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    OpenPayerNPI Medicare & MedicaidRoanoke Ambulatory Surgery Center, LLC
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    Roanoke Ambulatory Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1013914985 · Roanoke, VA · Ambulatory Surgical Clinic/Center

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    Roanoke Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Roanoke, Virginia. This profile covers 19 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
    OrganizationRoanoke Ambulatory Surgery Center, LLC
    Address1102 S Jefferson St
    CityRoanoke
    StateVA
    ZIP24016
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 6, 2005

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

    Payer SourceTotal Paid
    Medicare$676.1K
    Medicaid$31.3K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…120$1,690$200.6K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…60$2,230$131.6K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…30$3,200$89.5K
    20900A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider…20$1,570$33K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…50$570$26.8K
    64493The 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…100$240$24.3K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…20$990$22.7K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…20$980$19.6K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…40$530$19.6K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.30$630$19K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448312617080$210$31.4K
    29827312020$1,010$29.2K
    2982844020$970$26.2K
    2875032020$1,380$24.9K
    646358112040$390$23.6K
    2090011020$860$17.1K
    644934914070$170$16.8K
    26123162020$830$16.5K
    25447174020$580$15.6K
    64721509030$420$15.4K

    Showing 1–10 of 19

    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
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.80$350$29.1K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…90$30$2.1K
    64415The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…10$0$0
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)420$0$0
    C1889Implantable/insertable device, not otherwise classified30$0$0
    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

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.3050110$840$309.8K
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)1750280$60$50.8K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…2640130$40$23.2K
    C1889Implantable/insertable device, not otherwise classified1320160$30$15.9K
    64415The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…111030$80$8.8K
    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…2630150$1$10

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blue Ridge Behavioral HealthcareVAMental Health Clinic/Center (Including Community Mental Health Center)$0$75.7M
    Mainstream Mental Health ServicesVACommunity/Behavioral Health Agency$0$32.9M
    Ehs Support Services, LLCVACommunity/Behavioral Health Agency$0$28.4M
    Anderson & Associates, LLCVASubstance Abuse Rehabilitation Facility$0$17.9M
    Hall Community Services IncVAMental Health Counselor$0$16.6M
    Vistar Eye Center, IncVASpecialist$0$11.4M
    Professional Therapies Of Roanoke, Inc.VARehabilitation Clinic/Center$0$10.5M
    It's About Time, IncVADevelopmentally Disabled Services Day Training Agency$0$9.4M
    Roanoke Resource LLCVACommunity/Behavioral Health Agency$0$8.3M
    Carilion Medical CenterVAHome Health Agency$0$7.3M

    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. Virginia Distribution
    Roanoke Ambulatory Surgery Center, LLC — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Roanoke Ambulatory Surgery Center, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia