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    OpenPayerNPI Medicare & MedicaidBall Outpatient Surgery Center, LLC
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    Ball Outpatient Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1871720540 · Muncie, IN · Ambulatory Surgical Clinic/Center

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    Ball Outpatient Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Muncie, Indiana. This profile covers 30 Medicare and 24 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
    OrganizationBall Outpatient Surgery Center, LLC
    Address2401 W University Ave
    CityMuncie
    StateIN
    ZIP47303
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 19, 2009

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

    Payer SourceTotal Paid
    Medicaid$1.7M
    Medicare$1.2M

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…20$18,940$435.7K
    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…350$430$149.8K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.30$3,770$128K
    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…60$830$51.6K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.40$1,000$43K
    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.150$250$37.4K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.40$990$36.4K
    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…110$310$34.8K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.50$620$33K
    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…120$260$31.6K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685135020$8,700$174.1K
    63650395050$1,870$110.5K
    6698419845050$480$87.5K
    J058576808,460$1$51K
    453851437060$260$26.5K
    6682112524060$200$23.1K
    644836119060$180$17.8K
    G026063070$210$16.7K
    646354415030$360$16.1K
    19301445020$530$13.8K

    Showing 1–10 of 30

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1,580$510$801K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…650$950$618.5K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.330$490$159.9K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.60$670$40.8K
    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.170$160$26.6K
    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…60$210$13K
    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…60$140$8.6K
    D0150Comprehensive oral evaluation – new or established patient210$1$820
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)120$10$710
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…650$1$650

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.430450$1,270$886.9K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…210230$1,990$624K
    D2930N/A1131701,180$130$370.2K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.153060$840$335.8K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…77140830$50$265K
    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.83130360$280$234.4K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2160150$480$221.3K
    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…3660100$590$187.8K
    D1351Sealant - per tooth385450780$20$118.4K
    D2934N/A1010250$130$114K

    Showing 1–10 of 24

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Indiana University Health Ball Memorial Hospital, Inc.INGeneral Acute Care Hospital$0$44.5M
    Hillcroft Services, IncINSocial Worker$0$26.1M
    Indiana University Health Ball Memorial Physicians, Inc.INFamily Medicine Physician$0$26M
    Meridian Health Services CorpINPsychiatric Hospital$0$3.4M
    Open Door Health Services, Inc.INFederally Qualified Health Center (FQHC)$0$3M
    Henry LeeINRadiation Oncology Physician$868.5K$0
    Drew AndersonINDermatology Physician$788.5K$0
    Brett AustinINDermatology Physician$676.5K$0
    Muhammad Sarfraz NawazINHematology & Oncology Physician$420.1K$0
    Elizabeth PeacockINDermatology Physician$289.6K$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. Indiana Distribution
    Ball Outpatient Surgery Center, LLC — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana
    Medicaid Revenue by Year vs. Indiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Ball Outpatient Surgery Center, LLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana