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NPI 1720058688 · Norfolk, NE · Ambulatory Surgical Clinic/Center
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Surgicenter Of Norfolk, LLC is a ambulatory surgical clinic/center provider located in Norfolk, Nebraska. This profile covers 25 Medicare and 3 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 | Surgicenter Of Norfolk, LLC |
| Address | 3901 W Norfolk Ave Ste L |
| City | Norfolk |
| State | NE |
| ZIP | 68701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $913.8K |
| Medicaid | $3.8K |
SURGICENTER OF NORFOLK, LLC is effectively Medicare-dominant: reported total Medicare revenue is $913.8K versus total Medicaid revenue of $3.8K, making Medicaid economically immaterial on the current data. This payer mix implies the facility’s financial performance and contracting leverage will be driven almost entirely by Medicare payment rates and utilization patterns.
The provider’s Medicare code mix points to an ambulatory surgical center that combines ophthalmic surgery with a high volume of interventional pain procedures. The single largest Medicare line is 66984 (cataract extraction with intraocular lens) at 25.3% of Medicare revenue, and ophthalmic supply billing (J1097) also appears among the top contributors, while multiple spine and injection codes (for example 64493, 64635, 62323, 64483) indicate a sizable interventional pain service line.
Revenue concentration on Medicare is meaningful: the precomputed top-3 Medicare codes account for 44.5% of the provider’s total Medicare revenue, and those top three codes are 66984 (25.3%), 64493 (9.9%), and J1097 (9.3%). This degree of concentration means changes to reimbursement or utilization for those specific codes would disproportionately affect the facility’s Medicare revenue.
Competitive standing is mixed by service line: for cataract surgery 66984 the provider ranks #4182 of 15965 (74th percentile), which is a typical, unremarkable volume nationally; by contrast the provider’s volume for 64493 ranks #153 of 7519 (98th percentile) and is labeled an extreme outlier, indicating the facility is a high-volume national outlier for that lumbar facet/nerve injection service. Other spine codes like 64635 (94th percentile, notably above typical) and 62323 (96th percentile, notably above typical) reinforce that the provider is comparatively prominent in interventional spine services.
Medicaid activity is minimal and narrowly concentrated: total Medicaid revenue is $3.8K and 100.0% of that Medicaid revenue is from 62323 (15 claims, $252 avg paid/claim). Within-state rank for 62323 is #6 of 9 (38th percentile), which positions the facility as a modest, typical in-state participant for that Medicaid code despite its stronger national presence on Medicare for spine injections.
Several codes are statistical outliers or notably above typical national volume, which signals specialized capacity rather than uniform service mix. Specifically, 64493 is an "extreme outlier" (98th percentile), while 64635 (94th percentile) and Medicare 62323 (96th percentile) are described as "notably above typical"; these labels indicate concentrated high-volume performance in interventional spine procedures compared with national peers.
The presence of both high-volume interventional pain codes and routine ambulatory ophthalmic procedures suggests the facility operates a multi-specialty ASC model rather than a single-focused clinic. In addition to cataract surgery and ophthalmic supplies, the top-25 list includes GI endoscopy codes (45380, 45385, 43239) and gynecologic procedures (58262, 57260), implying the center supports multiple surgical specialties and procedural lines.
The provider has been enumerated on the NPI registry since 2006-01-24 (~20 years ago), indicating an established tenure. That longevity combined with a concentrated Medicare revenue base (top-3 codes = 44.5%) suggests contracting or utilization changes at the Medicare level will have outsized operational impact, so payers and provider analysts should prioritize review of high-volume codes like 64493 and 66984 when assessing network value and payment arrangements.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 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… | 290 | $810 | $230.8K |
| 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… | 350 | $260 | $90.3K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,120 | $80 | $85.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 150 | $500 | $75.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 280 | $240 | $66.6K |
| 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 | $290 | $65.3K |
| 0275T | N/A | 10 | $3,550 | $46.2K |
| 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… | 100 | $370 | $37.6K |
| 58262 | In this procedure, the provider surgically removes the uterus, cervix, fallopian tubes, and ovaries using a vaginal approach, known as a vaginal hysterectomy. The uterus is normal in size, which… | 20 | $1,440 | $28.8K |
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 30 | $1,060 | $28.7K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 5 | 10 | 1,290 | $80 | $129K |
| J1096 | 2 | 10 | 840 | $100 | $83.4K |
| 66984 | 34 | 200 | 50 | $450 | $75.5K |
| 0275T | 15 | 20 | 20 | $2,280 | $57K |
| 45385 | 68 | 120 | 50 | $280 | $33.2K |
| 66982 | 46 | 50 | 40 | $570 | $30.1K |
| 64483 | 8 | 60 | 70 | $180 | $20K |
| 64635 | 3 | 40 | 40 | $360 | $19.6K |
| 45380 | 29 | 130 | 40 | $190 | $14.9K |
| 55700 | 37 | 50 | 30 | $310 | $13.4K |
Showing 1–10 of 25
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 20 | $250 | $3.8K |
| 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… | 50 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 6 | 10 | 30 | $110 | $4.3K |
| 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… | 8 | 20 | 40 | $1 | $10 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 5 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as Surgicenter Of Norfolk, LLC, ranked by combined Medicare and Medicaid revenue.
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