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    OpenPayerNPI Medicare & MedicaidMain Street Specialty Surgery Center, LLC
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    Main Street Specialty Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1225275688 · Orange, CA · Ambulatory Surgical Clinic/Center

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    Main Street Specialty Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Orange, California. This profile covers 24 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMain Street Specialty Surgery Center, LLC
    Address280 S Main St Ste 100
    CityOrange
    StateCA
    ZIP92868
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 7, 2009

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).680$330$226.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.220$600$132K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…50$2,160$114.4K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…330$310$104.5K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…20$4,030$84.5K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…280$280$77.5K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…20$2,810$59K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$3,950$51.4K
    20900A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider…20$2,010$48.2K
    29848The 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.60$630$38.2K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    25609466020$2,220$40K
    298271429020$1,320$30.3K
    644831379060$240$28.5K
    29828268020$1,390$26.3K
    646351848040$460$26.3K
    2875032020$1,510$24.2K
    2807211040$630$22.8K
    G02605913050$260$21.6K
    644932867050$220$18.8K
    29848119030$520$18.6K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Main Street Specialty Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Falck Mobile Health CorpCALand Ambulance$25.5M$127.7M
    University Of California IrvineCAGeneral Acute Care Hospital$0$153.1M
    St. Joseph Hospital Of OrangeCAGeneral Acute Care Hospital$0$65.9M
    Children's Hospital Of Orange CountyCAChildren's Hospital$0$53.7M
    Emergency Medicine Specialists Of Orange CountyCAEmergency Medicine Physician$0$42.4M
    Maxim Healthcare Services, Inc.CAHome Health Agency$0$37.3M
    Premier Healthcare Services, LLCCAHome Health Agency$0$35M
    Vital Smiles Alabama Ii PCCADentist$0$29.2M
    Gordian Medical, Inc.CADurable Medical Equipment & Medical Supplies$0$27.5M
    Bio-medical Applications Of California, Inc.CAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$24.6M

    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. California Distribution
    Main Street Specialty Surgery Center, LLC — 5 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California