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NPI 1124285515 · Greenville, NC · Ambulatory Surgical Clinic/Center
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Surgicenter Of Eastern Carolina LLC is a ambulatory surgical clinic/center provider located in Greenville, North Carolina. This profile covers 44 Medicare and 18 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 | Surgicenter Of Eastern Carolina LLC |
| Address | 102 Bethesda Dr |
| City | Greenville |
| State | NC |
| ZIP | 27834 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 22, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.6M |
| Medicare | $2.6M |
SURGICENTER OF EASTERN CAROLINA LLC operates as an ambulatory surgical clinic/center and its Medicare and Medicaid code mix indicates a multi‑specialty ASC model. Medicare billing is led by ophthalmology and orthopedics (notably 66984 and 27447) while Medicaid billing is concentrated in pediatric ENT and facility dental rehabilitation (69436, 42820, G0330), showing the center supports both adult specialty surgery and high-volume pediatric/behavioral health dental cases under Medicaid.
Medicare revenue totals $2.6M and is moderately concentrated: the precomputed top 3 Medicare codes account for 55.1% of the provider's total Medicare revenue. Those top drivers are 66984 ($827.6K, 35.4% of Medicare revenue), 27447 ($324.1K, 13.9%), and 29827 ($137.6K, 5.9%), indicating cataract extraction with IOL implantation and joint/arthroscopic procedures are key Medicare service lines.
Medicaid revenue totals $4.6M and shows heavier concentration into a small set of services: the precomputed top 3 Medicaid codes account for 64.0% of the provider's total Medicaid revenue. The Medicaid revenue leaders are 69436 ($1.3M, 29.2%), G0330 ($831.9K, 18.2%), and 42820 ($763.4K, 16.7%), which points to tympanostomy, monitored-anesthesia dental rehabilitation, and pediatric tonsil/adenoid surgery as the dominant Medicaid service lines.
Payer mix by scale is clearly Medicaid‑weighted: reported Medicaid revenue ($4.6M) exceeds Medicare revenue ($2.6M), so Medicaid cases drive a larger share of the center's total reported public-payer activity. This imbalance suggests the facility’s operational footprint and referral relationships may be particularly oriented to pediatric ENT and dental rehabilitation services that are reimbursed through Medicaid.
Competitive standing is mixed across codes for Medicare: 29827 ranks #75 of 3445 providers nationally (98th percentile, notably above typical national volume), showing unusually high shoulder arthroscopy/rotator cuff repair activity relative to national peers. By contrast, 66984 ranks #1952 of 15965 (88th percentile; typical volume) and 27447 ranks #3619 of 12089 (69th percentile; typical volume), so the center is a regional outlier for some specialty procedures but typical for high-volume cataract and joint replacement codes.
On the Medicaid side the provider is a statewide leader in several pediatric ENT procedures: 42820 ranks #1 of 55 providers in-state (100th percentile; extreme outlier) and 30140 ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume), while 69436 ranks #6 of 88 (94th percentile; notably above typical state volume). These ranks indicate the facility is a dominant in-state site for pediatric ENT and related airway procedures.
Several CPTs are flagged as statistical outliers versus peers, which is operationally meaningful: on Medicare the provider reports extreme outlier volumes for 38525 (rank #6 of 1615, 100th percentile) and 19301 (rank #17 of 1890, 99th percentile) as well as a very high rank for 46260 (rank #2 of 51, 98th percentile). On Medicaid, 42820 is an extreme outlier (rank #1 in-state, 100th percentile) and 30140 is also at the top of the state peer set; these concentrated, outlier-level volumes point to specific lines of surgical specialization rather than uniform high volume across all service types.
The provider has an established operational history with NPI enumeration on 2008-05-22 (~18 years ago), consistent with an experienced ambulatory surgical center. The combination of long tenure and concentrated high-volume service lines across both Medicare and Medicaid suggests mature referral pathways and a stable, specialty-focused procedural mix rather than a newly formed or single‑service clinic.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
44 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,020 | $810 | $827.6K |
| 27447 | In 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… | 50 | $6,900 | $324.1K |
| 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… | 70 | $2,020 | $137.6K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 20 | $7,040 | $119.6K |
| 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… | 50 | $1,640 | $81.9K |
| 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… | 50 | $1,650 | $76.1K |
| 19316 | The provider performs a mastopexy, also called a breast lift, which may involve removing excess skin of the breast and tightening surrounding tissue. | 40 | $1,740 | $69.5K |
| 66991 | The 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… | 30 | $2,420 | $62.8K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 70 | $820 | $56.2K |
| 38525 | The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation… | 80 | $710 | $54.8K |
Showing 1–10 of 44
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
44 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 183 | 580 | 230 | $70 | $73.7K |
| 66991 | 20 | 30 | 30 | $1,280 | $51.4K |
| J0585 | 93 | 120 | 5,580 | $1 | $50.2K |
| 19316 | 2 | 10 | 50 | $1,080 | $49.5K |
| 27447 | 132 | 460 | 30 | $1,000 | $41.8K |
| 27130 | 234 | 320 | 30 | $990 | $30.8K |
| 29827 | 8 | 120 | 20 | $1,000 | $25K |
| 29828 | 19 | 50 | 20 | $980 | $24.6K |
| 52648 | 1 | 10 | 10 | $940 | $23.6K |
| 66982 | 23 | 130 | 30 | $100 | $20.8K |
Showing 1–10 of 44
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 2,550 | $530 | $1.3M |
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an… | 550 | $1,520 | $831.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 1,900 | $400 | $763.4K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 1,200 | $430 | $518.8K |
| 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… | 2,750 | $170 | $465.3K |
| D2930 | N/A | 1,320 | $320 | $422.1K |
| D1120 | Prophylaxis–child | 1,690 | $50 | $88K |
| 54161 | The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit. | 130 | $410 | $53.6K |
| D1351 | Sealant - per tooth | 130 | $230 | $28.3K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 60 | $460 | $27.3K |
Showing 1–10 of 18
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
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0330 | Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an… | 6 | 10 | 200 | $1,440 | $3.6M |
| D2930 | N/A | 103 | 260 | 710 | $140 | $426.8K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 6 | 90 | 120 | $350 | $184.9K |
| D2140 | Amalgam - one surface, primary or permanent | 60 | 60 | 70 | $70 | $130.4K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 1 | 60 | 100 | $390 | $123.1K |
| D1120 | Prophylaxis–child | 410 | 1,140 | 780 | $30 | $116.3K |
| D1351 | Sealant - per tooth | 443 | 540 | 980 | $30 | $114.4K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 1 | 10 | 250 | $350 | $113.4K |
| 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… | 6 | 70 | 130 | $160 | $107.5K |
| D3220 | N/A | 126 | 140 | 350 | $70 | $91.1K |
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Other providers in the same ZIP code as Surgicenter Of Eastern Carolina LLC, ranked by combined Medicare and Medicaid revenue.
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