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    Grand Rapids Surgical Suites LLC — Billing Profile & Reimbursement Data

    NPI 1720530405 · Grand Rapids, MI · Ambulatory Surgical Clinic/Center

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    Grand Rapids Surgical Suites LLC is a ambulatory surgical clinic/center provider located in Grand Rapids, Michigan. This profile covers 5 Medicare and 2 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)

    FieldValue
    Entity TypeOrganization
    OrganizationGrand Rapids Surgical Suites LLC
    Address2505 E Paris Ave Se
    CityGrand Rapids
    StateMI
    ZIP49546
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 28, 2016

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

    Payer SourceTotal Paid
    Medicare$299.7K
    Medicaid$112.2K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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…20$6,890$117.1K
    27130In 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$7,030$105.5K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…110$470$51K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…40$510$22.5K
    C9088Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg6,400$1$6.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744726536030$1,470$50.1K
    2713018224020$1,410$40.8K
    67904134030$570$29.3K
    1582345030$540$23.7K
    C90885109,110$1$5.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.310$220$67.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.40$1,030$44.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.3550150$1,300$889.5K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2460170$260$184.1K

    Nearby Providers

    Other providers in the same ZIP code as Grand Rapids Surgical Suites LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliance Community Care PartnersMICase Management Agency$0$145.4M
    Dental Group Associates PCMIPediatric Dentistry$0$16.1M
    Pediatric Dental Specialists Of West MichiganMIPediatric Dentistry$0$11M
    Michigan Pain Consultants PCMIPain Medicine (Anesthesiology) Physician$0$9.9M
    Mitten Kids Dentistry Cascade PlcMIPediatric Dentistry$0$7.2M
    Carepoint Dental Anesthesia Group Of Michigan, PLLCMIDental Anesthesiology$0$6.4M
    Retina Specialists Of Michigan PCMIRetina Specialist (Ophthalmology) Physician$0$5.5M
    Kathleen DehornMIOphthalmology Physician$1.7M$0
    Jeffrey ZheutlinMIOphthalmology Physician$1.5M$0
    Nathan PezdaMIRetina Specialist (Ophthalmology) Physician$1.1M$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.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Grand Rapids Surgical Suites LLC — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Grand Rapids Surgical Suites LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan