Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Surgery Center Plc (NPI 1770577637)

Field	Value
Entity Type	Organization
Organization	Surgery Center Plc
Address	5080 N Royal Dr
City	Traverse City
State	MI
ZIP	49684
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 7, 2005

Payer Source	Total Paid
Medicare	$584.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 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…	640	$770	$487.9K
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…	70	$760	$49.7K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	40	$1,350	$47.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Surgery Center Plc — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	22	480	70	$470	$69.5K
66982	10	130	30	$630	$22.2K
66174	3	20	30	$710	$22K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Surgery Center Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denice Smith	MI	Certified Registered Nurse Anesthetist	$12.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Lakes Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$148.6M
Munson Medical Center	MI	General Acute Care Hospital	$0	$44.1M
Northwestern Michigan Emergency Physicians PC	MI	Emergency Medicine Physician	$0	$7.5M
Grand Traverse Radiologists PC	MI	Diagnostic Radiology Physician	$0	$7.3M
Northern Michigan Pediatric Dentistry	MI	Dental Clinic/Center	$0	$7M
Grand Traverse Womens Clinic PLLC	MI	Obstetrics Physician	$0	$6.7M
Northern Lakes Community Mental Health Authority	MI	Case Management Agency	$0	$5.9M
Northwest Michigan Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$2.9M	$1.5M
Alliance Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$3M	$0
Michael Mawby	MI	Rheumatology Physician	$628.2K	$0

Surgery Center Plc — Billing Profile & Reimbursement Data

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Surgery Center Plc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References