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    OpenPayerNPI Medicare & MedicaidAcadiana Surgery Center, Inc.
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    Acadiana Surgery Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1871593269 · New Iberia, LA · Ambulatory Surgical Clinic/Center

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    Acadiana Surgery Center, Inc. is a ambulatory surgical clinic/center provider located in New Iberia, Louisiana. This profile covers 8 Medicare and 5 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
    OrganizationAcadiana Surgery Center, Inc.
    Address2309 E Main St
    CityNew Iberia
    StateLA
    ZIP70560
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 28, 2005

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

    Payer SourceTotal Paid
    Medicaid$625K
    Medicare$207.4K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0105Colorectal cancer screening; colonoscopy on individual at high risk160$370$60.8K
    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…140$390$53.2K
    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.120$260$30.8K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk50$380$17.7K
    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…40$400$15K
    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…50$280$13.9K
    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$270$9.9K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.20$300$6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538514823060$270$27.5K
    432397025060$120$12.4K
    G0105915030$260$12.2K
    453802622040$170$11.6K
    43450496060$130$10K
    G01211914020$260$8.2K
    453781812020$180$5.4K
    432352711020$110$3.8K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,850$160$301.9K
    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.1,650$140$227.1K
    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.350$140$49.4K
    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…350$130$45.8K
    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…980$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

    5 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.35160380$170$194.7K
    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…2870190$160$98K
    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…490120$180$83.8K
    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.420120$130$35.9K
    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…1350320$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Of IberiaLAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$72.5M
    Hulin Urgent Care Services LLCLAUrgent Care Clinic/Center$0$31.8M
    Hospital Service District No. 1 Of Iberia ParishLAGeneral Acute Care Hospital$0$20.4M
    The Arc Of Iberia, Inc.LADevelopmentally Disabled Services Day Training Agency$0$13.3M
    Helping Hands Of AcadianaLADevelopmentally Disabled Services Day Training Agency$0$10.3M
    A & L Personal Care, Inc.LAHome Health Agency$0$9.8M
    Main Street Emergency Group LLCLAEmergency Medicine Physician$0$9.4M
    The Arc Of IberiaLADevelopmentally Disabled Services Day Training Agency$0$7.9M
    A & L Personal Care, Inc.LAHome Health Agency$0$7.5M
    Home Sweet Home Personal Care Services, Inc.LAHome Health Agency$0$7.5M

    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
    Acadiana Surgery Center, Inc. — 0 of 8 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
    Acadiana Surgery Center, Inc. — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana