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NPI 1184900102 · Hackensack, NJ · Ambulatory Surgical Clinic/Center
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Metropolitan New Jersey, LLC is a ambulatory surgical clinic/center provider located in Hackensack, New Jersey. This profile covers 6 Medicare and 8 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 | Metropolitan New Jersey, LLC |
| Address | 433 Hackensack Ave |
| City | Hackensack |
| State | NJ |
| ZIP | 07601 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 24, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.9M |
| Medicare | $134.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 60 | $770 | $43.2K |
| 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… | 20 | $2,070 | $35.2K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 60 | $470 | $27.5K |
| 36590 | The provider removes a tunneled central venous access device along with the subcutaneous port or pump that was previously placed through a central or peripheral insertion. | 20 | $530 | $12.2K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 20 | $630 | $9.4K |
| 74420 | The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it… | 40 | $180 | $7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 840 | $1,280 | $1.1M |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 1,260 | $790 | $996.5K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,400 | $460 | $644K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 480 | $430 | $202.3K |
| 41520 | In this procedure, the provider corrects a deformity in the frenum, the band under the tongue, by a method such as Z–plasty. | 10 | $940 | $11.3K |
| 69620 | The provider performs a myringoplasty, or surgical repair of the eardrum, using graft material such as a piece of fascia or a plug of fat. The surgery involves only the drumhead of the tympanic… | 20 | $500 | $9K |
| 30903 | The provider uses a complex or extensive approach to stop a heavy nosebleed caused by a vessel in the front area of the nose. | 10 | $240 | $3.3K |
| L8699 | Prosthetic implant, not otherwise specified | 400 | $0 | $0 |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 3 | 30 | 290 | $590 | $379.3K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 3 | 30 | 150 | $1,170 | $313.7K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 3 | 10 | 80 | $600 | $185.9K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 1 | 10 | 120 | $560 | $172.8K |
| 30903 | The provider uses a complex or extensive approach to stop a heavy nosebleed caused by a vessel in the front area of the nose. | 3 | 10 | 60 | $320 | $39.6K |
| 41520 | In this procedure, the provider corrects a deformity in the frenum, the band under the tongue, by a method such as Z–plasty. | 1 | 10 | 10 | $940 | $11.3K |
| L8699 | Prosthetic implant, not otherwise specified | 1 | 10 | 200 | $50 | $9.7K |
| 69620 | The provider performs a myringoplasty, or surgical repair of the eardrum, using graft material such as a piece of fascia or a plug of fat. The surgery involves only the drumhead of the tympanic… | 1 | 10 | 20 | $500 | $9K |
Other providers in the same ZIP code as Metropolitan New Jersey, LLC, ranked by combined Medicare and Medicaid revenue.
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