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NPI 1740246792 · Louisville, KY · Ambulatory Surgical Clinic/Center
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Premier Surgery Center Of Louisville LP is a ambulatory surgical clinic/center provider located in Louisville, Kentucky. This profile covers 20 Medicare and 9 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 | Premier Surgery Center Of Louisville LP |
| Address | 2511 Terra Crossing Blvd |
| City | Louisville |
| State | KY |
| ZIP | 40245 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.7M |
| Medicare | $2.3M |
This facility is substantially Medicaid-weighted: total Medicaid revenue is $7.7M compared with total Medicare revenue of $2.3M, making Medicaid the dominant payer by scale for this provider. The disparity suggests the center derives the majority of its patient volume and revenue from services reimbursed through state Medicaid rather than Medicare.
Medicare revenue is highly concentrated: the top three Medicare codes (63685, 66984, 63650) account for 80.7% of the provider's Medicare revenue. Those three codes alone include 63685 with $901.1K (38.5% of Medicare revenue), 66984 with $711.1K (30.4%), and 63650 with $275.8K (11.8%), indicating dependence on spinal neurostimulator implantation and cataract surgery as the principal Medicare services.
On Medicaid the concentration is even more extreme: the top three Medicaid codes account for 92.5% of Medicaid revenue, led overwhelmingly by 41899 which represents $6.7M and 86.9% of the provider's Medicaid revenue. This heavy concentration in a single, unlisted dental/adjacent procedure code implies the provider’s Medicaid business is dominated by a specific surgical/dental service line rather than a broad mix of ambulatory procedures.
The provider shows specialty strength in spinal neurostimulation on the Medicare side: 63685 ranks #61 of 1281 providers nationally (95th percentile) and is flagged as notably above typical national volume for this code. That ranking, together with meaningful contributions from 63650 (rank #268 of 1371, 80th percentile), indicates a nationally significant throughput for implantable neurostimulator procedures relative to peers.
Ophthalmology is a second major Medicare service line: 66984 (cataract surgery with IOL) accounts for $711.1K and ranks #2092 of 15965 providers nationally (87th percentile), reflecting above-average cataract volume in a large national peer set. Coupled with several other eye-related HCPCS/J-codes in the Medicare top list, the center operates as a meaningful regional site for outpatient ophthalmic surgery.
Medicaid competitive standing is concentrated and, for the dominant dental code, strong in-state: 41899 ranks #4 of 42 providers in Kentucky (93rd percentile) and is described as notably above typical state volume for that code. Conversely, some Medicaid codes show limited or idiosyncratic peer comparisons—70310 is listed as rank #1 of 1 providers in-state with no peer comparison available—suggesting certain services may be unique or centralized at this site within the state.
The provider has a long operational tenure: NPI enumerated (registered) on 2006-04-26 (~20 years ago), indicating it is an established ambulatory surgical clinic/center. That length of registration aligns with an operational profile that includes specialized implant and ophthalmic procedure volumes and a large Medicaid dental/operative caseload.
The combined pattern of revenue concentration — Medicare top 3 codes = 80.7% and Medicaid top 3 codes = 92.5% — signals business risk concentration: changes in reimbursement, coverage policy, or referral patterns for a small set of high-revenue codes (notably 63685 and 41899) would disproportionately impact overall revenue. For payers and network analysts, these concentrations identify which service lines to monitor for utilization trends, contractual negotiation, and program integrity review.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 63685 | The 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… | 50 | $18,020 | $901K |
| 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… | 900 | $790 | $711.1K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 80 | $3,580 | $275.8K |
| 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… | 200 | $360 | $70.9K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 630 | $100 | $62.6K |
| 15823 | In 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… | 100 | $500 | $50.8K |
| 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… | 110 | $420 | $47.9K |
| 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. | 230 | $200 | $44.3K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 70 | $390 | $29K |
| 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… | 40 | $800 | $28.1K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 1 | 20 | 20 | $6,870 | $116.9K |
| 63650 | 2 | 20 | 50 | $1,620 | $81K |
| 66984 | 191 | 310 | 1,560 | $40 | $67.1K |
| J1097 | 3 | 10 | 480 | $80 | $65K |
| J1096 | 1 | 10 | 330 | $100 | $32.5K |
| 15823 | 1 | 20 | 30 | $550 | $21.6K |
| 66982 | 30 | 70 | 30 | $270 | $20.8K |
| 45385 | 56 | 250 | 50 | $250 | $20.2K |
| 66174 | 9 | 10 | 20 | $670 | $18.7K |
| 63688 | 1 | 10 | 10 | $1,310 | $14.4K |
Showing 1–10 of 20
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 4,790 | $1,400 | $6.7M |
| D0150 | Comprehensive oral evaluation – new or established patient | 220 | $1,020 | $220.2K |
| 70310 | The provider takes X–rays of some of the teeth in the mouth but not all. | 4,390 | $50 | $210.5K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 120 | $1,660 | $194.5K |
| 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. | 640 | $240 | $152.5K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 360 | $410 | $146.8K |
| L8699 | Prosthetic implant, not otherwise specified | 270 | $270 | $70.5K |
| 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… | 30 | $310 | $9.2K |
| 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… | 20 | $550 | $8.8K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 4 | 40 | 740 | $1,170 | $1.7M |
| 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. | 120 | 170 | 1,300 | $230 | $441K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 33 | 60 | 160 | $780 | $292.2K |
| 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… | 69 | 70 | 210 | $310 | $290K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 31 | 80 | 260 | $430 | $263.3K |
| 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… | 106 | 120 | 300 | $320 | $215.2K |
| 70310 | The provider takes X–rays of some of the teeth in the mouth but not all. | 1 | 10 | 4,390 | $50 | $212.3K |
| L8699 | Prosthetic implant, not otherwise specified | 4 | 10 | 210 | $180 | $189.3K |
| D0150 | Comprehensive oral evaluation – new or established patient | 731 | 1,010 | 740 | $30 | $61.4K |
Other providers in the same ZIP code as Premier Surgery Center Of Louisville LP, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Us Psychiatry PLLC | KY | Psychiatry Physician | $0 | $8.5M |
| Providence Of Louisville LLC | KY | Community/Behavioral Health Agency | $0 | $5.4M |
| Vasudeva Iyer | KY | Clinical Neurophysiology Physician | $72.2K | $434.5K |
| Leon Butler | KY | Internal Medicine Physician | $216.7K | $0 |
| Melissa Wise | KY | Dermatology Physician | $158.8K | $0 |
| Denise Barnes | KY | Family Nurse Practitioner | $153.1K | $0 |
| Brittany O'neal | KY | Family Medicine Physician | $144.4K | $0 |
| Alberto Maldonado | KY | Specialist | $65.9K | $76K |
| Walgreen Co | KY | Pharmacy | $119.9K | $0 |
| Ragan Graves | KY | Family Nurse Practitioner | $86K | $890 |
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