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NPI 1184752305 · Brick, NJ · Ambulatory Surgical Clinic/Center
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Seashore Surgical Institute, LLC is a ambulatory surgical clinic/center provider located in Brick, New Jersey. This profile covers 40 Medicare and 2 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 | Seashore Surgical Institute, LLC |
| Address | 495 Jack Martin Blvd |
| City | Brick |
| State | NJ |
| ZIP | 08724 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 1, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.6M |
| Medicaid | $6.4K |
SEASHORE SURGICAL INSTITUTE, LLC is enumerated as an Ambulatory Surgical Clinic/Center in BRICK, NJ with NPI registration dated 2007-03-01 (~19 years ago), indicating long-standing operation in the market. The facility-level profile and code mix are consistent with an outpatient surgical center active for nearly two decades.
This provider’s Medicare footprint ($3.6M total Medicare revenue) dwarfs its Medicaid activity ($6.4K total Medicaid revenue), making Medicare the overwhelmingly dominant payer relationship on file; the Medicaid pool is effectively de minimis relative to Medicare for this entity.
Revenue concentration on Medicare is pronounced: the precomputed top 3 Medicare codes by revenue account for 71.2% of this provider's total Medicare revenue, led by 66984 at $2.1M (59.5% of Medicare revenue). That concentration indicates that a single procedure line—cataract extraction with intraocular lens insertion—is the primary revenue driver.
The operational service mix implied by the top Medicare codes shows a strong ophthalmology core and a secondary cardiac device service line. Specifically, 66984 (cataract surgery) is the largest single revenue item at $2.1M, while 33285 ($259.4K) and 33228 ($154.3K) reflect embedded cardiac rhythm monitoring and pacemaker generator replacement procedures, suggesting either multi-specialty use of the ASC or tight alignment with ophthalmology and electrophysiology practices.
Competitive standing varies by code: for its principal cataract code 66984 the provider ranks #759 of 15965 nationally (95th percentile) and is described as notably above typical national volume, identifying it as a high-volume national outlier for cataract surgery. By contrast, the cardiac device codes 33285 (rank #182 of 1716, 89th percentile) and 33228 (rank #91 of 911, 89th percentile) sit at above-average but not dominant national positions for those services.
Beyond the top three Medicare codes, the provider shows additional ophthalmology breadth with codes like 67904 ($95.5K, rank #30 of 991, 97th percentile) listed as notably above typical national volume and several other eye-procedure and ophthalmic drug codes (e.g., J1096, 66991, 66821) represented in the top 25. This pattern reinforces that ophthalmic surgical and adjunct therapy services form a diversified, higher-volume suite of offerings at the site.
Medicaid billing is highly concentrated and very small in scale: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with 43239 comprising $5.3K (83.0% of Medicaid revenue) and 66984 contributing $1.1K (17.0% of Medicaid revenue). Both Medicaid codes rank low in-state (43239 rank #260 of 284 and 66984 rank #58 of 63, each noted as typical, unremarkable volume), indicating the provider is not a significant Medicaid colonoscopy or Medicaid cataract provider within New Jersey.
Several codes are flagged as statistical outliers in the provided labels: 66984 and 67904 are explicitly described as notably above typical national volume, and 33286 also appears as notably above typical national volume despite smaller revenue contribution. These labeled outlier statuses point to specialty strengths (especially ophthalmology) that materially elevate this ASC’s national standing for particular procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
40 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… | 2,360 | $890 | $2.1M |
| 33285 | The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions. | 50 | $5,770 | $259.4K |
| 33228 | The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart… | 30 | $6,170 | $154.3K |
| 67904 | The 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… | 170 | $560 | $95.5K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 70 | $1,300 | $94.8K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 910 | $100 | $89K |
| 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 | $2,680 | $88.4K |
| 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… | 180 | $460 | $81.8K |
| 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… | 160 | $380 | $61.8K |
| 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. | 220 | $280 | $59.7K |
Showing 1–10 of 40
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
40 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 12 | 20 | 860 | $100 | $162.9K |
| 66984 | 4 | 370 | 100 | $670 | $141.2K |
| J1097 | 13 | 20 | 860 | $80 | $123.6K |
| 66991 | 16 | 50 | 30 | $2,020 | $82.9K |
| 33285 | 13 | 70 | 20 | $2,210 | $70.9K |
| 66982 | 42 | 160 | 30 | $740 | $40.7K |
| 66174 | 6 | 40 | 30 | $860 | $34.5K |
| 14041 | 9 | 30 | 20 | $780 | $34.2K |
| 67904 | 1 | 20 | 40 | $600 | $32.3K |
| 14021 | 12 | 20 | 30 | $730 | $32.2K |
Showing 1–10 of 40
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.
2 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. | 10 | $410 | $5.3K |
| 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… | 20 | $70 | $1.1K |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
2 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. | 260 | 280 | 360 | $560 | $567.5K |
| 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… | 58 | 60 | 110 | $370 | $327.3K |
Other providers in the same ZIP code as Seashore Surgical Institute, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| White Glove Community Care, Inc. | NJ | Home Health Agency | $0 | $540.7M |
| Ocean Partnership For Children, Inc. | NJ | Case Manager/Care Coordinator | $0 | $66.5M |
| Hmh Hospitals Corporation | NJ | General Acute Care Hospital | $0 | $50M |
| Summit Home Health Care, Inc | NJ | Home Health Agency | $0 | $14.6M |
| Brick Board Of Education | NJ | Local Education Agency (LEA) | $0 | $12.2M |
| White Glove Community Care, Inc. | NJ | Home Health Agency | $0 | $9.4M |
| Monmouth Healthcare Services | NJ | Methadone Clinic | $111K | $4.9M |
| Mutahir Abidi | NJ | Rheumatology Physician | $1.6M | $0 |
| Aditya Mehra | NJ | Cardiovascular Disease Physician | $1.2M | $0 |
| Girish Amin | NJ | Hematology (Internal Medicine) Physician | $951.5K | $0 |
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