Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dmg Surgical Center LLC (NPI 1710924899)

Field	Value
Entity Type	Organization
Organization	Dmg Surgical Center LLC
Address	2725 South Technology Dr
City	Lombard
State	IL
ZIP	60148
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

This practice is effectively single‑payer in the available data: lifetime Medicare revenue is $3M and there is no Medicaid billing on file (none). That concentration means Medicare accounts for the entirety of recorded public-payer receipts and the provider lacks documented Medicaid participation.

Revenue is highly concentrated in a small set of procedures: the precomputed top 3 Medicare codes (66984, 45385, 45380) account for 46.4% of this provider's total Medicare revenue. Those three codes individually represent $506K (20.9%), $310.9K (12.9%), and $303.8K (12.6%) of Medicare revenue, making them the primary drivers of the practice's Medicare business.

The CPT mix indicates an ambulatory surgical center with a dual focus on GI endoscopy and ophthalmology: high-volume colonoscopy codes 45385 and 45380 plus cataract extraction 66984 are the largest revenue generators. In addition to GI and ophthalmic procedures, the presence of codes such as 49650 (laparoscopic inguinal hernia repair), 52356/52332/52601 (urologic endoscopy and TURP), and 43239/43249 (upper endoscopy) shows the center delivers a broad set of same‑day surgical services across GI, urology, ENT and ophthalmology.

Against national peers the provider is an outsized performer for several GI/endoscopy services: 45385 ranks #185 of 16310 providers (99th percentile; extreme outlier) and 45380 ranks #65 of 16427 providers (100th percentile; extreme outlier), signaling exceptionally high national volume in colonoscopy-related services. Other high-percentile Medicare rankings include 49650 at #11 of 2131 providers (100th percentile; extreme outlier) and G0105 at #60 of 8773 providers (99th percentile; extreme outlier), which together indicate the center is a significant national outlier for several procedural lines.

By contrast, the single largest code for cataract surgery, 66984, while responsible for $506K (20.9% of Medicare revenue), ranks #2638 of 15965 providers (83th percentile; typical, unremarkable volume for this code), so cataract work is a major revenue source but not a national outlier in volume. This suggests the center’s most distinctive competitive advantage lies in its endoscopy and select surgical procedures rather than ophthalmology volume alone.

Several specialty or supply-related items appear in the top codes at modest revenue levels: C2638 (brachytherapy source, 1.8K claims, $53.5K revenue) and higher‑priced single‑claim procedures such as 52356 and 50590 reflect ancillary oncology/urology and stone-management services. These items are relatively small contributors to total Medicare revenue but show that the center bills a diverse set of procedural and device/supply codes beyond core GI and cataract work.

The provider has a long active enrollment history (NPI enumerated 2006-05-31, ~20 years ago), which supports interpretation of its current high-volume GI footprint as established rather than new or transient. Longevity combined with concentrated Medicare revenue may reflect an established ambulatory surgical business built around repeat procedural volumes from Medicare-age patients.

Concentration of revenue in a few high-volume Medicare procedural codes and the absence of Medicaid billing imply both opportunity and exposure: the center benefits from dominant Medicare endoscopy volumes (noted extreme outlier status for key GI codes) but also faces payer‑mix risk because Medicaid represents none of the recorded business. Analysts should treat Medicare procedural volumes as the primary driver of financial performance and consider payer-diversity limitations when modeling revenue sensitivity.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

64 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…	590	$860	$506K
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…	670	$460	$310.9K
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…	780	$390	$303.8K
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	90	$1,750	$151.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	320	$430	$138.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	500	$230	$116K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	180	$430	$76.5K
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).	220	$310	$67.8K
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…	70	$870	$56.4K
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	$660	$54.5K

Showing 1–10 of 64

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 64 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Dmg Surgical Center LLC — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

64 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	253	570	360	$70	$97.8K
C2638	1	10	1,530	$30	$44.7K
55875	1	10	30	$1,300	$31.2K
66982	35	190	30	$590	$27.1K
65756	15	20	20	$1,180	$23.5K
45385	6	640	60	$270	$23.4K
31276	1	10	20	$1,000	$22.1K
67042	19	50	20	$870	$21.8K
64483	41	280	70	$180	$20.8K
64721	15	140	30	$460	$20.5K

Showing 1–10 of 64

Nearby Providers

Other providers in the same ZIP code as Dmg Surgical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intelliride, LLC	IL	Transportation Broker	$0	$297.1M
United Seating And Mobility LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$28.7M
Health Resources Solutions Inc	IL	Home Health Agency	$0	$21.8M
Us Spa Corp	IL	Clinical Medical Laboratory	$20.4M	$384.3K
U & F Sons, Inc.	IL	Homemaker	$0	$15.6M
Us Medical Labs Inc	IL	Clinical Medical Laboratory	$603.4K	$12.5M
Mmm Diagnostic Center Inc	IL	Clinical Medical Laboratory	$939.6K	$10.9M
United Eg LLC	IL	Clinical Medical Laboratory	$227.3K	$11.1M
Kevin Mccune	IL	Family Medicine Physician	$0	$9.6M
Village Of Lombard	IL	Land Ambulance	$552.9K	$6.7M

Dmg Surgical Center LLC — Billing Profile & Reimbursement Data

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Dmg Surgical Center LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References