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NPI 1225064876 · Rock Hill, SC · Ambulatory Surgical Clinic/Center
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Rock Hill Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Rock Hill, South Carolina. This profile covers 26 Medicare and 12 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 | Rock Hill Surgery Center, LLC |
| Address | 198 S Herlong Ave |
| City | Rock Hill |
| State | SC |
| ZIP | 29732 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $1.3M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 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… | 810 | $820 | $665K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 960 | $100 | $94.6K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 50 | $1,470 | $73.7K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 120 | $430 | $51.6K |
| 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… | 60 | $800 | $50.3K |
| 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… | 20 | $2,490 | $49.9K |
| 31267 | In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus… | 40 | $1,270 | $49.5K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 70 | $690 | $48.2K |
| 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. | 30 | $1,500 | $37.4K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 20 | $1,500 | $28.4K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 4 | 10 | 960 | $100 | $151.9K |
| 66984 | 56 | 270 | 210 | $170 | $141.3K |
| 66991 | 18 | 20 | 30 | $1,520 | $62.2K |
| 67036 | 13 | 20 | 20 | $1,110 | $40.1K |
| 15823 | 26 | 40 | 40 | $520 | $33.1K |
| 67042 | 4 | 30 | 20 | $1,150 | $32.3K |
| 67904 | 14 | 30 | 40 | $550 | $30.3K |
| 66174 | 5 | 10 | 20 | $1,090 | $29.4K |
| 67108 | 10 | 20 | 20 | $1,150 | $24.1K |
| 66982 | 10 | 50 | 30 | $630 | $23.9K |
Showing 1–10 of 26
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.
12 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. | 3,000 | $210 | $623.6K |
| D3220 | N/A | 980 | $440 | $432.1K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 660 | $430 | $286.2K |
| D2930 | N/A | 730 | $360 | $258.1K |
| D1120 | Prophylaxis–child | 690 | $70 | $48.8K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 110 | $300 | $31.6K |
| D2392 | Post 2 surface resin‑based composite | 120 | $190 | $21.6K |
| 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… | 90 | $110 | $10.2K |
| D2330 | Resin-based composite - one surface, anterior | 40 | $190 | $7K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 10 | $440 | $6.1K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D2930 | N/A | 81 | 130 | 1,060 | $150 | $371.1K |
| D2392 | Post 2 surface resin‑based composite | 251 | 350 | 520 | $100 | $175.3K |
| D1120 | Prophylaxis–child | 224 | 470 | 600 | $30 | $156.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 5 | 50 | 480 | $160 | $147.9K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 212 | 290 | 380 | $90 | $125K |
| D2391 | Resin‑based composite – one surface, posterior | 283 | 300 | 270 | $80 | $110.5K |
| D1206 | Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients | 379 | 410 | 670 | $20 | $95.1K |
| D3220 | N/A | 21 | 90 | 290 | $100 | $91.6K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 10 | 40 | 140 | $220 | $87.4K |
| 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… | 22 | 40 | 110 | $120 | $48K |
Showing 1–10 of 12
Other providers in the same ZIP code as Rock Hill Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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