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    OpenPayerNPI Medicare & MedicaidSurgery Center Jv
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    Surgery Center Jv — Billing Profile & Reimbursement Data

    NPI 1841342789 · Huntsville, AL · Ambulatory Surgical Clinic/Center

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    Surgery Center Jv is a ambulatory surgical clinic/center provider located in Huntsville, Alabama. This profile covers 65 Medicare and 4 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
    OrganizationSurgery Center Jv
    Address721 Madison St Se
    CityHuntsville
    StateAL
    ZIP35801
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 18, 2007

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

    Payer SourceTotal Paid
    Medicare$3.5M
    Medicaid$125.4K

    Key Findings

    Payer mix is heavily Medicare-weighted: the provider reports Total Medicare revenue of $3.5M versus Total Medicaid revenue of $125.4K, so Medicare dominates the facility’s lifetime revenue profile and Medicaid represents only a small share of billed activity. This suggests the center operates primarily in the Medicare outpatient surgical market rather than relying on Medicaid volume.

    Medicare revenue is concentrated in a few high-value codes: the precomputed top 3 Medicare codes account for 48.5% of the provider's total Medicare revenue, led by 66984 ($1.1M, 35.3%), followed by 29827 ($259.7K, 8.7%) and 64493 ($133.6K, 4.5%). This level of concentration indicates that a small number of procedure types drive nearly half of Medicare receipts.

    The facility’s code mix and taxonomy (Ambulatory Surgical Clinic/Center) indicate a multi-specialty ambulatory surgical operation with major activity in ophthalmology, orthopedics/arthroscopy, and interventional pain procedures. High-revenue codes include cataract extraction with intraocular lens insertion (66984), multiple shoulder arthroscopy/rotator cuff repair codes (29827, 29823, 29824, 29828), and lumbar/sacral facet and epidural injections (64493, 64483), consistent with an ASC organized around ophthalmic, orthopedic, and spine/pain service lines.

    Several orthopedic arthroscopy and hand-surgery codes show nationally exceptional volume, marking the center as a specialty outlier in these procedures: 29827 ranks #7 of 3445 providers nationally (100th percentile; extreme outlier), 29823 ranks #1 of 1675 (100th percentile; extreme outlier), and 29824 ranks #3 of 1304 (100th percentile; extreme outlier). These rankings suggest the ASC is a major regional or national destination for shoulder arthroscopy and related soft-tissue procedures.

    Interventional pain and spine procedures also appear as a meaningful service line with above-typical activity: 64493 produced $133.6K and ranks #33 of 7519 providers nationally (100th percentile; extreme outlier), while 64483 produced $127.4K and ranks #225 of 8202 (97th percentile; notably above typical). The combination of high counts and elevated ranks for these injection codes supports the presence of a dedicated pain/spine program at the center.

    Medicaid billing is highly concentrated and modest in scale: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 43239 alone representing $125.4K (99.8% of this provider's total Medicaid revenue) and ranking #12 of 64 in-state (83rd percentile; typical, unremarkable volume). This indicates the provider’s Medicaid activity is almost entirely upper endoscopy/biopsy work and that the center is not a leading Medicaid endoscopy provider within the state.

    Operational tenure is long-established: the NPI was enumerated on 2007-01-18 (~19 years ago), so the center has an extended operating history which aligns with its multi-specialty case mix and cumulative Medicare revenue of $3.5M. That longevity supports a mature outpatient surgical operation rather than a newly launched facility.

    There is a nuanced competitive profile across specialties: although 66984 is the single largest Medicare revenue driver at $1.1M (35.3%), it ranks #1552 of 15965 nationally (90th percentile; typical, unremarkable volume), meaning cataract surgery generates substantial absolute revenue but is not unusually concentrated versus national peers. By contrast, multiple arthroscopy and injection codes are extreme outliers or notably above typical volume, indicating the center’s competitive advantage is concentrated in orthopedics and pain procedures rather than being uniformly dominant across all its service lines.

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…1,410$740$1.1M
    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…140$1,870$259.7K
    64493The 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…580$230$133.6K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…100$1,360$131.6K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).470$270$127.4K
    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…190$550$102.5K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…180$530$96.7K
    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…40$2,220$91K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…40$2,320$88K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…130$670$85.5K

    Showing 1–10 of 65

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 65 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    65 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6699171040$1,250$73.9K
    6698486280230$70$65.2K
    2875011020$2,190$37.3K
    2765411010$2,430$31.6K
    3125311030$1,010$29.2K
    6704011020$1,090$28.4K
    15823102030$490$25.1K
    15260213020$660$25K
    6704212020$940$24.6K
    3126721020$810$24.3K

    Showing 1–10 of 65

    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.

    4 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.580$220$125.3K
    66984The 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…110$1$220
    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…1,390$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis1,110$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Alabama median

    4 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.1260110$190$74.7K
    66984The 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…103070$60$10.2K
    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…230220$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis220150$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Valley Neonatology, IncALNeonatal-Perinatal Medicine Physician$0$22.2M
    The Health Care Authority Of The City Of HuntsvilleALGeneral Acute Care Hospital$0$17.8M
    Happi HealthALFederally Qualified Health Center (FQHC)$0$17.6M
    Emergency Physicians GroupALEmergency Medicine Physician$0$13.5M
    Healthgroup Of AlabamaALContractor$0$13.4M
    The Valley FoundationALMulti-Specialty Clinic/Center$0$11.3M
    David WhiteALNeurology Physician$7M$0
    The Children's Hospital Of AlabamaALPediatric Pulmonology Physician$0$5.6M
    Huntsville Pediatric Associates, LLCALPediatrics Physician$0$4.8M
    Dental Associates Of Huntsville, LLCALGeneral Practice Dentistry$0$4.7M

    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. Alabama Distribution
    Surgery Center Jv — 18 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Surgery Center Jv — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama