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    OpenPayerNPI Medicare & MedicaidMethodist Medical Center Asc LP
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    Methodist Medical Center Asc LP — Billing Profile & Reimbursement Data

    NPI 1972570117 · San Antonio, TX · Ambulatory Surgical Clinic/Center

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    Methodist Medical Center Asc LP is a ambulatory surgical clinic/center provider located in San Antonio, Texas. This profile covers 25 Medicare and 6 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
    OrganizationMethodist Medical Center Asc LP
    Address4411 Medical Dr
    CitySan Antonio
    StateTX
    ZIP78229
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMarch 7, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$750.1K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…550$770$422.5K
    V2785Processing, preserving and transporting corneal tissue40$3,330$143.2K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…80$1,020$83.8K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.40$1,070$44.9K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.30$1,430$43K
    66982The 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…50$790$42.4K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…60$660$41.6K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.70$570$40.3K
    60500In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…20$1,780$37.4K
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…40$1,010$35.5K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V278532020$3,450$127.5K
    6698494990100$560$113.9K
    6575674020$1,110$32.2K
    66180132020$1,430$31.5K
    66174404030$690$26.3K
    669824327020$650$23.4K
    14301159020$690$19.2K
    31267144020$800$18.3K
    453809351,16050$190$16.4K
    6050093020$740$15.5K

    Showing 1–10 of 25

    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.

    6 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.790$650$517.8K
    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.630$200$126.8K
    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…190$380$71.4K
    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…40$940$34K
    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…20$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    6 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.2270370$760$1M
    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…1820330$1,140$456.9K
    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.2416080$160$64.7K
    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…144070$190$49.6K
    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…110140110$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis7080100$0$0

    Nearby Providers

    Other providers in the same ZIP code as Methodist Medical Center Asc LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bexar County Hospital DistrictTXGeneral Acute Care Hospital$0$91.4M
    A Plus Family Care LLCTXHome Health Agency$0$72.7M
    Methodist Healthcare System Of San Antonio, Ltd., L.L.P.TXGeneral Acute Care Hospital$0$68M
    Casa Linda Homecare, Inc.TXHome Health Agency$0$39.7M
    Axiom Home Health LLCTXHome Health Agency$0$39.2M
    University Of Texas Health Science Center At San AntonioTXInternal Medicine Physician$0$35.5M
    Easter Seal Rehabilitation CenterTXRegistered Dietitian$0$24.2M
    Access Quality Therapy Services, LLCTXHome Health Agency$0$23.4M
    Emergency Medicine Services Of Tx, PLLCTXEmergency Medicine Physician$0$15M
    San Rafael Healthcare, IncTXHome Health Agency$0$13.6M

    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. Texas Distribution
    Methodist Medical Center Asc LP — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Methodist Medical Center Asc LP — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas