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    OpenPayerNPI Medicare & MedicaidMedplex Outpatient Surgery Center Ltd
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    Medplex Outpatient Surgery Center Ltd — Billing Profile & Reimbursement Data

    NPI 1750499950 · Hoover, AL · Ambulatory Surgical Clinic/Center

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    Medplex Outpatient Surgery Center Ltd is a ambulatory surgical clinic/center provider located in Hoover, Alabama. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMedplex Outpatient Surgery Center Ltd
    Address4511 Southlake Pkwy
    CityHoover
    StateAL
    ZIP35244
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 28, 2006

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

    Payer SourceTotal Paid
    Medicare$366.4K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64493The 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…270$250$68.3K
    62323The 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)…270$220$59.4K
    64483This 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).200$290$59.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$570$47.3K
    29827The 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…10$2,060$28.9K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…120$230$28.4K
    29881The 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…20$870$16.5K
    64721Neuroplasty 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…30$550$15.8K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography80$160$13.4K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…30$420$13.1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    29827649020$870$19.2K
    644832712060$160$19K
    64635127040$350$16.8K
    623231814060$130$16K
    64721236030$400$14.6K
    2988182020$680$14.4K
    64493311060$160$13.5K
    26055235030$280$11.1K
    G026031040$180$10.8K
    62321128040$140$8.4K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Medplex Outpatient Surgery Center Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Children's Hospital Of AlabamaALPediatrics Physician$0$17.7M
    Eh Health Hospice Of Alabama, LLCALCommunity Based Hospice Care Agency$0$7.2M
    Pediatric And Adolescent Dentistry, LLCALPediatric Dentistry$0$5.3M
    Stratford Enterprises IncALCommunity Based Hospice Care Agency$0$4.7M
    Medplex Pediatric Dentistry, Inc.ALPediatric Dentistry$0$3.9M
    Elizabeth PerkinsALRheumatology Physician$2.9M$0
    William ThomasALPediatric Dentistry$0$2.1M
    City Of HooverALLand Ambulance$529.7K$202K
    Lauren BannonALPhysician Assistant$561.1K$0
    Diane CounceALNeurology Physician$501.8K$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. Alabama Distribution
    Medplex Outpatient Surgery Center Ltd — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama