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    OpenPayerNPI Medicare & MedicaidRex Surgery Center Of Wakefield, LLC
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    Rex Surgery Center Of Wakefield, LLC — Billing Profile & Reimbursement Data

    NPI 1013425933 · Raleigh, NC · Ambulatory Surgical Clinic/Center

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    Rex Surgery Center Of Wakefield, LLC is a ambulatory surgical clinic/center provider located in Raleigh, North Carolina. This profile covers 8 Medicare and 2 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
    OrganizationRex Surgery Center Of Wakefield, LLC
    Address11200 Governor Manly Way Ste 110
    CityRaleigh
    StateNC
    ZIP27614
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 12, 2018

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

    Payer SourceTotal Paid
    Medicare$545.5K
    Medicaid$141.3K

    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.

    8 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…380$820$313K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.50$1,720$93K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…20$1,500$36K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$1,480$29.6K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.10$1,830$25.6K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$1,490$22.3K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.20$640$13.5K
    49591The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…10$1,030$12.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984235580230$70$73.7K
    67042113020$990$23.8K
    6704131020$1,050$23.2K
    67036162020$840$16.7K
    28285243030$390$13.9K
    4965016020$500$10.5K
    47562358010$430$6.4K
    4959111010$410$4.9K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.410$310$128K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.40$340$13.2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2390120$350$184.9K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.3860100$390$123.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Rex Surgery Center Of Wakefield, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of North Carolina At Chapel HillNCAnesthesiology Physician$0$87.6M
    University Of North Carolina Hospitals At Chapel HillNCGeneral Acute Care Hospital$0$50.7M
    Unc Physicians Network LLCNCGeneral Practice Physician$0$47M
    Caldwell Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$28.8M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Unc Rockingham Health Care, Inc.NCGeneral Acute Care Hospital$0$10.3M
    University Of North Carolina Hospitals At Chapel HillNCDurable Medical Equipment & Medical Supplies$0$7.8M
    Caldwell Memorial Hospital, IncNCPediatrics Physician$0$7.3M
    John DeansNCOphthalmology Physician$2.4M$0
    Rex Hospital, Inc.NCLand Ambulance$1M$204K

    Nearby Providers

    Other providers in the same ZIP code as Rex Surgery Center Of Wakefield, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnson & Morris PLLCNCPediatric Dentistry$0$15M
    Touchstone Residential ServicesNCCommunity/Behavioral Health Agency$0$14.9M
    Abilitations Children's Therapy & Wellness CenterNCPhysical Therapist$0$7.3M
    Michelle FegeleyNCPhysician Assistant$396.1K$0
    David MichelNCRheumatology Physician$332.4K$0
    Orthonc Asc, LLCNCAmbulatory Surgical Clinic/Center$301.3K$0
    Lavinia ReyesNCInternal Medicine Physician$231.4K$0
    Derek WatsonNCPhysical Medicine & Rehabilitation Physician$220.7K$0
    Clifford WheelessNCOrthopaedic Surgery Physician$210.7K$0
    Carl SmithNCPhysical Medicine & Rehabilitation Physician$189.1K$0

    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. North Carolina Distribution
    Rex Surgery Center Of Wakefield, LLC — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Rex Surgery Center Of Wakefield, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina