation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
45 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,390 | $780 | $1.9M |
| 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… | 30 | $6,550 | $189.9K |
| 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… | 80 | $2,360 | $188.8K |
| V2785 | Processing, preserving and transporting corneal tissue | 40 | $3,130 | $125K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 100 | $780 | $76.7K |
| 31267 | In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus… | 60 | $1,220 | $70.8K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 40 | $1,600 | $70.5K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 50 | $1,410 | $66.1K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 80 | $590 | $49.6K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 80 | $660 | $49.2K |
Showing 1–10 of 45
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
45 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 3 | 270 | 150 | $580 | $159.7K |
| V2785 | 3 | 10 | 30 | $3,500 | $146.8K |
| 14301 | 37 | 40 | 40 | $730 | $74.9K |
| 27447 | 169 | 290 | 40 | $1,290 | $59.3K |
| 66991 | 3 | 60 | 30 | $1,540 | $56.9K |
| 15823 | 12 | 40 | 50 | $520 | $49.9K |
| 66174 | 24 | 30 | 40 | $840 | $43.5K |
| 65820 | 6 | 20 | 30 | $970 | $40.9K |
| 65756 | 5 | 10 | 20 | $1,250 | $37.6K |
| 67904 | 10 | 30 | 50 | $560 | $32.4K |
Showing 1–10 of 45
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 1,220 | $1,670 | $2M |
| 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… | 2,960 | $390 | $1.1M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 830 | $440 | $367.6K |
| 58670 | The provider fulgurates (seals off) each fallopian tube with electrocautery and may or may not transect them (cut them in half) through a laparoscope to prevent pregnancy. | 20 | $1,580 | $25.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 100 | $90 | $8.7K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 20 | $480 | $7.2K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 10 | $370 | $4.8K |
| 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… | 70 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
| L8699 | Prosthetic implant, not otherwise specified | 480 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 9 | 40 | 210 | $1,710 | $1.2M |
| L8699 | Prosthetic implant, not otherwise specified | 10 | 20 | 560 | $570 | $405.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 9 | 40 | 190 | $540 | $334.2K |
| 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… | 6 | 80 | 390 | $330 | $311.6K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 11 | 10 | 60 | $370 | $110.6K |
| 58670 | The provider fulgurates (seals off) each fallopian tube with electrocautery and may or may not transect them (cut them in half) through a laparoscope to prevent pregnancy. | 6 | 10 | 30 | $2,410 | $94.1K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 15 | 20 | 30 | $510 | $39.7K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 11 | 20 | 90 | $100 | $22.8K |
| 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… | 15 | 20 | 140 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 15 | 20 | 40 | $0 | $0 |
Other providers in the same ZIP code as Camp Lowell Surgery Center,llc, ranked by combined Medicare and Medicaid revenue.
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