Loading...
NPI 1881948073 · Gahanna, OH · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Central Ohio Urology Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Gahanna, Ohio. This profile covers 19 Medicare and 3 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 | Central Ohio Urology Surgery Center, LLC |
| Address | 701 Tech Center Dr Ste 200 |
| City | Gahanna |
| State | OH |
| ZIP | 43230 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 9, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $21.7K |
CENTRAL OHIO UROLOGY SURGERY CENTER, LLC is an ambulatory surgical clinic with a strong procedural focus on endoscopic bladder and prostate interventions and neuromodulation therapies, as evidenced by high-revenue Medicare codes such as 52000 (cystourethroscopy), 64590 (neurostimulator generator insertion), and C9740 (cystourethroscopy with transprostatic implant). The top Medicare procedural mix — including cystoscopy/ureteroscopy codes (52000, 52356, 52310) and neuromodulation codes (64590, 64561) — indicates the center operates as a procedure-driven specialty ASC concentrating on urologic diagnostics, stone management, implantable device therapy, and bladder interventions rather than primary care or medical management services.
Revenue concentration on Medicare is substantial: total Medicare revenue is $1.8M and the precomputed top 3 Medicare codes account for 47.4% of that Medicare revenue, indicating nearly half of Medicare receipts are driven by a small set of high-revenue procedures (notably 52000, 64590, and C9740). This concentration highlights operational dependence on those specific procedural lines for payer revenue stability.
By contrast, Medicaid revenue is minimal at $21.7K versus Medicare's $1.8M, making this facility effectively Medicare-dominant in scale and payer mix; Medicaid represents a very small share of lifetime revenue and is concentrated entirely in a single code, 52000, which accounts for 100.0% of Medicaid revenue. The provider is therefore functionally a single-payer (Medicare) revenue center in terms of scale, with Medicaid activity limited and focused.
Competitive standing for several Medicare codes shows the center performs at or above typical national volumes for multiple procedures: 52000 ranks #17 of 8548 providers nationally and is labeled an "extreme outlier, far above typical national volume," indicating unusually high cystoscopy volume relative to peers. Several other codes such as 50590, 55700, 52287, and 52310 rank in very high percentiles (96th–99th) and are described as "extreme outlier" or "notably above typical national volume," suggesting the center is a high-volume regional performer for stone procedures, cystoscopy-related services, and certain bladder interventions.
For specific neuromodulation and implantable device therapies, the center has meaningful Medicare revenue from 64590 ($368.9K, 20.9% of Medicare revenue) and 64561 ($167.6K, 9.5% of Medicare revenue); these codes rank in mid-to-high national percentiles (76th–79th) and are characterized as “typical, unremarkable volume,” which implies the practice offers these specialized services consistently but is not a national leader for device implantation. The presence of both generator insertion and sacral electrode implantation revenue streams underscores an established neuromodulation service line within the ASC.
Medicaid competitiveness within Ohio for the single billed code 52000 is modest: Medicaid 52000 ranks #32 of 50 in-state (35th percentile) and is described as "typical, unremarkable volume," indicating the center’s Medicaid cystoscopy activity is below the state median among peers despite the procedure dominating its modest Medicaid revenue. This suggests the provider’s Medicaid footprint is limited and not a primary competitive advantage.
The provider has long-tenure enrollment: NPI enumerated approximately 2012-11-09 (~14 years ago), which supports that the center has been operating and billing through Medicare and Medicaid for over a decade, allowing time to develop the high procedural volumes observed in Medicare. Sustained billing history aligns with the high-volume cystoscopy and procedure-dominant profile reflected in the Medicare data.
Several Medicare codes show extreme concentration and outlier status that could be operationally material: 52000 is an "extreme outlier, far above typical national volume" and accounts for $220.4K (12.5% of Medicare revenue), while 64590 alone contributes $368.9K (20.9% of Medicare revenue). Together with the precomputed top-3 share (47.4%), these patterns indicate a narrow set of high-volume, high-revenue services drive the ASC’s financial performance and should be a focus for payer contracts, network adequacy assessments, and utilization management reviews.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 30 | $14,760 | $368.9K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 50 | $5,500 | $247.6K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 1,080 | $210 | $220.4K |
| 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 | $3,810 | $167.6K |
| 55700 | Code deleted December 31, 2025. | 260 | $640 | $165.5K |
| 50590 | Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters. | 100 | $1,030 | $98.2K |
| 52287 | The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the… | 130 | $640 | $83.1K |
| 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 | $1,640 | $81.9K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 15,880 | $10 | $79.4K |
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 120 | $640 | $74.6K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 2 | 10 | 80 | $5,440 | $424.4K |
| J0585 | 26 | 100 | 7,600 | $1 | $52.1K |
| 64590 | 1 | 10 | 20 | $3,020 | $51.4K |
| 64561 | 1 | 20 | 20 | $1,400 | $32.1K |
| 52648 | 7 | 30 | 20 | $700 | $18.2K |
| 50590 | 2 | 50 | 20 | $590 | $16K |
| 52601 | 13 | 30 | 10 | $750 | $13.4K |
| 52281 | 16 | 30 | 20 | $290 | $10.9K |
| 52000 | 2 | 340 | 70 | $120 | $10.5K |
| 52356 | 8 | 140 | 20 | $450 | $10.3K |
Showing 1–10 of 19
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 50 | $420 | $21.7K |
| G8907 | Patient 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… | 10 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 32 | 50 | 90 | $360 | $91.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 31 | 40 | 40 | $1 | $100 |
| G8907 | Patient 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… | 49 | 50 | 90 | $1 | $60 |
Other providers in the same ZIP code as Central Ohio Urology Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Divine Home Health Care LLC | OH | Home Health Agency | $0 | $26.3M |
| Ebe Healthcare, LLC | OH | Home Health Agency | $0 | $21.2M |
| Spring Home Health Care LLC | OH | Home Health Agency | $0 | $17.2M |
| Premier Home Care, Corp. | OH | Home Health Agency | $0 | $14.8M |
| Nationwide Home Healthcare, Corp. | OH | Home Health Agency | $0 | $11.8M |
| Marimart Health Care Plus LLC | OH | Home Health Agency | $0 | $9.5M |
| Sleepytime Surgery Center, LLC | OH | Ambulatory Surgical Clinic/Center | $0 | $7.5M |
| Echo Hospice Of Ohio, LLC | OH | Community Based Hospice Care Agency | $0 | $7.5M |
| Walnut Creek Surgical Suites, LLC | OH | Ambulatory Surgical Clinic/Center | $1M | $0 |
| Adam Weiser | OH | Urology Physician | $503.5K | $0 |
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.