New Port Richey Surgery Center Ltd — Billing Profile & Reimbursement Data
NPI 1114980166 · Trinity, FL · Ambulatory Surgical Clinic/Center
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New Port Richey Surgery Center Ltd is a ambulatory surgical clinic/center provider located in Trinity, Florida. This profile covers 13 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 | New Port Richey Surgery Center Ltd |
| Address | 9332 State Road 54 |
| City | Trinity |
| State | FL |
| ZIP | 34655 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $385.5K |
| Medicaid | $268K |
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27279 | The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic… | 10 | $12,590 | $138.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 140 | $410 | $57.2K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 180 | $280 | $51.1K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 180 | $210 | $37.1K |
| 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… | 10 | $2,110 | $27.4K |
| 45381 | The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous… | 80 | $220 | $17K |
| 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… | 20 | $910 | $16.3K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 20 | $530 | $12.2K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 20 | $560 | $11.8K |
| 29824 | The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure… | 10 | $520 | $6.8K |
Showing 1–10 of 13
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27279 | 18 | 20 | 20 | $3,750 | $82.4K |
| 45385 | 217 | 1,140 | 60 | $300 | $31K |
| 29827 | 199 | 260 | 20 | $1,050 | $26.2K |
| 45380 | 144 | 1,160 | 50 | $200 | $18.7K |
| 43239 | 254 | 1,260 | 80 | $130 | $16.8K |
| 29880 | 41 | 90 | 20 | $730 | $16.1K |
| 45384 | 85 | 90 | 30 | $210 | $12.2K |
| 43249 | 151 | 300 | 20 | $300 | $10.9K |
| 43251 | 39 | 100 | 20 | $330 | $9.8K |
| 29824 | 86 | 120 | 20 | $350 | $9K |
Showing 1–10 of 13
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 640 | $260 | $166.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 390 | $250 | $97.6K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 10 | $360 | $4.3K |
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 84 | 330 | 220 | $130 | $82.9K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 33 | 120 | 120 | $180 | $71K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 60 | 60 | 50 | $210 | $52.4K |
Nearby Providers
Other providers in the same ZIP code as New Port Richey Surgery Center Ltd, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| New Port Richey Hospital Inc | FL | General Acute Care Hospital | $0 | $13.6M |
| David Wenk | FL | Medical Oncology Physician | $3.1M | $0 |
| Dan Montzka | FL | Retina Specialist (Ophthalmology) Physician | $1.4M | $0 |
| Trinity Ambulatory Surgical Center LLC | FL | Ambulatory Surgical Clinic/Center | $640.7K | $0 |
| Arthur Matzkowitz | FL | Therapeutic Radiology Physician | $520.7K | $0 |
| Robert Worthington-kirsch | FL | Vascular & Interventional Radiology Physician | $448.9K | $0 |
| Brian Johnson | FL | Dermatology Physician | $423.5K | $0 |
| Jigneshkumar Patel | FL | Gastroenterology Physician | $357.7K | $0 |
| Annerys Utra Rodriguez | FL | Primary Care Nurse Practitioner | $352.5K | $0 |
| Rene Kunhardt | FL | Cardiovascular Disease Physician | $348.9K | $230 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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