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NPI 1700887155 · Abilene, TX · Ambulatory Surgical Clinic/Center
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Texas Midwest Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Abilene, Texas. This profile covers 27 Medicare and 6 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 | Texas Midwest Surgery Center, LLC |
| Address | 751 N 18th St |
| City | Abilene |
| State | TX |
| ZIP | 79601 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $589K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 530 | $780 | $415K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,470 | $80 | $111.7K |
| 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… | 40 | $2,350 | $101K |
| 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). | 290 | $270 | $77.4K |
| 29827 | The 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… | 30 | $2,000 | $53.9K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 550 | $100 | $52.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 80 | $600 | $49.4K |
| 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… | 190 | $250 | $46.7K |
| 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… | 70 | $570 | $40.6K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 30 | $1,030 | $29.8K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 12 | 20 | 1,460 | $80 | $128.7K |
| 66984 | 100 | 990 | 100 | $560 | $113.9K |
| J1096 | 7 | 20 | 340 | $100 | $81.6K |
| 66991 | 25 | 100 | 30 | $1,510 | $55.7K |
| 65820 | 72 | 90 | 30 | $1,000 | $37K |
| 67904 | 45 | 70 | 30 | $550 | $32.9K |
| 15823 | 61 | 120 | 30 | $530 | $27.5K |
| 45385 | 480 | 1,130 | 50 | $280 | $26.4K |
| 64635 | 73 | 540 | 40 | $370 | $19.1K |
| 29827 | 51 | 240 | 20 | $860 | $19K |
Showing 1–10 of 27
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.
6 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. | 350 | $1,120 | $395.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,350 | $140 | $188.7K |
| 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… | 30 | $190 | $5.8K |
| C1889 | Implantable/insertable device, not otherwise classified | 260 | $0 | $0 |
| 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… | 1,680 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1,510 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
6 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. | 26 | 110 | 80 | $1,260 | $398.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 12 | 130 | 150 | $370 | $240.6K |
| 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… | 43 | 60 | 100 | $160 | $33.6K |
| C1889 | Implantable/insertable device, not otherwise classified | 5 | 10 | 140 | $20 | $6K |
| 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… | 4 | 140 | 110 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 6 | 80 | 100 | $0 | $0 |
Other providers in the same ZIP code as Texas Midwest Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hendrick Medical Center | TX | General Acute Care Hospital | $0 | $22.9M |
| Abilene White Rock Surgery Center, LLC | TX | Pain Clinic/Center | $2M | $0 |
| Anton Melnyk | TX | Hematology & Oncology Physician | $1.4M | $0 |
| Ralph Heaven | TX | Hematology & Oncology Physician | $810.3K | $0 |
| Williams Trotter & Associates | TX | Clinical Medical Laboratory | $165.3K | $564.4K |
| Brent Mahoney | TX | Radiation Oncology Physician | $481.2K | $0 |
| Abilene Asc LP | TX | Ambulatory Surgical Clinic/Center | $415.6K | $0 |
| Frederick White | TX | Endocrinology, Diabetes & Metabolism Physician | $399K | $0 |
| John Bliznak | TX | Diagnostic Radiology Physician | $385.3K | $0 |
| Bonnie Hayashi | TX | Neurology Physician | $369.5K | $0 |
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