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NPI 1275596264 · Myrtle Beach, SC · Ambulatory Surgical Clinic/Center
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Carolina Regional Surgery Center. Ltd is a ambulatory surgical clinic/center provider located in Myrtle Beach, South Carolina. This profile covers 32 Medicare and 12 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 | Carolina Regional Surgery Center. Ltd |
| Address | 1021 Medical Cir |
| City | Myrtle Beach |
| State | SC |
| ZIP | 29572 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3M |
| Medicaid | $1.7M |
CAROLINA REGIONAL SURGERY CENTER. LTD reports Total Medicare revenue of $3M and Total Medicaid revenue of $1.7M, indicating material engagement with both payers but a larger revenue footprint in Medicare. This mixed payer profile suggests the facility is not single‑payer dependent and serves distinct patient populations under each program.
Revenue is highly concentrated on a small set of procedures in both payers: the top 3 Medicare codes account for 79.5% of Medicare revenue, while the top 3 Medicaid codes account for 81.7% of Medicaid revenue. For Medicare the principal drivers are 66984, 33285, and 33228; for Medicaid they are D2930, D7140, and 69436, meaning a few service lines produce most billed dollars.
The Medicare code mix points to an ASC operating with strong ophthalmology and implant cardiology activity: 66984 is the dominant Medicare procedure ($2.1M revenue) and 66982 also appears in the top list, while 33285 and 33228 indicate cardiac rhythm monitor/pacemaker device work. This combination is consistent with an ambulatory surgical clinic that houses high‑value eye surgery alongside device implantation/exchange capabilities.
On Medicare competitive standing, the provider is a national outlier for cataract surgery: 66984 ranks #651 of 15965 providers nationally (96th percentile; notably above typical national volume for this code), indicating a substantially higher-than-typical cataract throughput versus peers. By contrast, 33285 (87th percentile) and 33228 (67th percentile) sit in typical-to-moderate national percentiles for device procedures, so leadership is strongest in ophthalmic surgery.
Medicaid billing shows a different service focus and more localized competitive positioning: D2930 (1.8K claims, $785K revenue) and D7140 (774 claims, $350.6K revenue) drive dental revenue, while 69436 (1.2K claims, $252.4K revenue) reflects substantial pediatric ENT/tympanostomy volume. In-state ranks are generally middling-to-strong — e.g., 69436 ranks #13 of 46 (73rd percentile) and 66984 in Medicaid ranks #8 of 39 (82nd percentile) — suggesting meaningful regional share in pediatric ENT and cataract work within the state.
There is a clear payer-driven divergence in service lines: Medicare revenue is concentrated in high‑paid surgical and device codes (e.g., 66984, 33285, 33228) while Medicaid revenue is concentrated in high‑volume dental and pediatric ENT services (e.g., D2930, D7140, 69436). This split implies operational breadth across specialties and different care pathways by payer.
The provider has been enumerated for a long period (NPI enumerated: 2006-04-10, ~20 years ago), which supports the interpretation of these patterns as established service lines rather than a short-term billing anomaly. Tenure consistent with sustained specialty capacity aligns with the high rank for 66984 nationally.
Several procedure-level percentile signals identify outlier or low-activity services worth noting for analytics: C9740 ranks #129 of 162 providers nationally (15th percentile), indicating lower relative activity for that code, and D2929 ranks #6 of 6 providers in-state (0th percentile), showing extremely limited in-state use. Also, the facility reports very high claim counts for J0585 (6.2K claims) but low avg paid/claim ($5) and modest revenue ($31K), a pattern of high-volume, low-dollar injections that contrasts with the high-dollar surgical/device Medicare lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 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… | 2,590 | $790 | $2.1M |
| 33285 | The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions. | 40 | $5,120 | $215.1K |
| 33228 | The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart… | 20 | $5,480 | $98.7K |
| 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 | $77.5K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 10 | $5,250 | $73.5K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $4,190 | $71.2K |
| 45385 | The 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… | 80 | $410 | $31.8K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 20 | $1,420 | $31.2K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 6,200 | $10 | $31K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 20 | $1,370 | $30.1K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 5 | 10 | 30 | $5,190 | $181.8K |
| V2785 | 5 | 10 | 20 | $3,730 | $145.6K |
| 66984 | 23 | 270 | 210 | $170 | $141.3K |
| J0585 | 57 | 90 | 7,800 | $1 | $60.8K |
| 67036 | 7 | 20 | 20 | $1,110 | $40.1K |
| 45385 | 143 | 270 | 90 | $270 | $36.9K |
| 65756 | 10 | 20 | 20 | $1,140 | $35.4K |
| 67042 | 14 | 30 | 20 | $1,150 | $32.3K |
| 33285 | 10 | 40 | 20 | $910 | $25.5K |
| 67108 | 16 | 20 | 20 | $1,150 | $24.1K |
Showing 1–10 of 32
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D2930 | N/A | 1,760 | $450 | $785K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 770 | $450 | $350.6K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,170 | $220 | $252.4K |
| D3220 | N/A | 280 | $390 | $107.6K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 180 | $450 | $78.5K |
| 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… | 650 | $90 | $57.5K |
| D2391 | Resin‑based composite – one surface, posterior | 120 | $250 | $30.4K |
| D2330 | Resin-based composite - one surface, anterior | 50 | $290 | $13.1K |
| D1351 | Sealant - per tooth | 50 | $230 | $11.6K |
| D2929 | N/A | 20 | $380 | $7.5K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D2930 | N/A | 54 | 130 | 1,060 | $150 | $371.1K |
| D2392 | Post 2 surface resin‑based composite | 345 | 350 | 520 | $100 | $175.3K |
| D1120 | Prophylaxis–child | 443 | 470 | 600 | $30 | $156.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 13 | 50 | 480 | $160 | $147.9K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 105 | 290 | 380 | $90 | $125K |
| D2391 | Resin‑based composite – one surface, posterior | 188 | 300 | 270 | $80 | $110.5K |
| D1351 | Sealant - per tooth | 182 | 200 | 840 | $30 | $108.9K |
| D3220 | N/A | 45 | 90 | 290 | $100 | $91.6K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 17 | 40 | 140 | $220 | $87.4K |
| 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… | 8 | 40 | 110 | $120 | $48K |
Showing 1–10 of 12
Other providers in the same ZIP code as Carolina Regional Surgery Center. Ltd, ranked by combined Medicare and Medicaid revenue.
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