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    OpenPayerNPI Medicare & MedicaidThe Outpatient Center, LLC
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    The Outpatient Center, LLC — Billing Profile & Reimbursement Data

    NPI 1811001860 · Boynton Beach, FL · Ambulatory Surgical Clinic/Center

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    The Outpatient Center, LLC is a ambulatory surgical clinic/center provider located in Boynton Beach, Florida. This profile covers 14 Medicare and 2 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
    OrganizationThe Outpatient Center, LLC
    Address2531 South Seacrest Boulevard
    CityBoynton Beach
    StateFL
    ZIP33435
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 18, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…850$430$366.4K
    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.1,180$210$250.4K
    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…710$330$236.5K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk280$400$110.6K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk170$400$67K
    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$300$30.4K
    43249The 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.50$550$29.8K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.50$220$11.4K
    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$400$11.2K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$280$10.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45385131,14060$300$31K
    45380161,16050$200$18.7K
    4323991,26080$130$16.8K
    6232333458050$170$14.8K
    G01051370030$280$14.6K
    45384429030$210$12.2K
    432495430020$300$10.9K
    G01211264020$280$10K
    432515210020$330$9.8K
    453783167020$200$6.5K

    Showing 1–10 of 14

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…9610060$1$20
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis485070$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Outpatient Center, LLCFLAmbulatory Surgical Clinic/Center$1.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bethesda Hospital, Inc.FLGeneral Acute Care Hospital$0$23.2M
    James ParsonsFLRadiation Oncology Physician$1.1M$0
    Elvis GrandicFLAdult Reconstructive Orthopaedic Surgery Physician$849.6K$0
    Joseph GretzulaFLDermatology Physician$838.4K$0
    George DanielFLCardiovascular Disease Physician$763.2K$0
    Eric ShapiroFLOrthopaedic Surgery Physician$645.1K$0
    Glenn ChapmanFLNeuromusculoskeletal Medicine & OMM Physician$481K$0
    Sami DagherFLInterventional Pain Medicine Physician$481K$0
    Brandon LuskinFLOrthopaedic Hand Surgery Physician$467.8K$0
    Daniel BaluchFLOrthopaedic Surgery of the Spine Physician$456.3K$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. Florida Distribution
    The Outpatient Center, LLC — 6 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    The Outpatient Center, LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida