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NPI 1265931653 · Shrewsbury, MA · Ambulatory Surgical Clinic/Center
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Healthcare Enterprises LLC is a ambulatory surgical clinic/center provider located in Shrewsbury, Massachusetts. This profile covers 21 Medicare and 7 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 | Healthcare Enterprises LLC |
| Address | 151 Main St |
| City | Shrewsbury |
| State | MA |
| ZIP | 01545 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 12, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $613.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 40 | $7,430 | $297.2K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 40 | $7,730 | $293.6K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 260 | $670 | $174.6K |
| 29827 | The 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… | 40 | $1,880 | $77.2K |
| 26055 | Trigger 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… | 140 | $470 | $65.1K |
| 25609 | The 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 | $3,590 | $53.9K |
| 29828 | The 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 | $2,550 | $45.9K |
| 29880 | In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with… | 30 | $1,120 | $35.8K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 20 | $1,870 | $35.5K |
| 19318 | Breast reduction is the removal of excess breast tissue which results from top scarring, calcification, or architectural distortion. | 20 | $1,450 | $33.3K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 108 | 280 | 30 | $810 | $35.7K |
| 27130 | 71 | 190 | 30 | $880 | $33.3K |
| 19318 | 1 | 10 | 20 | $1,450 | $33.3K |
| 25609 | 8 | 10 | 20 | $1,410 | $26.7K |
| 29827 | 8 | 80 | 20 | $930 | $21.4K |
| 64721 | 1 | 80 | 30 | $400 | $18K |
| 29828 | 8 | 30 | 20 | $850 | $15.3K |
| 26480 | 2 | 10 | 20 | $730 | $13.9K |
| 26123 | 7 | 10 | 10 | $840 | $12.5K |
| 29881 | 9 | 20 | 10 | $660 | $11.9K |
Showing 1–10 of 21
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 1,150 | $470 | $547K |
| 26055 | Trigger 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… | 170 | $280 | $46.9K |
| 29881 | The 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 | $750 | $18K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 210 | $10 | $1K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 450 | $1 | $450 |
| 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… | 1,980 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 1,170 | $0 | $0 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 1 | 10 | 100 | $550 | $107.4K |
| 26055 | Trigger 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… | 1 | 10 | 110 | $420 | $44.2K |
| 29881 | The 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… | 2 | 10 | 20 | $1,370 | $38.4K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 11 | 30 | 180 | $50 | $20.1K |
| 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… | 3 | 40 | 350 | $1 | $560 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | 20 | 390 | $1 | $160 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 1 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Healthcare Enterprises LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Right Choice Home Care, LLC | MA | Home Health Agency | $0 | $12.5M |
| Veterans Inc | MA | Substance Abuse Rehabilitation Facility | $0 | $10.7M |
| Joseph Daigneault | MA | Family Medicine Physician | $45.5K | $83.9K |
| Deborah Hazen | MA | Internal Medicine Physician | $76.2K | $30.1K |
| Gabriel Luna | MA | Ophthalmology Physician | $98.7K | $930 |
| Destiny Murphy | MA | Neurology Physician | $56.3K | $0 |
| Carlos Perez-velazquez | MA | Internal Medicine Physician | $53.6K | $0 |
| Vasilios Chrisostomidis | MA | Family Medicine Physician | $36.9K | $0 |
| Brittany Fallon | MA | Physical Therapist | $26.6K | $1.1K |
| Rebecca Bauer | MA | Anesthesiology Physician | $10.1K | $0 |
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