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    OpenPayerNPI Medicare & MedicaidMackinaw Surgery Center LLC
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    Mackinaw Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1780747733 · Saginaw, MI · Ambulatory Surgical Clinic/Center

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    Mackinaw Surgery Center LLC is a ambulatory surgical clinic/center provider located in Saginaw, Michigan. This profile covers 22 Medicare and 6 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMackinaw Surgery Center LLC
    Address5400 Mackinaw Rd
    CitySaginaw
    StateMI
    ZIP48604
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 19, 2006

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

    Payer SourceTotal Paid
    Medicare$474.9K
    Medicaid$63.6K

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The 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…10$18,350$220.2K
    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…60$590$34.5K
    45385The 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…50$440$20K
    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$1,810$19.9K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…20$940$16.9K
    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$980$16.6K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.20$750$15.8K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.20$660$15.2K
    19125The provider excises a single lesion previously identified by a preoperative radiological marker through an open incision.20$700$13.3K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk30$400$12.9K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685314020$6,790$108.7K
    29827698020$1,040$24.9K
    4538524453040$270$18.3K
    2988192020$920$16.5K
    2828591030$540$16.1K
    64721610020$410$12.4K
    19301295030$510$12.2K
    6232311722040$150$11.2K
    G01058826020$260$10.1K
    1912511020$620$9.9K

    Showing 1–10 of 22

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The 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.260$160$42K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…100$180$17.9K
    45380The 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…20$230$3.7K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…10$0$0
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)40$0$0
    C9290Injection, bupivacaine liposome, 1 mg10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    43239The 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.124220440$180$249.7K
    45380The 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…132150240$280$214.5K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…59110110$180$81.7K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…111130190$20$14.5K
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)5160350$20$11K
    C9290Injection, bupivacaine liposome, 1 mg101040$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Victory Clinical Services Iv, LLCMIMethadone Clinic$191.4K$19.2M
    Beacon Harbor Homes Inc.MIMental Illness Community Based Residential Treatment Facility$0$14.4M
    Towne Centre Surgery Center, LLCMIAmbulatory Surgical Clinic/Center$1.9M$927.9K
    Andersen Eye Surgery Center, LLCMIAmbulatory Surgical Clinic/Center$837.1K$157.2K
    Sundhar RamasamyMIOphthalmology Physician$797.6K$0
    Melanie MihlstinMIOphthalmology Physician$585.2K$0
    Nikolai KinachtchoukMIInternal Medicine Physician$381K$0
    David O'donnellMIDermatology Physician$376.8K$0
    Ryan KimMIVascular Surgery Physician$360.7K$0
    Jennifer PaulsonMIAdult Health Nurse Practitioner$312.8K$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. Michigan Distribution
    Mackinaw Surgery Center LLC — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Mackinaw Surgery Center LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan