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NPI 1780109934 · Mesa, AZ · Ambulatory Surgical Clinic/Center
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Banner Mesa Surgery Center LLC is a ambulatory surgical clinic/center provider located in Mesa, Arizona. This profile covers 18 Medicare and 14 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 | Banner Mesa Surgery Center LLC |
| Address | 1500 S Dobson Rd Ste 101 |
| City | Mesa |
| State | AZ |
| ZIP | 85202 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 9, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.8M |
| Medicare | $1.3M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 30 | $18,530 | $556K |
| 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… | 470 | $840 | $396.7K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 40 | $3,620 | $144.9K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 10 | $3,380 | $40.5K |
| 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 | $840 | $30.4K |
| 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… | 70 | $390 | $27.4K |
| 26055 | Trigger 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… | 60 | $470 | $27.1K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 50 | $520 | $23.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 90 | $200 | $17.9K |
| 25447 | The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the… | 20 | $820 | $14.8K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 9 | 70 | 20 | $10,020 | $200.4K |
| 66984 | 42 | 270 | 150 | $580 | $159.7K |
| 63650 | 39 | 70 | 40 | $2,040 | $116K |
| 25609 | 13 | 20 | 20 | $1,770 | $33.5K |
| 45385 | 251 | 330 | 50 | $290 | $28.4K |
| 66982 | 37 | 100 | 30 | $690 | $27.5K |
| 66821 | 86 | 210 | 70 | $220 | $26.5K |
| 64721 | 49 | 70 | 40 | $440 | $23.5K |
| 45380 | 135 | 350 | 60 | $210 | $21.4K |
| 29848 | 9 | 30 | 30 | $420 | $19.9K |
Showing 1–10 of 18
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.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 840 | $1,680 | $1.4M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,060 | $360 | $379.8K |
| 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. | 1,670 | $220 | $366.6K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 480 | $490 | $237.1K |
| 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… | 780 | $300 | $231.1K |
| 54360 | The provider surgically repairs the angulation, or abnormal curvature, of the penis of the patient. | 80 | $1,060 | $88.8K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 40 | $710 | $28.9K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 40 | $330 | $14.3K |
| 64721 | Neuroplasty 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 | $470 | $12.3K |
| 54161 | The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit. | 20 | $510 | $10.7K |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 12 | 40 | 210 | $1,710 | $1.2M |
| 54161 | The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit. | 10 | 10 | 210 | $1,570 | $931.6K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 35 | 50 | 450 | $920 | $775.4K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 6 | 20 | 230 | $440 | $397.7K |
| 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. | 57 | 180 | 590 | $250 | $360.9K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 7 | 40 | 190 | $540 | $334.2K |
| 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… | 68 | 80 | 390 | $330 | $311.6K |
| 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). | 70 | 80 | 350 | $160 | $259.1K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 7 | 10 | 70 | $980 | $221.6K |
| 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… | 39 | 120 | 330 | $280 | $206.3K |
Showing 1–10 of 14
Other providers in the same ZIP code as Banner Mesa Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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