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    OpenPayerNPI Medicare & MedicaidScripps Health
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    Scripps Health — Billing Profile & Reimbursement Data

    NPI 1245216928 · San Diego, CA · Ambulatory Surgical Clinic/Center

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    Scripps Health is a ambulatory surgical clinic/center provider located in San Diego, California. This profile covers 31 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
    OrganizationScripps Health
    Address3811 Valley Centre Dr.
    CitySan Diego
    StateCA
    ZIP92130
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 15, 2005

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

    Payer SourceTotal Paid
    Medicare$2.2M
    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.

    31 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…1,050$970$1M
    66991The 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…70$2,940$205.5K
    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…70$2,200$160.7K
    66982The 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…130$970$128.5K
    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…30$2,820$95.7K
    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…20$3,970$91.3K
    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.110$630$69.5K
    26055Trigger 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…100$550$57.3K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…50$770$36.9K
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…60$580$32.3K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984241,25090$690$122.8K
    669912118030$1,940$77.7K
    25609126020$2,220$40K
    669822251030$800$32K
    158236619030$640$30.9K
    29827629020$1,320$30.3K
    2982838020$1,390$26.3K
    65756183020$1,300$26K
    140409918020$610$23K
    6578081020$1,120$19K

    Showing 1–10 of 31

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Scripps Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scripps HealthCAGeneral Acute Care Hospital$0$64.2M
    Scripps HealthCAClinical Medical Laboratory$8.9M$301.7K
    Darren SigalCAMedical Oncology Physician$2.9M$0
    Munveer BhangooCAMedical Oncology Physician$2.3M$0
    NPI 1063405082——$2.1M$0
    Alan SavenCAHematology & Oncology Physician$1.7M$0
    Michael KostyCAHematology & Oncology Physician$1.5M$0
    Scripps HealthCAAmbulatory Surgical Clinic/Center$1.5M$0
    Richard AbelloCADiagnostic Radiology Physician$1.5M$0
    Patrick LinsonCARadiation Oncology Physician$1.4M$0

    Nearby Providers

    Other providers in the same ZIP code as Scripps Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tandem Diabetes Care IncCADurable Medical Equipment & Medical Supplies$0$83M
    Derm - Jes Holdings, LLCCAClinical Medical Laboratory$7.4M$157.1K
    Nikolas LondonCAOphthalmology Physician$6.4M$0
    Specialists Surgery Center Of Del Mar LLCCAAmbulatory Surgical Clinic/Center$1.4M$0
    Manisha KumarCARheumatology Physician$1.1M$0
    Megan LynchCARheumatology Physician$1M$0
    Jeffrey EatonCAMOHS-Micrographic Surgery Physician$554.9K$0
    Andrew WhiteCAAllergy & Immunology Physician$389.6K$0
    Salvatore PacellaCAPlastic Surgery Physician$341K$0
    Katharine WoessnerCAAllergy & Immunology Physician$308.8K$0

    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
    Scripps Health — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California