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    OpenPayerNPI Medicare & MedicaidStone Oak Surgicenter, LLC
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    Stone Oak Surgicenter, LLC — Billing Profile & Reimbursement Data

    NPI 1700546629 · San Antonio, TX · Ambulatory Surgical Clinic/Center

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    Stone Oak Surgicenter, LLC is a ambulatory surgical clinic/center provider located in San Antonio, Texas. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationStone Oak Surgicenter, LLC
    Address123 N Loop 1604 E Ste 107
    CitySan Antonio
    StateTX
    ZIP78232
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 20, 2021

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

    Payer SourceTotal Paid
    Medicare$3.2M
    Medicaid$0

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…110$17,730$2M
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.180$3,490$631.1K
    62362The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as…20$9,520$199.9K
    22869Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous…20$7,980$135.6K
    29827The 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$2,280$54.8K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.70$500$36.7K
    64483This 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).110$280$30.3K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…50$490$22.1K
    64493The 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…90$240$21K
    62350The provider implants, replaces, or repositions a previously implanted and tunneled intrathecal or epidural catheter. This procedure does not include a laminectomy. This service is done to instill…10$1,300$18.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685316020$8,330$216.7K
    636501116050$1,960$147K
    2286911020$8,150$122.3K
    6236222020$2,290$38.9K
    G0260467070$210$19.8K
    646358654040$370$19.1K
    298276424020$860$19K
    6448317869060$190$18.3K
    6368871010$890$15.1K
    64625165030$370$14.8K

    Showing 1–10 of 16

    Nearby Providers

    Other providers in the same ZIP code as Stone Oak Surgicenter, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emerus Bhs Sa Thousand Oaks, LLCTXGeneral Acute Care Hospital$0$25M
    Clj Home Healthcare, LLCTXNursing Care Agency$0$14.9M
    Advanced Diagnostic LaboratoryTXClinical Medical Laboratory$920.1K$6.3K
    Darren RichardsTXPhysician Assistant$521.1K$0
    Gregory ThompsonTXDermatology Physician$484.2K$0
    Byron LimmerTXMOHS-Micrographic Surgery Physician$417.9K$0
    Brenda TomassonTXGerontology Nurse Practitioner$178.4K$0
    Courtney BuchmeierTXFamily Nurse Practitioner$169K$0
    Assem SherkawyTXInternal Medicine Physician$140.2K$0
    Susan GutierrezTXNurse Practitioner$82.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Stone Oak Surgicenter, LLC — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas