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    OpenPayerNPI Medicare & MedicaidEdgeworth Commons Group LLC
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    Edgeworth Commons Group LLC — Billing Profile & Reimbursement Data

    NPI 1053356436 · Sewickley, PA · Ambulatory Surgical Clinic/Center

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    Edgeworth Commons Group LLC is a ambulatory surgical clinic/center provider located in Sewickley, Pennsylvania. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEdgeworth Commons Group LLC
    Address301 Ohio River Blvd
    CitySewickley
    StatePA
    ZIP15143
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 18, 2006

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

    Payer SourceTotal Paid
    Medicare$292.6K
    Medicaid$0

    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.

    14 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…30$1,770$56.6K
    23412In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…20$2,270$36.2K
    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…20$2,200$35.1K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…60$560$32.4K
    26145The provider surgically removes the synovial membrane from the finger or palm flexor tendon sheath in a procedure called tenosynovectomy. He commonly performs this procedure in patients with finger…90$300$25.8K
    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…40$530$23.5K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…20$1,010$15.2K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$780$13.3K
    25115The provider performs extensive removal of diseased tissue, with bursa, synovium, and/or tendon anatomy involved.50$270$12.3K
    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…20$650$12.3K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2614572040$330$19.5K
    298271512020$970$19.4K
    647213416030$420$17.1K
    29880153020$760$14.4K
    2511531030$440$13.7K
    29828123010$830$13.4K
    2341211010$850$11K
    260556814030$280$10.8K
    25447124020$550$9.4K
    2982221010$460$6.4K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Edgeworth Commons Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epeople Healthcare, Inc.PAHome Health Agency$0$39.4M
    Valley Medical Facilities, Inc.PACase Management Agency$0$19.3M
    Sasikumar KatamreddyPAInternal Medicine Physician$290.7K$0
    William MarasovichPAOtolaryngology Physician$133.4K$156K
    Paul PhillipsPAOphthalmology Physician$271.4K$0
    Sharon HrabovskyPAMOHS-Micrographic Surgery Physician$155.4K$0
    Maureen HrishenkoPANephrology Physician$140K$0
    Brian KellyPAOrthopaedic Surgery Physician$102.1K$24.3K
    Wilson PylePADiagnostic Radiology Physician$43.7K$17.7K
    Stephen KolendaPAPhysical Therapist$33K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Edgeworth Commons Group LLC — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania