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NPI 1770147217 · Andover, KS · Ambulatory Surgical Clinic/Center
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Andover Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Andover, Kansas. This profile covers 19 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Andover Ambulatory Surgery Center, LLC |
| Address | 1124 W 21st St Ste 100 |
| City | Andover |
| State | KS |
| ZIP | 67002 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 30, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $465.5K |
| Medicaid | $43.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 250 | $280 | $71.3K |
| 29827 | The 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… | 20 | $2,150 | $49.5K |
| 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)… | 190 | $230 | $42.9K |
| 31267 | In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus… | 40 | $970 | $33.9K |
| 60240 | The procedure involves surgical removal of the entire thyroid gland. | 20 | $1,750 | $33.2K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 80 | $430 | $32.7K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 40 | $630 | $23.8K |
| 31276 | In this procedure, the provider inserts an endoscope into the frontal sinus to explore it for abnormalities. The provider may also remove bone, scar tissue, polyps, or other tissue from the frontal… | 20 | $1,240 | $23.5K |
| 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… | 60 | $370 | $21.7K |
| 31259 | The provider performs a complete excision of the ethmoid air cells (anterior and posterior) and widens the opening of the sphenoid sinus cavity via surgical nasal/sinus endoscopy. The procedure is… | 30 | $780 | $19.6K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64483 | 15 | 80 | 110 | $170 | $27K |
| 60240 | 2 | 10 | 20 | $1,260 | $26.4K |
| 45385 | 92 | 160 | 60 | $260 | $23.7K |
| 31276 | 8 | 10 | 20 | $880 | $20.3K |
| 31267 | 7 | 30 | 20 | $630 | $18.2K |
| 29827 | 23 | 60 | 20 | $750 | $17.3K |
| 31259 | 3 | 10 | 20 | $650 | $14.4K |
| 45380 | 60 | 140 | 50 | $180 | $14.2K |
| G0105 | 60 | 90 | 30 | $270 | $14.1K |
| 64721 | 40 | 50 | 20 | $360 | $12.7K |
Showing 1–10 of 19
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.
How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kansas median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 16 | 20 | 120 | $220 | $101.2K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 11 | 20 | 120 | $300 | $56.2K |
Other providers in the same ZIP code as Andover Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Andover Senior Care, LLC | KS | Assisted Living Facility | $0 | $9.5M |
| Mercy Home Care LLC | KS | Home Health Agency | $0 | $8M |
| Individual Advocacy LLC | KS | Case Management Agency | $0 | $3.3M |
| Kansas Medical Associates | KS | Internal Medicine Physician | $0 | $654.1K |
| Andover Usd 385 | KS | Local Education Agency (LEA) | $0 | $549.7K |
| Stephen Lemons | KS | Family Medicine Physician | $244.2K | $0 |
| Walgreen Co | KS | Pharmacy | $129.7K | $0 |
| Jennifer Wilson | KS | Family Nurse Practitioner | $116.8K | $0 |
| Badr Idbeis | KS | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | $108.7K | $0 |
| Richard Johnson | KS | Family Medicine Physician | $103.3K | $0 |
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