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    OpenPayerNPI Medicare & MedicaidWausau Surgery Center LLC
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    Wausau Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1851356786 · Wausau, WI · Ambulatory Surgical Clinic/Center

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    Wausau Surgery Center LLC is a ambulatory surgical clinic/center provider located in Wausau, Wisconsin. This profile covers 11 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
    OrganizationWausau Surgery Center LLC
    Address3801 Stewart Ave
    CityWausau
    StateWI
    ZIP54401
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 20, 2006

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

    Payer SourceTotal Paid
    Medicare$554.9K
    Medicaid$126.6K

    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.

    11 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…40$6,720$289K
    27130In 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…20$6,530$137K
    31267In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus…20$1,220$24.3K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…30$930$24.1K
    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…40$550$23.6K
    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…40$430$17.5K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…30$490$12.3K
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).30$420$10.4K
    30520Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.10$640$7.1K
    26160In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.10$490$5.9K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274476628030$990$33.8K
    2713011322020$970$25.1K
    3126731020$990$19.8K
    64721188030$390$12.3K
    C92906105,790$1$11.5K
    2648021020$510$10.6K
    26055136030$280$8.8K
    2544721010$550$8.7K
    3014061030$180$7.8K
    3052031010$540$7.1K

    Showing 1–10 of 11

    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
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.100$750$76K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.300$170$50.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.82050$400$216.3K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.72020$660$205.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Impressions ScWIPediatric Dentistry$0$17.3M
    Aspirus Wausau Hospital, Inc.WIGeneral Acute Care Hospital$0$16.3M
    Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.WINon-Surgical Family Planning Clinic/Center$0$10.2M
    Aspirus Wausau Hospital, Inc.WILand Ambulance$4M$6.1M
    Aspirus Wausau Hospital, Inc.WIClinical Medical Laboratory$0$6.9M
    Aspirus Vna Home Health IncWIInpatient Hospice$0$3.2M
    Northwest Counseling & Guidance ClinicWIAdolescent and Children Mental Health Clinic/Center$0$3M
    Aspirus Wausau Hospital, IncWIEmergency Medicine Physician$0$2.7M
    Aspirus Vna Home Health Inc.WIDurable Medical Equipment & Medical Supplies$0$2.4M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M

    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. Wisconsin Distribution
    Wausau Surgery Center LLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Wausau Surgery Center LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin