Loading...
NPI 1790742328 · North Little Rock, AR · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Springhill Surgery Center, LLC is a ambulatory surgical clinic/center provider located in North Little Rock, Arkansas. This profile covers 30 Medicare and 5 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 | Springhill Surgery Center, LLC |
| Address | 3401 Springhill Dr |
| City | North Little Rock |
| State | AR |
| ZIP | 72117 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $389.7K |
SPRINGHILL SURGERY CENTER, LLC presents as an established ambulatory surgical clinic/center that bills a mix of ophthalmic and endoscopic procedures. Its top Medicare revenue contributors include 66984 (cataract extraction with intraocular lens) generating $617.2K (29.2% of Medicare revenue), and two high-volume colorectal procedures 45380 and 45385 contributing $217K (10.3%) and $195K (9.2%) respectively; the top 3 Medicare codes by revenue account for 48.6% of its Medicare income, indicating concentrated dependence on a few procedure lines. These code-level revenues and the taxonomy align with a multi-specialty ASC model that combines ophthalmology (cataract and glaucoma-related procedures) with gastroenterology (diagnostic and therapeutic endoscopy).
Medicare revenue ($2.2M) substantially exceeds Medicaid revenue ($389.7K), so the facility is effectively Medicare-dominant in scale. Medicaid activity is present but materially smaller in dollar terms, meaning payer mix exposure is weighted toward Medicare beneficiaries and fee-for-service Medicare payments. This asymmetry suggests payment policy or referral patterns will have a greater financial impact through Medicare than through Medicaid.
Medicaid billing is highly concentrated: the top 3 Medicaid codes account for 100.0% of Medicaid revenue and a single code, 43239 (EGD with biopsy), accounts for $351.1K or 90.0% of the provider’s Medicaid revenue. Within Arkansas, the provider ranks #11 of 76 for 43239 (87th percentile, described as typical volume), indicating it is a meaningful state-level participant for EGD biopsy services but not necessarily dominant. The Medicaid profile points to a narrow service mix for that payer, centered on upper-GI diagnostic procedures.
Several Medicare procedure volumes are extreme outliers or notably above typical national volumes, signaling strong national-level activity in specific endoscopic services. In particular, 45380 ranks #139 of 16427 nationally (99th percentile; extreme outlier) and 43239 ranks #135 of 17140 (99th percentile; extreme outlier), while 45385 ranks #330 of 16310 (98th percentile; notably above typical). By contrast, 66984 (cataract surgery) ranks #2196 of 15965 (86th percentile; typical, unremarkable volume), showing the center is exceptionally high-volume in select GI procedures but only typical among cataract surgery peers.
The presence of ophthalmic device and glaucoma procedures (66183 revenue $94.1K, 66174 revenue $93.7K) alongside high-volume GI codes suggests the ASC supports both ophthalmology and gastroenterology service lines rather than being a single-specialty stand-alone endoscopy center. This procedural breadth spreads revenue across specialties, though Medicare income remains concentrated in the top three codes. Ancillary procedures (e.g., laparoscopic cholecystectomy 47563 and various minor surgical codes) appear as smaller but diverse revenue contributors, consistent with an ASC offering multiple outpatient surgical services.
From a competitive-risk perspective, the provider’s extreme national percentile ranks on core endoscopy codes indicate it is a major national outlier in volume for those services and therefore competes at scale for GI procedural throughput; payers and network managers should treat its colonoscopy/EGD capacity as materially larger than most peers. For ophthalmic services the provider’s national standing is more typical, so competitive leverage is concentrated in GI rather than eye surgery. Medicaid rankings for the same codes are lower in-state, so local competitive dominance is less pronounced than the national Medicare signal.
The billing pattern shows payer-specific service mix differences that could reflect referral networks, population needs, or contract routing: Medicare claims are split across high-revenue cataract and colonic procedures, while Medicaid billing is overwhelmingly concentrated in upper-GI endoscopy (43239). Such divergence implies that utilization management or reimbursement policy changes by one payer (especially Medicare) are likely to affect different parts of the facility’s service portfolio and revenue base than changes in Medicaid. Monitoring payer-specific trends for EGD and colonoscopy will therefore be important for forecasting revenue sensitivity.
The provider has an NPI enumerated on 2006-04-27 (~20 years ago), indicating a long-tenured operation. That duration, combined with concentrated high-volume billing in a few specific codes, suggests an established referral footprint and operational focus on the procedural lines that drive most revenue; analysts assessing network agreements or utilization should consider both the provider’s longevity and its concentrated code-level exposure.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 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… | 820 | $750 | $617.2K |
| 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… | 610 | $350 | $217K |
| 45385 | The 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… | 480 | $410 | $195K |
| 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. | 670 | $220 | $143.8K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1,130 | $100 | $111.9K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 50 | $2,090 | $94K |
| 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. | 70 | $1,400 | $93.7K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 140 | $530 | $76.4K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 180 | $390 | $68.1K |
| 47563 | The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and… | 40 | $1,810 | $66.8K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 11 | 210 | 60 | $430 | $90.5K |
| 66183 | 3 | 10 | 30 | $1,540 | $49.4K |
| 15260 | 18 | 20 | 20 | $690 | $46.7K |
| 66170 | 5 | 10 | 30 | $630 | $46.3K |
| 66174 | 4 | 10 | 30 | $930 | $41.7K |
| J1096 | 1 | 10 | 110 | $100 | $35.2K |
| 65820 | 5 | 10 | 40 | $1,060 | $34K |
| 64635 | 78 | 90 | 70 | $350 | $29.5K |
| 45385 | 4 | 130 | 70 | $250 | $27.9K |
| 45388 | 15 | 20 | 40 | $410 | $25.7K |
Showing 1–10 of 30
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 1,660 | $210 | $351.1K |
| 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… | 100 | $310 | $30K |
| 45385 | The 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… | 30 | $310 | $9K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 130 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 11 | 80 | 300 | $190 | $134K |
| 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… | 10 | 20 | 140 | $170 | $34.9K |
| 45385 | The 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… | 13 | 20 | 40 | $130 | $17K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 12 | 30 | 40 | $1 | $30 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 14 | 30 | 50 | $1 | $20 |
Other providers in the same ZIP code as Springhill Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Baptist Health | AR | General Acute Care Hospital | $0 | $14M |
| Habibis Durable Medical Equipment | AR | Nursing Facility Supplies (DME) | $0 | $6.5M |
| Professional Counseling Associates Inc. | AR | Community/Behavioral Health Agency | $0 | $2.2M |
| Arkansas Pain Centers, Ltd | AR | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $0 | $1.9M |
| Kevin Collins | AR | Physical Medicine & Rehabilitation Physician | $713.2K | $220.7K |
| Jeff Thomas | AR | Medical Physician Assistant | $870.2K | $0 |
| Ronald Kuhn | AR | Urology Physician | $676.1K | $0 |
| Butchaiah Garlapati | AR | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $603K | $54K |
| Andrew Perin | AR | Ophthalmology Physician | $378.8K | $0 |
| John Burks | AR | Ophthalmology Physician | $321.4K | $0 |
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.