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    OpenPayerNPI Medicare & MedicaidThibodaux Surgery Center, LLC
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    Thibodaux Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1801949631 · Thibodaux, LA · Ambulatory Surgical Clinic/Center

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    Thibodaux Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Thibodaux, Louisiana. This profile covers 19 Medicare and 8 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
    OrganizationThibodaux Surgery Center, LLC
    Address604 N Acadia Rd
    CityThibodaux
    StateLA
    ZIP70301
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 18, 2007

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

    Payer SourceTotal Paid
    Medicare$694.5K
    Medicaid$251.2K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…70$6,100$402.7K
    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…40$1,610$67.5K
    29848The 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.90$420$37.7K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…40$930$33.6K
    26055Trigger 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…80$370$29.6K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…10$1,830$25.6K
    C9290Injection, bupivacaine liposome, 1 mg23,280$1$23.3K
    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$950$18K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…20$510$9.3K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…20$350$8.4K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274472516030$890$35.5K
    2984811040$380$19.3K
    2982736020$790$15K
    2988011020$710$13.4K
    4323923725060$120$12.4K
    29828132020$660$10.5K
    2988132010$650$10.5K
    45384213030$190$10.2K
    C92901106,380$1$10.2K
    5200011613050$140$9.9K

    Showing 1–10 of 19

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1,950$70$132.5K
    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.450$150$68.1K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.270$100$28.1K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.160$120$18.3K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…30$110$3.5K
    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…10$110$1.3K
    30210To treat an infection of the ethmoid and sphenoid sinuses, the physician drains them in a Proetz–type displacement therapy.70$0$0
    G8907Patient 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…200$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    8 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.76160380$170$194.7K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1480220$140$122.4K
    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…7170190$160$98K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…1120170$120$90.3K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.2550180$240$75.4K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.1040110$240$73.8K
    30210To treat an infection of the ethmoid and sphenoid sinuses, the physician drains them in a Proetz–type displacement therapy.310160$30$9K
    G8907Patient 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…3250320$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lafourche ArcLAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$41.6M
    Magnolia Family Services LLCLACommunity/Behavioral Health Agency$0$31.4M
    Leading Health Care Of La, Inc.LAIn Home Supportive Care Agency$0$19.2M
    Thibodaux Regional Health System IncLAGeneral Acute Care Hospital$0$12.6M
    Easter Seals Louisiana Inc.LACase Management Agency$0$10.7M
    Raja Talluri Md A Professional Medical CorporationLARural Health Clinic/Center$0$10.6M
    The Center For Pediatric And Adolescent Medicine,llcLAPediatric Adolescent Medicine Physician$0$9.5M
    Merakey PennsylvaniaLACommunity/Behavioral Health Agency$0$9.3M
    Thibodaux Emergency Physicians Group LLCLAEmergency Medicine Physician$0$7.7M
    Medical Resources & Guidance, Inc.LACase Management Agency$0$7.7M

    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. Louisiana Distribution
    Thibodaux Surgery Center, LLC — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Thibodaux Surgery Center, LLC — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana