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NPI 1104087089 · Pasadena, CA · Ambulatory Surgical Clinic/Center
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Congress Medical Surgery Center LLC is a ambulatory surgical clinic/center provider located in Pasadena, California. This profile covers 30 Medicare and 5 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 | Congress Medical Surgery Center LLC |
| Address | 800 S Raymond Ave |
| City | Pasadena |
| State | CA |
| ZIP | 91105 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 23, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 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). | 1,000 | $320 | $317.6K |
| 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… | 570 | $310 | $177.5K |
| 20900 | A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider… | 50 | $3,290 | $171.1K |
| 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… | 40 | $2,280 | $79.7K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 220 | $310 | $67.6K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 10 | $3,990 | $55.9K |
| 29880 | In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with… | 40 | $1,250 | $44.9K |
| 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)… | 290 | $150 | $42.2K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 10 | $2,800 | $36.4K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 30 | $1,210 | $31.4K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 25609 | 36 | 60 | 20 | $2,220 | $40K |
| 29827 | 40 | 290 | 20 | $1,320 | $30.3K |
| 64483 | 5 | 790 | 60 | $240 | $28.5K |
| 29828 | 50 | 80 | 20 | $1,390 | $26.3K |
| G0260 | 49 | 130 | 50 | $260 | $21.6K |
| 29880 | 9 | 110 | 20 | $900 | $18.9K |
| 64493 | 7 | 670 | 50 | $220 | $18.8K |
| 29848 | 26 | 90 | 30 | $520 | $18.6K |
| 64721 | 51 | 240 | 20 | $510 | $17.7K |
| 20900 | 2 | 20 | 20 | $580 | $16.7K |
Showing 1–10 of 30
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G8909 | Patient documented not to have received a burn prior to discharge | 10 | $0 | $0 |
| G8911 | Patient documented not to have experienced a fall within ambulatory surgical center | 10 | $0 | $0 |
| G8913 | Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event | 10 | $0 | $0 |
| G8915 | Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc | 10 | $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 California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G8909 | Patient documented not to have received a burn prior to discharge | 1 | 10 | 10 | $0 | $0 |
| G8911 | Patient documented not to have experienced a fall within ambulatory surgical center | 1 | 10 | 10 | $0 | $0 |
| G8913 | Patient documented not to have experienced a wrong site, wrong side, wrong patient, wrong procedure or wrong implant event | 1 | 10 | 10 | $0 | $0 |
| G8915 | Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc | 1 | 10 | 10 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 5 | 10 | 10 | $0 | $0 |
Other providers in the same ZIP code as Congress Medical Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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