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    OpenPayerNPI Medicare & MedicaidEastern Massachusetts Surgery Center LLC
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    Eastern Massachusetts Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1245436823 · Norwood, MA · Ambulatory Surgical Clinic/Center

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    Eastern Massachusetts Surgery Center LLC is a ambulatory surgical clinic/center provider located in Norwood, Massachusetts. This profile covers 14 Medicare and 1 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)

    FieldValue
    Entity TypeOrganization
    OrganizationEastern Massachusetts Surgery Center LLC
    Address100 Morse Street
    CityNorwood
    StateMA
    ZIP02062
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 21, 2007

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

    Payer SourceTotal Paid
    Medicare$667.8K
    Medicaid$3.7K

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…10$16,480$181.3K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…230$500$115.1K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…230$340$78.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.60$1,210$69.1K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…30$1,880$49K
    55880The provider uses a high intensity–focused ultrasound (HIFU) device inserted through the rectum to destroy malignant prostate tissue under ultrasound guidance.10$3,630$40K
    51715In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a…20$1,740$26.1K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.20$1,300$22K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…20$1,140$21.7K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.80$250$20.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6459081020$4,290$85.8K
    5588011010$3,630$40K
    5059053020$710$24.7K
    453852646060$260$23.8K
    G010515428030$260$12.1K
    453801846050$160$11.9K
    2988172010$660$11.9K
    5260122020$740$11.8K
    49505184020$420$10.6K
    52224101030$430$10.3K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…10$280$3.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…87100260$550$524.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Riverside Community Care, Inc.MACommunity/Behavioral Health Agency$0$108.4M
    Reliable Respiratory, Inc.MAOxygen Equipment & Supplies (DME)$0$39.9M
    Seasons Hospice & Palliative Care Of Massachusetts, LLCMACommunity Based Hospice Care Agency$0$30.9M
    Steward Norwood Hospital, Inc.MAGeneral Acute Care Hospital$0$8.5M
    Epoch Health Care LLC.MANon-emergency Medical Transport (VAN)$0$6.5M
    Town Of NorwoodMALand Ambulance$655.7K$1.5M
    Om Diagnostic Laboratories Inc.MAClinical Medical Laboratory$17.4K$1M
    Anu JayaramanMADermatology Physician$748.5K$0
    Niels KrejciMAMOHS-Micrographic Surgery Physician$579.6K$0
    Mmds Of Boston, LLCMAPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$386.8K$154.9K

    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. Massachusetts Distribution
    Eastern Massachusetts Surgery Center LLC — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Eastern Massachusetts Surgery Center LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts