Loading...
NPI 1659519684 · Indianapolis, IN · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
South Campus Surgery Center LLC is a ambulatory surgical clinic/center provider located in Indianapolis, Indiana. This profile covers 45 Medicare and 5 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 | South Campus Surgery Center LLC |
| Address | 1550 E County Line Rd Ste 100 |
| City | Indianapolis |
| State | IN |
| ZIP | 46227 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 29, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $79.3K |
Business profile: SOUTH CAMPUS SURGERY CENTER LLC is registered as an Ambulatory Surgical Clinic/Center and the Medicare code mix shows a multi‑specialty procedural profile—high-volume cataract extraction/refractive lens insertion (66984), major joint arthroplasty (27447, 27130), urologic endoscopy and stone procedures (52356, 52332), and several breast surgery codes (19303, 19301, 19342). This combination indicates the ASC supports ophthalmology, orthopedics, urology, and breast surgery casework rather than a single narrow specialty.
Medicare revenue concentration: the provider’s top three Medicare codes—66984 ($210.2K, 15.8%), 27447 ($209.6K, 15.7%), and 27130 ($110.6K, 8.3%)—together account for 39.8% of its total Medicare revenue. This shows material dependence on a small set of high‑value surgical procedures for a large share of Medicare receipts.
Medicaid revenue concentration: Medicaid billing is highly concentrated—precomputed top‑3 Medicaid codes account for 100.0% of Medicaid revenue, led by 69436 (211 claims, $74.5K, 93.9% of Medicaid revenue) with 64483 contributing $4.9K (6.1%). In practice this means tympanostomy/ventilation tube procedures dominate the provider’s Medicaid business.
Payer mix and scale: the provider’s Medicare revenue ($1.6M) far exceeds its Medicaid revenue ($79.3K), indicating a Medicare‑dominant revenue mix and that Medicaid is a minor share of total payer volume. From a contracting or utilization-management perspective, the facility functions effectively as a Medicare‑centric ASC.
Competitive standing on flagship codes: the provider is an extreme outlier on 19303 (ranks #1 of 401 providers nationally, 100th percentile), and shows notably above‑typical national volume on codes such as 52356 (rank #90 of 3090, 97th percentile), 19301 (95th percentile), and 52332 (94th percentile). By contrast, high Medicare revenue drivers like 66984 (71st percentile) and 27447 (45th percentile) are within typical national volume ranges, while 27130 is at a lower national percentile (18th).
Medicaid reporting and non‑reimbursed quality codes: the Medicaid file includes large counts of zero‑dollar quality/process codes (G8907: 1.3K claims, $0 revenue; G8916: 413 claims, $0 revenue; G8918: 177 claims, $0 revenue), indicating extensive submission of surgical quality or process measures alongside billed procedures. Analysts should treat these as administrative/quality documentation present in claims rather than revenue drivers.
Operational implications of service breadth: the mix of endoscopic urology codes (52356, 52332, 52234/52235), pain‑management injections (64493, 64483, 64635), and both minor and major breast procedures suggests the ASC operates procedure rooms and imaging/endo resources adaptable to multiple specialties. That breadth can support cross‑specialty scheduling flexibility but also implies varied capital and staffing needs.
Tenure and stability: the NPI was enumerated 2009-01-29 (~17 years ago), indicating an established facility with a sustained presence in the market; given the concentrated Medicare dollar volume and consistent code mix, the center appears to have mature service lines that generate its current payer mix.
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… | 250 | $850 | $210.2K |
| 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 | $7,230 | $209.6K |
| 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… | 20 | $7,370 | $110.6K |
| 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… | 50 | $1,620 | $85.8K |
| 19303 | The provider removes the entire breast, nipples, and skin surrounding the nipple–areolar complex but leaves the pectoralis major and minor muscles and axillary nodes in place. | 50 | $1,310 | $68.1K |
| 52648 | Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with… | 30 | $1,760 | $50.9K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 200 | $260 | $50.7K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 160 | $300 | $49.2K |
| 19301 | The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes. | 60 | $750 | $46K |
| 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… | 50 | $860 | $41.1K |
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 | 86 | 450 | 50 | $480 | $87.5K |
| 27447 | 204 | 340 | 40 | $1,130 | $51.1K |
| 27130 | 181 | 220 | 30 | $1,280 | $40.9K |
| 45385 | 175 | 370 | 60 | $260 | $26.5K |
| C1747 | 1 | 10 | 20 | $1,170 | $23.5K |
| 66821 | 125 | 240 | 60 | $200 | $23.1K |
| 19303 | 1 | 10 | 20 | $1,050 | $23.1K |
| 19318 | 1 | 10 | 20 | $1,120 | $22.3K |
| 52648 | 4 | 10 | 20 | $870 | $19.2K |
| 64483 | 27 | 190 | 60 | $180 | $17.8K |
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.
5 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. | 210 | $350 | $74.5K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 20 | $290 | $4.9K |
| 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… | 1,280 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 410 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 180 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
5 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. | 23 | 60 | 150 | $480 | $221.3K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 41 | 50 | 310 | $140 | $94.7K |
| 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… | 5 | 70 | 320 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 2 | 10 | 60 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 26 | 40 | 240 | $0 | $0 |
Other providers in the same ZIP code as South Campus Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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.