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    OpenPayerNPI Medicare & MedicaidThe Pennsylvania Surgery And Laser Center LLC
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    The Pennsylvania Surgery And Laser Center LLC — Billing Profile & Reimbursement Data

    NPI 1154787117 · Philadelphia, PA · Ambulatory Surgical Clinic/Center

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    The Pennsylvania Surgery And Laser Center LLC is a ambulatory surgical clinic/center provider located in Philadelphia, Pennsylvania. This profile covers 12 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)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Pennsylvania Surgery And Laser Center LLC
    Address601 Franklin Mills Cir
    CityPhiladelphia
    StatePA
    ZIP19154
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 6, 2016

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

    Payer SourceTotal Paid
    Medicaid$749.5K
    Medicare$413.7K

    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.

    12 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…210$870$180.1K
    20245An open bone biopsy is a procedure to obtain sample bone tissue, typically from a lesion, to further analyze a suspected medical condition or infection.80$750$56.6K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$1,580$31.5K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…20$1,390$30.6K
    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$1,590$30.3K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$1,090$18.5K
    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…30$560$17.4K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…60$250$15.7K
    28820In this procedure, the provider amputates the toe at the metatarsophalangeal joint. The metatarsophalangeal joint is the joint between the first metatarsal of the foot and the first phalanx of the…10$1,100$15.3K
    67025The provider injects a vitreous substitute, such as gas, silicone, or a spreading agent into the eye to replace vitreous that a provider removes during a procedure, or to maintain or regain…30$490$12.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698417667080$530$97.8K
    2024511080$740$56.6K
    65820435030$950$36.2K
    6704151020$1,160$27.8K
    67904286030$580$22.7K
    67108122020$910$20.1K
    67036103020$830$19.9K
    1104491070$230$19.7K
    6702521050$330$15.5K
    10061103030$160$11K

    Showing 1–10 of 12

    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.

    5 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…570$920$519.6K
    20245An open bone biopsy is a procedure to obtain sample bone tissue, typically from a lesion, to further analyze a suspected medical condition or infection.240$740$177.1K
    20240An open, superficial bone biopsy is a procedure to obtain a sample of bone tissue to further analyze a suspected medical condition or infection.90$580$52.6K
    29405The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…10$20$310
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…70$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…98050$610$122.4K
    20245An open bone biopsy is a procedure to obtain sample bone tissue, typically from a lesion, to further analyze a suspected medical condition or infection.210280$410$116.3K
    20240An open, superficial bone biopsy is a procedure to obtain a sample of bone tissue to further analyze a suspected medical condition or infection.11090$580$52.6K
    29405The provider applies a cast to the lower leg to treat a fracture of one or both bones of the lower leg, the tibia and fibula, or a severe ankle sprain. The short leg cast extends from just below the…31020$40$5.1K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…2340100$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Pennsylvania Surgery And Laser Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lindsay MachenPAOphthalmology Physician$266.8K$0

    Nearby Providers

    Other providers in the same ZIP code as The Pennsylvania Surgery And Laser Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Special People In Northeast, Inc.PACommunity/Behavioral Health Agency$0$13.3M

    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. Pennsylvania Distribution
    The Pennsylvania Surgery And Laser Center LLC — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    The Pennsylvania Surgery And Laser Center LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania