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NPI 1245233410 · Forty Fort, PA · Ambulatory Surgical Clinic/Center
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Surgical Specialty Center Of Northeastern Pennsylvania, LLC is a ambulatory surgical clinic/center provider located in Forty Fort, Pennsylvania. This profile covers 11 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 | Surgical Specialty Center Of Northeastern Pennsylvania, LLC |
| Address | 190 Welles St |
| City | Forty Fort |
| State | PA |
| ZIP | 18704 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $124.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 1,290 | $790 | $1M |
| 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… | 60 | $2,360 | $132.2K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 90 | $1,400 | $126.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 520 | $190 | $99.1K |
| 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… | 100 | $790 | $78.6K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 580 | $80 | $44.2K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 30 | $710 | $18.3K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 90 | $140 | $11.6K |
| 67228 | In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space… | 40 | $130 | $5.3K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 50 | $90 | $4.8K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 17 | 30 | 840 | $80 | $119.3K |
| 66984 | 11 | 670 | 80 | $530 | $97.8K |
| 66991 | 17 | 70 | 40 | $1,430 | $67K |
| 66988 | 1 | 10 | 40 | $1,010 | $52.4K |
| 65820 | 31 | 50 | 30 | $950 | $36.2K |
| 66982 | 9 | 200 | 30 | $640 | $23.2K |
| 66821 | 2 | 420 | 50 | $230 | $18.3K |
| 62323 | 339 | 360 | 60 | $140 | $14.2K |
| 65855 | 42 | 170 | 30 | $160 | $7.1K |
| 66761 | 2 | 60 | 30 | $200 | $6.9K |
Showing 1–10 of 11
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 |
|---|---|---|---|---|
| 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… | 240 | $530 | $124.1K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 210 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 23 | 80 | 50 | $610 | $122.4K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 14 | 40 | 100 | $0 | $0 |
Other providers in the same ZIP code as Surgical Specialty Center Of Northeastern Pennsylvania, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Beyond Behavior Consulting | PA | Behavior Analyst | $0 | $10.3M |
| Keystone Behavior Services, LLC | PA | Community/Behavioral Health Agency | $0 | $6.1M |
| Luzerne Intermediate Unit #18 | PA | Community/Behavioral Health Agency | $0 | $5.7M |
| Bruce Saidman | PA | Hematology & Oncology Physician | $3.4M | $1 |
| David Greenwald | PA | Hematology & Oncology Physician | $2.7M | $590 |
| Erik Kruger | PA | Ophthalmology Physician | $2.4M | $11.8K |
| Anthony Andrews | PA | Ophthalmology Physician | $1.3M | $100 |
| Radu Pacurariu | PA | Ophthalmology Physician | $1M | $0 |
| Mark Grohol | PA | Optometrist | $221.5K | $697.4K |
| Gateway Surgery Center LLC | PA | Ambulatory Surgical Clinic/Center | $756.7K | $11.8K |
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