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NPI 1881238632 · Waterloo, IA · Ambulatory Surgical Clinic/Center
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United Medical Park Asc LLC is a ambulatory surgical clinic/center provider located in Waterloo, Iowa. This profile covers 18 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | United Medical Park Asc LLC |
| Address | 1731 W Ridgeway Ave |
| City | Waterloo |
| State | IA |
| ZIP | 50701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 5, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $69.5K |
Provider profile and tenure: UNITED MEDICAL PARK ASC LLC is an ambulatory surgical clinic in WATERLOO, IA with NPI enumerated 2019-11-05 (~7 years ago), indicating several years of operational history as an ASC-level outpatient surgery site. The taxonomy and claims mix below are consistent with a multi-specialty ASC rather than a single-physician office practice.
Payer mix and scale: The practice is Medicare-dominant on scale, reporting Total Medicare revenue of $1M versus Total Medicaid revenue of $69.5K, so Medicare accounts for the vast majority of billed government payer revenue. Medicaid activity exists but is a much smaller share of this facility’s payer mix.
Medicare revenue concentration and service lines: The top 3 Medicare codes by revenue account for 66.3% of this provider's total Medicare revenue, driven primarily by 66984 (44.3%), 64561 (13.2%), and 27447 (8.8%). This concentration indicates the ASC’s core Medicare services are cataract surgery (66984) supplemented by sacral nerve electrode implantation (64561) and knee arthroplasty-related work (27447), signaling an operational model that supports ophthalmology as the primary service line with capacity for select orthopedic and interventional pain/urology procedures.
Medicaid revenue concentration and pediatric/ophthalmic mix: The top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, dominated by 69436 (82.3%) and 66984 (16.7%), with V2632 contributing 1.0%. The heavy Medicaid share for 69436 (tympanostomy with tube under general anesthesia) suggests notable pediatric ENT work billed to Medicaid, while 66984 shows the facility also performs cataract surgery for Medicaid patients.
Competitive standing on Medicare top codes: For Medicare cataract surgery 66984 the provider ranks #2628 of 15965 (84th percentile) and is described as a typical, unremarkable volume for the code, indicating solid but not market-leading cataract throughput nationally. By contrast, the provider’s ureteroscopy with lithotripsy and stent insertion 52356 ranks #123 of 3090 (96th percentile) and is labeled notably above typical national volume, making endourology a relative strength despite being a smaller share of total Medicare revenue.
Competitive standing on Medicaid top codes and statewide role: On Medicaid, tympanostomy 69436 ranks #33 of 52 in-state (37th percentile) and 66984 ranks #7 of 10 in-state (33th percentile), both characterized as typical or modest relative to peers; these ranks indicate the ASC is not a dominant statewide player for pediatric ENT or Medicaid cataract services but does have measurable activity.
Coding and supply artifacts: Medicaid entries include high-count supply/device codes with no associated paid revenue (A4649: 761 claims, $0 revenue; C1889: 121 claims, $0 revenue), which appears in the data as high-frequency supply/device reporting with $0 reported paid amounts; this pattern is an administrative signal analysts should review if supply/device accounting or claims adjudication nuances are relevant to cost or utilization analyses.
Concentration risk and operational implications: Given that the top three Medicare codes drive 66.3% of Medicare revenue and the top three Medicaid codes drive 100.0% of Medicaid revenue, the facility’s financial performance is highly concentrated in a small set of procedures (notably 66984 and 69436). That concentration creates sensitivity to reimbursement changes or referral shifts in those specific service lines and suggests payers and providers should monitor utilization trends for cataract and tympanostomy procedures closely.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 590 | $760 | $453.1K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 40 | $3,380 | $135.1K |
| 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… | 10 | $6,410 | $89.8K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 50 | $1,540 | $72.2K |
| 66991 | The 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… | 20 | $2,300 | $46K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 60 | $770 | $44.5K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 550 | $70 | $40.5K |
| 52332 | The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 30 | $880 | $29.8K |
| 49505 | The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it. | 20 | $1,040 | $22.8K |
| 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… | 40 | $590 | $21.9K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 3 | 10 | 740 | $100 | $161.9K |
| J1097 | 4 | 10 | 810 | $80 | $149.5K |
| 64561 | 2 | 10 | 30 | $2,190 | $65.6K |
| 66984 | 22 | 340 | 50 | $340 | $50.4K |
| 66991 | 13 | 20 | 30 | $1,360 | $50.2K |
| 27447 | 176 | 190 | 40 | $870 | $41.7K |
| 66982 | 22 | 60 | 40 | $450 | $39K |
| 45385 | 113 | 150 | 80 | $250 | $29.6K |
| 64721 | 24 | 50 | 30 | $430 | $20.5K |
| 52356 | 4 | 50 | 20 | $650 | $16.8K |
Showing 1–10 of 18
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 100 | $560 | $57.2K |
| 66984 | The 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… | 40 | $330 | $11.6K |
| V2632 | Posterior chamber intraocular lens | 30 | $20 | $660 |
| A4649 | Surgical supply; miscellaneous | 760 | $0 | $0 |
| C1889 | Implantable/insertable device, not otherwise classified | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The 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… | 7 | 10 | 130 | $580 | $506.8K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 33 | 50 | 170 | $410 | $153.8K |
| A4649 | Surgical supply; miscellaneous | 1 | 10 | 30 | $1 | $290 |
| V2632 | Posterior chamber intraocular lens | 3 | 10 | 30 | $1 | $130 |
| C1889 | Implantable/insertable device, not otherwise classified | 2 | 10 | 150 | $0 | $0 |
Other providers in the same ZIP code as United Medical Park Asc LLC, ranked by combined Medicare and Medicaid revenue.
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