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NPI 1841286267 · Medford, OR · Ambulatory Surgical Clinic/Center
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Surgery Center Of Southern Oregon, LLC is a ambulatory surgical clinic/center provider located in Medford, Oregon. This profile covers 36 Medicare and 13 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 | Surgery Center Of Southern Oregon, LLC |
| Address | 2798 E Barnett Rd |
| City | Medford |
| State | OR |
| ZIP | 97504 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 21, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.2M |
| Medicare | $2.7M |
SURGERY CENTER OF SOUTHERN OREGON, LLC is a long-tenured ambulatory surgical clinic/center in Medford, OR, with an NPI enumerated ~21 years ago. Its billing profile shows sustained facility-level procedural activity across both Medicare and Medicaid, consistent with an established ASCC serving surgical and endoscopic case mixes rather than being a new entrant or transient provider.
Medicare revenue totals $2.7M while Medicaid revenue totals $3.2M, indicating the provider receives slightly more lifetime revenue from Medicaid than Medicare. This dual-payer footprint means analyses and network negotiations should consider both payers rather than treating the center as effectively single-payer.
Revenue concentration on Medicare is moderately high: the precomputed top 3 Medicare codes account for 48.3% of the provider’s Medicare revenue, driven primarily by major joint arthroplasty and endoscopy codes such as 27447 and 27130 alongside 45385. This mix implies the center performs a combination of high-value orthopedic cases and high-volume endoscopic procedures under Medicare.
On Medicaid the revenue concentration is even higher: the top 3 Medicaid codes account for 56.1% of Medicaid revenue, led by endoscopic and related GI procedure codes (45385, 45378, 43239). The Medicaid case mix is heavily weighted toward colonoscopy and upper endoscopy services, suggesting the center operates a substantial GI screening/diagnostic volume for the state’s Medicaid population.
For several high-volume codes the center ranks well above typical peers, indicating regional or specialty dominance for certain services. Notably, Medicare 45385 ranks in the 99th percentile nationally (described as an extreme outlier) and multiple other Medicare endoscopy and pain/injection codes (e.g., 43235, 64721, 62323, 64493) are at or above the 98–99th percentiles, confirming unusually high national volume for those services.
State-level Medicaid ranks also show dominance in specific procedures: the center ranks #1 in-state for 64721 and 43235 and ranks at or near the top for colonoscopy codes (45385 at #6 but high-volume in-state; 45378 at the 96th percentile in-state). These standings indicate the center is a major in-state provider for both carpal tunnel surgery and endoscopy services under Medicaid.
The payer-specific service-line split suggests a dual operational focus: orthopedic joint replacement and other higher-reimbursement surgical procedures attract meaningful Medicare revenue (e.g., 27447, 27130), while Medicaid revenue is concentrated in high-volume GI endoscopy and minor orthopedic/carpal tunnel procedures (45385, 45378, 43239, 64721). Payers evaluating network impact or utilization management should treat the center as both an orthopedic procedural site and a high-capacity endoscopy center.
Several codes are flagged as statistical outliers or notably above typical volumes, which is informative for utilization review and capacity planning. Examples include Medicare 45385 and 43235 labeled as extreme outliers nationally, and multiple injection/facet and endoscopy codes in the 98–99th percentiles, indicating the center’s procedural throughput for these codes is far above typical national volumes and materially affects payer encounter volumes.
Because nearly half of Medicare revenue and over half of Medicaid revenue are concentrated in the top three codes for each payer, contract negotiations, utilization controls, or quality monitoring focused on those high-impact codes (e.g., Medicare top-3 = 48.3%; Medicaid top-3 = 56.1%) would address a disproportionate share of billing and clinical activity at this facility.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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 | $7,510 | $555.4K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 50 | $7,600 | $357.3K |
| 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… | 610 | $480 | $290.7K |
| 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… | 170 | $650 | $109K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 410 | $260 | $107.4K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 390 | $270 | $106.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 220 | $440 | $97.2K |
| 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… | 190 | $390 | $74.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 140 | $520 | $73.8K |
| 29827 | The 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 | $1,830 | $67.9K |
Showing 1–10 of 36
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
36 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 15 | 170 | 30 | $1,590 | $60.3K |
| 27130 | 22 | 110 | 30 | $1,610 | $53.1K |
| 28750 | 2 | 10 | 10 | $3,190 | $47.9K |
| 45385 | 4 | 230 | 50 | $310 | $25.2K |
| 64635 | 7 | 80 | 40 | $430 | $24K |
| G0260 | 4 | 20 | 60 | $220 | $23.9K |
| 63047 | 48 | 70 | 20 | $820 | $23.9K |
| 25609 | 5 | 10 | 10 | $1,380 | $23.5K |
| 29827 | 6 | 40 | 20 | $1,060 | $22.3K |
| 29828 | 6 | 20 | 20 | $1,100 | $20.9K |
Showing 1–10 of 36
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,790 | $380 | $684.8K |
| 45378 | The 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… | 1,780 | $320 | $562.8K |
| 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. | 2,080 | $270 | $554.3K |
| 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… | 1,430 | $380 | $547.4K |
| 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… | 720 | $620 | $439.7K |
| 43235 | The 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. | 1,360 | $270 | $372.9K |
| 29881 | The 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… | 10 | $1,260 | $16.4K |
| 64415 | The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more… | 50 | $310 | $15.8K |
| 20680 | Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal… | 10 | $800 | $11.2K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 40 | $190 | $8K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 6 | 40 | 310 | $420 | $325.7K |
| 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. | 10 | 60 | 350 | $260 | $251.9K |
| 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… | 9 | 50 | 200 | $370 | $238.2K |
| 45378 | The 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… | 2 | 30 | 70 | $390 | $111.2K |
| 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… | 1 | 10 | 90 | $530 | $87.2K |
| 43235 | The 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. | 1 | 20 | 20 | $250 | $46.8K |
| 29881 | The 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… | 3 | 10 | 50 | $790 | $37.2K |
| 20680 | Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal… | 2 | 10 | 30 | $740 | $20.8K |
| 76942 | Ultrasonography 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… | 3 | 20 | 70 | $30 | $18.6K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 3 | 10 | 80 | $110 | $10.6K |
Showing 1–10 of 13
Other providers in the same ZIP code as Surgery Center Of Southern Oregon, LLC, ranked by combined Medicare and Medicaid revenue.
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