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NPI 1962463133 · Troy, MI · Ambulatory Surgical Clinic/Center
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Surgical Centers Of Michigan, LLC. is a ambulatory surgical clinic/center provider located in Troy, Michigan. This profile covers 13 Medicare and 1 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 | Surgical Centers Of Michigan, LLC. |
| Address | 4600 Investment Dr |
| City | Troy |
| State | MI |
| ZIP | 48098 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $830.8K |
| Medicaid | $10.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 45385 | The 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… | 520 | $440 | $227.9K |
| 45380 | The 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… | 580 | $340 | $196.7K |
| 43239 | The 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. | 610 | $230 | $143.2K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 230 | $400 | $94.3K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 140 | $400 | $54.4K |
| 43235 | The 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. | 90 | $250 | $23.2K |
| 45378 | The 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… | 70 | $320 | $21.4K |
| 43450 | The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing. | 60 | $280 | $17.3K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 60 | $280 | $16.1K |
| 45384 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy… | 50 | $260 | $13.4K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The 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. | 50 | $200 | $10.3K |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The 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. | 174 | 220 | 440 | $180 | $249.7K |
Other providers in the same ZIP code as Surgical Centers Of Michigan, LLC., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Oakland Community Health Network | MI | Community/Behavioral Health Agency | $0 | $19.2M |
| Usc, LLC | MI | Ambulatory Surgical Clinic/Center | $2.7M | $0 |
| Hassan Bazzi | MI | Internal Medicine Physician | $359.7K | $0 |
| Joseph Skoney | MI | Internal Medicine Physician | $314.7K | $0 |
| Neil Fraser | MI | Internal Medicine Physician | $309.5K | $0 |
| Brian Williamson | MI | Clinical Cardiac Electrophysiology Physician | $296K | $0 |
| Janet Dubeck | MI | Internal Medicine Physician | $260.2K | $0 |
| Jami Small | MI | Internal Medicine Physician | $253.1K | $0 |
| Timothy Tinetti | MI | Internal Medicine Physician | $249.1K | $0 |
| David Cragg | MI | Cardiovascular Disease Physician | $243.3K | $0 |
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