Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Surgical Specialties, LLC (NPI 1134499650)

Field	Value
Entity Type	Organization
Organization	Surgical Specialties, LLC
Address	1329 Lusitana St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 2, 2012

Payer Source	Total Paid
Medicare	$330.5K
Medicaid	$0

Key Findings

SURGICAL SPECIALTIES, LLC appears to operate as an ambulatory surgical clinic with a clear urology/prostate procedure focus: its top Medicare codes are C9740 (transprostatic implant) with $144.4K revenue (43.7%), 52000 (cystourethroscopy) with $56K revenue (16.9%), and 55874 (perineal injection of biodegradable material around the prostate) with $38.8K revenue (11.7%). These three codes together account for 72.4% of the provider's total Medicare revenue, signaling a concentrated outpatient procedural practice centered on prostate and endoscopic bladder work.

Revenue concentration is high: the single code C9740 alone drives $144.4K (43.7%) of lifetime Medicare receipts, and the top three codes collectively make up 72.4% of $330.5K in total Medicare revenue. That degree of concentration means the provider's Medicare earnings are heavily dependent on a small set of prostate/endoscopy services, which creates exposure to utilization or reimbursement shifts affecting those specific CPT/HCPCS codes.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $330.5K while Medicaid billing is recorded as none, so the organization currently has no Medicaid footprint on file. For analysts, this means competitive and utilization assessments should prioritize Medicare dynamics and contracting rather than state Medicaid trends.

Competitive standing varies by code: the provider reports nationally strong relative volume for 52000 (ranks #431 of 8548, 95th percentile; labeled typical, unremarkable volume for this code), but is only mid-to-lower nationally for its highest-revenue implant code C9740 (ranks #87 of 162, 42th percentile; typical, unremarkable volume for this code) and low for 55874 (ranks #464 of 557, 8th percentile; typical, unremarkable volume for this code). This mixed ranking profile indicates the clinic is a meaningful national contributor for routine cystoscopy (52000) while its transprostatic implant and perineal injection services have a modest or limited national footprint.

The provider’s procedural mix includes diagnostic and therapeutic endoscopy, stone management, stent procedures, and transrectal ultrasound: notable codes include 55700 ($31.3K, 9.5%), 52356 ($24.3K, 7.4%), 52310 ($23.3K, 7.1%), 52005 ($9.9K, 3.0%), and 76872 ($2.4K, 0.7%). The presence of 55700 (code deleted December 31, 2025) among lifetime top codes indicates historical utilization of older prostate-related prostatectomy/related codes that may require attention when comparing current-year reporting to historical totals.

Tenure is established but scale is modest: the NPI was enumerated 2012-01-02 (~14 years ago), yet lifetime Medicare revenue is $330.5K, which is small compared with many ambulatory surgical centers. This suggests a long-standing but limited Medicare volume base, consistent with a specialized or low-volume ASC/clinic rather than a high-throughput regional center.

Statistical labels in the billing profile are mostly "typical, unremarkable volume for this code," but percentile ranks reveal heterogeneity: for example, 52356 ranks #2770 of 3090 (5th percentile; typical, unremarkable volume for this code) and 55874 ranks #464 of 557 (8th percentile; typical, unremarkable volume for this code), whereas 52310 ranks #399 of 2547 (84th percentile; typical, unremarkable volume for this code). These mixed indicators imply the provider performs a concentrated set of profitable procedures but does not consistently exhibit high national volume across its full code mix.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
C9740	Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants	20	$6,570	$144.4K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	220	$250	$56K
55874	Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…	10	$3,240	$38.8K
55700	Code deleted December 31, 2025.	40	$750	$31.3K
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…	10	$2,030	$24.3K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	30	$750	$23.3K
52005	The provider performs a cystourethroscopy, inspection of the interior areas of the bladder, urethra, and ureteric pelvis; he may or may not irrigate the bladder, instill fluids, or perform imaging of…	20	$660	$9.9K
76872	The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.	50	$50	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Surgical Specialties, LLC — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
C9740	1	10	20	$6,560	$144.4K
55874	2	10	10	$2,840	$34.1K
52005	1	10	20	$660	$9.9K
52310	1	10	10	$500	$9.5K
52000	1	20	50	$150	$9.1K
52356	6	10	10	$490	$7.4K
55700	1	10	30	$250	$6.6K
76872	2	10	30	$70	$2.6K

Nearby Providers

Other providers in the same ZIP code as Surgical Specialties, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M

Surgical Specialties, LLC — Billing Profile & Reimbursement Data

Sign up for Surgical Specialties, LLC — Billing Profile & Reimbursement Data policy alerts

Surgical Specialties, LLC — Billing Profile & Reimbursement Data

Sign up for Surgical Specialties, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References