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    OpenPayerNPI Medicare & MedicaidBlue Ridge Day Surgery Center, LP
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    Blue Ridge Day Surgery Center, LP — Billing Profile & Reimbursement Data

    NPI 1073578019 · Raleigh, NC · Ambulatory Surgical Clinic/Center

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    Blue Ridge Day Surgery Center, LP is a ambulatory surgical clinic/center provider located in Raleigh, North Carolina. This profile covers 18 Medicare and 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationBlue Ridge Day Surgery Center, LP
    Address2308 Wesvill Ct
    CityRaleigh
    StateNC
    ZIP27607
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 20, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.2M
    Medicare$1.6M

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…1,200$820$990.1K
    27447In 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…30$7,110$213.2K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…40$2,480$99.2K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…40$1,500$55.4K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…80$480$38.2K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…20$1,500$34.5K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…10$2,810$33.7K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…40$490$19.5K
    C9290Injection, bupivacaine liposome, 1 mg18,890$1$18.9K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…30$540$16.7K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984175580230$70$73.7K
    66991123030$1,280$51.4K
    2744723046030$1,000$41.8K
    15823145050$520$40.3K
    67904134030$570$31.7K
    6704273020$990$23.8K
    6790841040$490$22.1K
    669829413030$100$20.8K
    29881153010$820$15.6K
    6710822010$960$15.3K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.3,420$440$1.5M
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1,170$460$535.3K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.310$420$130.2K
    66984The 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…130$230$29.8K
    V2632Posterior chamber intraocular lens120$1$120
    C1889Implantable/insertable device, not otherwise classified1,900$0$0
    L8699Prosthetic implant, not otherwise specified700$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.390120$350$184.9K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.760100$390$123.1K
    66984The 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…3870130$160$107.5K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.52090$410$79.3K
    V2632Posterior chamber intraocular lens113070$10$3K
    C1889Implantable/insertable device, not otherwise classified110500$1$2.4K
    L8699Prosthetic implant, not otherwise specified310520$1$880

    Nearby Providers

    Other providers in the same ZIP code as Blue Ridge Day Surgery Center, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Autism Society Of North Carolina, Inc.NCCommunity/Behavioral Health Agency$0$95.7M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$24.8M
    Nc Dept Of Health And Human ServiceNCClinical Medical Laboratory$0$16.4M
    Jeffers Mann & Artman Pediatric & Adolesent Medicine PANCPediatric Adolescent Medicine Physician$0$10.9M
    Pediatric Therapy AssociatesNCPhysical Therapist$0$10.2M
    John ThordsenNCRetina Specialist (Ophthalmology) Physician$3.5M$0
    Rebecca ManningNCRetina Specialist (Ophthalmology) Physician$3.4M$0
    Sachin MudvariNCRetina Specialist (Ophthalmology) Physician$3.2M$0
    Daniel BennettNCRetina Specialist (Ophthalmology) Physician$3M$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Blue Ridge Day Surgery Center, LP — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Blue Ridge Day Surgery Center, LP — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina