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NPI 1053418137 · Richland, WA · Ambulatory Surgical Clinic/Center
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Tri-city Regional Surgery Center LLC is a ambulatory surgical clinic/center provider located in Richland, Washington. This profile covers 10 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Tri-city Regional Surgery Center LLC |
| Address | 1096 Goethals Dr |
| City | Richland |
| State | WA |
| ZIP | 99352 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $288.8K |
| Medicare | $228.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 30 | $1,490 | $46.3K |
| 36561 | A 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… | 30 | $1,070 | $36.2K |
| 38525 | The 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… | 30 | $900 | $30.6K |
| 19301 | The 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. | 40 | $640 | $24.4K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 50 | $450 | $20.6K |
| 31267 | In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus… | 20 | $1,030 | $19.6K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 30 | $710 | $17.7K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 20 | $680 | $14.2K |
| 28296 | The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes distal metatarsal osteotomy, cutting and realigning a long… | 10 | $900 | $10.8K |
| 31256 | In this procedure, the provider inserts an endoscope into the nasal cavity. He then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus. | 20 | $510 | $8.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 450 | $370 | $165.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 520 | $180 | $94.6K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 10 | $870 | $10.4K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 40 | $240 | $9.1K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 30 | $110 | $2.9K |
| 43239 | The 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. | 10 | $240 | $2.9K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 10 | $200 | $2.8K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 20 | $10 | $260 |
| G8907 | Patient 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… | 70 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 8 | 30 | 90 | $1,070 | $496.9K |
| 43239 | The 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. | 113 | 120 | 590 | $230 | $331.2K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 7 | 30 | 110 | $740 | $316.7K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 186 | 210 | 690 | $40 | $114.5K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 51 | 50 | 600 | $70 | $68.9K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 14 | 20 | 60 | $160 | $52.2K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 4 | 10 | 20 | $710 | $29.9K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 2 | 10 | 20 | $770 | $24K |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 5 | 10 | 180 | $1 | $10 |
| G8907 | Patient 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… | 30 | 50 | 90 | $1 | $1 |
Other providers in the same ZIP code as Tri-city Regional Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Kadlec Regional Medical Center | WA | General Acute Care Hospital | $0 | $151.5M |
| Gill, Ritchie, Walker PLLC | WA | Ambulatory Surgical Clinic/Center | $0 | $10.7M |
| City Of Richland | WA | Ambulance | $679.8K | $7.8M |
| Ortc, LLC | WA | Methadone Clinic | $0 | $6.2M |
| Health First Urgent Care, PLLC | WA | Urgent Care Clinic/Center | $0 | $5.2M |
| American Medical Response Ambulance Service Inc | WA | Ambulance | $1.1M | $3M |
| Total Renal Care Inc | WA | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $3.8M |
| Tri-city Orthodontics, LLC | WA | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $2.9M |
| Alexey Ryskin | WA | Pain Medicine (Anesthesiology) Physician | $2.3M | $990 |
| Sidney Smith | WA | Dermatology Physician | $2.1M | $0 |
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