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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Doylestown Surgery Center, LLC (NPI 1053934919)

Field	Value
Entity Type	Organization
Organization	Doylestown Surgery Center, LLC
Address	593 W State St Ste 300
City	Doylestown
State	PA
ZIP	18901
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 26, 2020

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	70	$7,460	$521.9K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	60	$7,250	$442.3K
C9740	Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants	20	$5,670	$85K
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…	20	$920	$14.8K
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	10	$1,130	$14.7K
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.	20	$630	$13.3K
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).	30	$310	$9K
C9290	Injection, bupivacaine liposome, 1 mg	1,730	$1	$1.7K

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

Claims Volume vs. Pennsylvania Distribution

Doylestown Surgery Center, LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
C9740	7	10	20	$5,610	$202.1K
27447	103	540	30	$930	$41K
27130	28	360	30	$950	$31.3K
64483	256	340	60	$190	$18.6K
19301	47	90	20	$550	$14.3K
58558	10	30	10	$600	$10.2K
C9290	12	20	3,990	$1	$5.1K
38525	42	80	20	$250	$5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lenape Valley Foundation	PA	Psychiatry Physician	$0	$37.5M
Lenape Valley Foundation	PA	Case Management Agency	$0	$10.7M
Aldie Foundation	PA	Community/Behavioral Health Agency	$115.3K	$6.7M
Central Bucks Ambulance & Rescue Unit	PA	Ambulance	$1.6M	$1.2M
Brett Miller	PA	MOHS-Micrographic Surgery Physician	$1.2M	$0
Austin Liu	PA	Dermatology Physician	$1M	$0
Robert Willard	PA	MOHS-Micrographic Surgery Physician	$872.8K	$0
David Galiani	PA	Ophthalmology Physician	$677K	$0
Bohdan Martynec	PA	Geriatric Medicine (Internal Medicine) Physician	$489.8K	$0
Doylestown Pet Associates LLC	PA	Radiology Clinic/Center	$460.4K	$0

Doylestown Surgery Center, LLC — Billing Profile & Reimbursement Data

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Doylestown Surgery Center, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References