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NPI 1063427706 · New Hyde Park, NY · Ambulatory Surgical Clinic/Center
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Prohealth Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in New Hyde Park, New York. This profile covers 24 Medicare and 1 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 | Prohealth Ambulatory Surgery Center, LLC |
| Address | 2800 Marcus Ave |
| City | New Hyde Park |
| State | NY |
| ZIP | 11042 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $4.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 33285 | The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions. | 60 | $6,370 | $401.2K |
| 49505 | The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it. | 60 | $1,320 | $75.2K |
| 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). | 190 | $340 | $66K |
| 64493 | The 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… | 220 | $310 | $65.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 90 | $750 | $65.3K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 50 | $1,000 | $53.7K |
| 29827 | The 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… | 20 | $2,550 | $51K |
| 64721 | Neuroplasty 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… | 50 | $770 | $36.3K |
| 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)… | 80 | $300 | $23.2K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 40 | $480 | $19.6K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 454 | 680 | 90 | $430 | $104.3K |
| 33285 | 18 | 160 | 20 | $1,230 | $42K |
| 29827 | 40 | 110 | 20 | $1,260 | $27.7K |
| G0260 | 15 | 20 | 60 | $230 | $24.2K |
| 64635 | 28 | 240 | 30 | $430 | $19.9K |
| 64483 | 36 | 410 | 50 | $220 | $17.9K |
| 19301 | 117 | 130 | 20 | $600 | $15.5K |
| 62323 | 125 | 390 | 50 | $190 | $15.4K |
| 64721 | 22 | 110 | 30 | $450 | $15.3K |
| 58558 | 29 | 50 | 20 | $850 | $14.5K |
Showing 1–10 of 24
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 20 | $300 | $4.8K |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 93 | 120 | 130 | $230 | $104.1K |
Other providers in the same ZIP code as Prohealth Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Freedom Care LLC | NY | Home Health Agency | $0 | $3B |
| Northwell Health Laboratories | NY | Clinical Medical Laboratory | $48.5M | $198.2M |
| Optum Medical Care Of New Jersey PC | NY | Pediatrics Physician | $0 | $219.4M |
| North Shore University Hospital | NY | Case Management Agency | $0 | $166.6M |
| Prohealth Care Associates LLP | NY | Internal Medicine Physician | $0 | $69.4M |
| Personal Touch Home Care Of New York, Inc. | NY | Early Intervention Provider Agency | $0 | $19.3M |
| Nhpe, LLC | NY | Ambulatory Surgical Clinic/Center | $831.7K | $3M |
| Stuart Weinerman | NY | Endocrinology, Diabetes & Metabolism Physician | $2.3M | $2.3K |
| Jason Karp | NY | Pulmonary Disease Physician | $2.1M | $35.2K |
| Vishesh Agrawal | NY | Radiation Oncology Physician | $2.1M | $13K |
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