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NPI 1063058303 · Virginia Beach, VA · Ambulatory Surgical Clinic/Center
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Chesapeake Regional Surgery Center At Virginia Beach, LLC is a ambulatory surgical clinic/center provider located in Virginia Beach, Virginia. This profile covers 34 Medicare and 3 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 | Chesapeake Regional Surgery Center At Virginia Beach, LLC |
| Address | 229 Clearfield Ave Ste 200 |
| City | Virginia Beach |
| State | VA |
| ZIP | 23462 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 21, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.7M |
| Medicaid | $116.5K |
The provider’s procedure mix is concentrated in endoscopic urology and implantable-device work, consistent with an ambulatory surgical clinic focused on urologic and select neuromodulation services. High-volume cystourethroscopy/ureteroscopy activity (e.g., 52356, 52332, 52351 series) appears alongside significant volumes of prostate procedures (e.g., 52648, 55874) and device implants (54405 penile prosthesis), indicating a specialty-oriented ASC model rather than a general surgical center. This combination suggests the facility operates both diagnostic/therapeutic endoscopy suites and implant-capable operating rooms.
Medicare revenue is materially concentrated: the top three Medicare codes account for 38.1% of this provider’s total Medicare revenue, driven by 52356 ($565.7K, 15.6% of Medicare revenue), C9740 ($477.5K, 13.2%), and 63685 ($333.8K, 9.2%). Among those, 52356 is an extreme outlier nationally (ranks #1 of 3090 providers, 100th percentile), C9740 is notably above typical national volume (ranks #7 of 162, 96th percentile), while 63685 represents a typical, unremarkable national volume (58th percentile). These patterns show the provider’s Medicare performance is both volume-driven on specific urology endoscopic codes and supported by higher-priced implant procedures.
Medicaid billing is extremely small relative to Medicare: total Medicaid revenue is $116.5K versus $3.7M in Medicare revenue, making the practice effectively Medicare-dominant on scale. Medicaid billing is highly concentrated — the top three Medicaid codes account for 100.0% of Medicaid revenue, with 52356 alone responsible for $111.2K (95.5% of Medicaid revenue). That concentration means Medicaid exposure is limited and largely tied to the same cystoscopic/stone procedures that drive Medicare revenue.
The practice holds nationally dominant positions on several Medicare procedure volumes, which has competitive implications: 52356 ranks #1 of 3090 providers (100th percentile, extreme outlier) and 52648 ranks #1 of 451 providers (100th percentile, extreme outlier), while retrograde urography 74420 ranks #2 of 3813 providers (100th percentile, extreme outlier). These rankings indicate the center is a major national-volume outlier for multiple urologic endoscopic services, positioning it as a high-volume specialty center relative to peers.
Although several device/implant codes drive outsized revenue per claim, their volumes are smaller and more typical nationally: 63685 average paid/claim is $17566 producing $333.8K (9.2% of Medicare revenue), 54405 average paid/claim is $11964 producing $299.1K (8.3%), and 64590 average paid/claim is $14393 producing $259.1K (7.2%). The high average payments per claim for these implantable-device procedures contribute materially to Medicare revenue despite lower claim counts, indicating the center likely performs higher-complexity, higher-acuity implant cases in addition to endoscopic throughput.
The facility’s Medicaid competitive standing in-state is modest: 52356 ranks #2 of 5 providers in-state (75th percentile) and 74420 ranks #2 of 8 providers in-state (86th percentile), descriptors that are characterized as typical, unremarkable in the supplied data. In other words, while the center is a national outlier on some Medicare codes, its Medicaid footprint in Virginia is not dominant and is comparable to several in-state peers.
Concentration risk and payer-negotiation implications are apparent: Medicare dominates revenue ($3.7M vs $116.5K Medicaid), and reliance on a narrow set of high-revenue codes (top three Medicare codes = 38.1% of Medicare revenue; top three Medicaid codes = 100.0% of Medicaid revenue) creates exposure if referral patterns or coverage for those procedures change. Conversely, the combination of national outlier volumes on key urologic codes and high per-claim reimbursements for implants gives the center leverage as a specialized provider when contracting with payers that value access to implant-capable ambulatory surgical facilities.
The provider has been enumerated since 2019-11-21 (~7 years ago), indicating an established, mid-tenure operation that has already developed high-volume national standing on select codes within a relatively short span. This tenure combined with concentrated specialty volumes suggests growth focused on targeted service lines rather than broad outpatient diversification.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
34 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 360 | $1,590 | $565.7K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 90 | $5,370 | $477.5K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $17,570 | $333.8K |
| 54405 | The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir… | 30 | $11,960 | $299.1K |
| 55700 | Code deleted December 31, 2025. | 450 | $620 | $278.9K |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 20 | $14,390 | $259.1K |
| 63655 | In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall… | 20 | $13,360 | $200.4K |
| 52648 | Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with… | 110 | $1,660 | $186.4K |
| 52332 | The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 200 | $850 | $167.3K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 50 | $3,710 | $167.1K |
Showing 1–10 of 34
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
34 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 1 | 10 | 30 | $5,580 | $189.6K |
| 54405 | 2 | 10 | 30 | $7,550 | $181.1K |
| 64590 | 6 | 10 | 20 | $4,000 | $76.1K |
| 63685 | 8 | 20 | 20 | $3,270 | $65.5K |
| 64561 | 2 | 10 | 30 | $1,820 | $58.2K |
| 63655 | 8 | 10 | 20 | $2,840 | $54K |
| J0585 | 27 | 60 | 6,400 | $1 | $51.9K |
| 52354 | 2 | 10 | 20 | $1,400 | $35.1K |
| 52648 | 1 | 20 | 20 | $930 | $27.9K |
| 55874 | 7 | 20 | 20 | $800 | $26.3K |
Showing 1–10 of 34
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 100 | $1,160 | $111.2K |
| 74420 | The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it… | 170 | $30 | $5.2K |
| C2617 | Stent, non-coronary, temporary, without delivery system | 40 | $1 | $90 |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 2 | 10 | 30 | $2,010 | $142.6K |
| 74420 | The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it… | 2 | 10 | 80 | $110 | $9.5K |
| C2617 | Stent, non-coronary, temporary, without delivery system | 7 | 10 | 60 | $1 | $200 |
Other providers in the same ZIP code as Chesapeake Regional Surgery Center At Virginia Beach, LLC, ranked by combined Medicare and Medicaid revenue.
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