Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Novi Surgery Center LLC (NPI 1972711471)

Key Findings

Field	Value
Entity Type	Organization
Organization	Novi Surgery Center LLC
Address	25500 Meadowbrook Road
City	Novi
State	MI
ZIP	48375
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 18, 2007

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

NOVI SURGERY CENTER LLC’s Medicare business is concentrated in ophthalmology and interventional pain/spine procedures, with cataract extraction with intraocular lens insertion (66984) representing the single largest revenue source and additional significant revenue coming from spinal neurostimulator and epidural electrode placement codes (63685, 63650). The mix of high-volume cataract claims alongside lower-volume but high-paid spine implantation procedures suggests the center routinely manages same-day ophthalmic surgery while also providing specialized implantable pain management services.

Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 73.5% of this provider’s total Medicare revenue, indicating the organization depends heavily on a small set of procedures for the majority of its Medicare receipts. Operational or strategic changes affecting those specific services could therefore have outsized impact on overall Medicare revenue.

Scale and payer mix: lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file, meaning this provider is effectively single-payer (Medicare)-dependent in the available public claims data. Analysts should treat the entity as Medicare-focused when modeling expected payer flows or contracting opportunities in the near term.

Competitive standing on Medicare for the dominant cataract code 66984 is typical volume nationally: the provider’s 66984 activity ranks #2008 of 15965 providers (87th percentile), which places it above most peers on that code but still described in the source as a typical, unremarkable volume. By contrast, for the spinal neurostimulator generator code 63685 the provider ranks #1135 of 1281 (0th percentile) and is characterized as typical/ unremarkable volume among a small national cohort, signaling modest participation in that highly specialized implant market.

Other commonly billed interventional pain codes show mid-to-high national percentiles: 63650 ranks in the 16th percentile and 64483 ranks in the 89th percentile, while facet and sacroiliac injection codes (64493, G0260) fall around the 80th and 53rd percentiles respectively. That spread indicates the center performs a mix of both higher-volume image-guided injection procedures and lower-volume device implantation, positioning it as a moderate regional provider of pain-management services rather than a dominant national implant center.

Tenure: the provider’s NPI was enumerated on 2007-05-18 (approximately 19 years ago), indicating a fairly long-established practice that has had time to develop procedural concentration and referral relationships for ophthalmic and spine interventions. This tenure supports the observed specialization rather than a short-lived or recently opened facility.

Statistical outlier assessment from the provided labels: none of the top-listed Medicare codes are characterized as extreme outliers; most are described as typical or unremarkable volumes relative to national peers, with 66984 and 64483 among the higher-percentile typical volumes and 63685 showing low national placement within a small provider cohort. That pattern suggests clinical focus areas without unusual statistical deviation from peer practice patterns.

Service-line implications for revenue mix: the predominance of cataract surgery code 66984 (53.8% of Medicare revenue) implies the center likely derives stable, high-frequency throughput from ambulatory ophthalmic cases, while relatively fewer but high-dollar spine implant procedures (63685 average paid/claim $16737) drive a meaningful share of revenue despite low claim counts. Together this combination points to a hybrid ambulatory surgical center model that pairs high-volume minor surgery with episodic high-acuity implant cases.

Medicare: Complete Services Breakdown

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…	970	$810	$780.2K
63685	The 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…	10	$16,740	$184.1K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	30	$3,660	$102.4K
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…	40	$2,440	$95K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	230	$270	$63.4K
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…	70	$780	$55.4K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	70	$490	$32.5K
64493	The 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…	110	$250	$27.1K
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…	60	$390	$24.4K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	$400	$16.1K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cns Healthcare	MI	Psychiatry Physician	$0	$214.3M
Biotech Clinical Laboratories Inc	MI	Clinical Medical Laboratory	$8.1M	$49.9M
Theoria Medical	MI	Internal Medicine Physician	$0	$9.6M
University Pediatricians Autism Center	MI	Behavior Analyst	$0	$9.1M
Eric Kovan	MI	Physical Medicine & Rehabilitation Physician	$510.6K	$0
Dorin Deitch	MI	Physical Medicine & Rehabilitation Physician	$283.1K	$0
Jenny Michaels	MI	Physical Medicine & Rehabilitation Physician	$251K	$0
Jessica Martinelli	MI	Nurse Practitioner	$178.5K	$0
Michael Haenick	MI	Physical Medicine & Rehabilitation Physician	$167.1K	$0
Thomas Sheppard	MI	Physical Therapist	$153.2K	$0

Novi Surgery Center LLC — Billing Profile & Reimbursement Data

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Novi Surgery Center LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	34	40	20	$6,790	$108.7K
63650	28	30	40	$1,760	$80.9K
66984	10	480	70	$470	$69.5K
66991	10	30	30	$1,460	$51.2K
15823	37	50	30	$540	$23.7K
66982	9	130	30	$630	$22.2K
29848	21	40	40	$440	$19.4K
45385	388	530	40	$270	$18.3K
G0260	6	10	70	$200	$14.6K
64635	18	150	30	$380	$14.4K