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    OpenPayerNPI Medicare & MedicaidEast Columbus Surgery Center LLC
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    East Columbus Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1295708246 · Columbus, OH · Clinic/Center

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    East Columbus Surgery Center LLC is a clinic/center provider located in Columbus, Ohio. This profile covers 9 Medicare and 6 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
    OrganizationEast Columbus Surgery Center LLC
    Address50 Mcnaughten Road
    CityColumbus
    StateOH
    ZIP43213
    TaxonomyClinic/Center
    NPI EnumeratedFebruary 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$740.4K
    Medicare$721K

    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.

    9 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…580$830$482.1K
    V2785Processing, preserving and transporting corneal tissue30$3,340$100.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.280$200$56K
    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…40$840$29.4K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.10$1,500$21K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…30$500$13K
    66250The provider repairs or revises a wound to the anterior segment of the eye, which occurred during another procedure.20$680$10.2K
    65855In 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.70$100$7.1K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.20$120$2.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V278531020$3,400$108.8K
    66984183530210$110$92.8K
    67904274040$540$28.2K
    669826915030$470$24.9K
    65756162020$1,000$23.9K
    668211136050$180$15.8K
    6625051020$560$12.3K
    658551411030$140$5.8K
    67840132020$170$5K

    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.

    6 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…1,670$430$721.9K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.150$120$18.1K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.20$10$210
    J3300Injection, triamcinolone acetonide, preservative free, 1 mg40$1$40
    G8907Patient 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…30$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis30$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1190180$410$234.6K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.5150310$70$202.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.21040$180$18.5K
    J3300Injection, triamcinolone acetonide, preservative free, 1 mg31040$60$14.6K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis264040$1$100
    G8907Patient 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…435090$1$60

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with East Columbus Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel MaldovanOHCertified Registered Nurse Anesthetist$62.1K$0
    Jozefa HernonOHCertified Registered Nurse Anesthetist$30.3K$0
    Philip RinehartOHCertified Registered Nurse Anesthetist$22.5K$0
    Eric HooverOHCertified Registered Nurse Anesthetist$10.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lighthouse Behavioral Health Solutions, LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$116.4M
    Access Ohio, LLCOHCommunity/Behavioral Health Agency$0$72.4M
    Mount Carmel Health SystemOHGeneral Acute Care Hospital$0$66.7M
    Independent Home Care Inc.OHHome Health Agency$0$47.5M
    The Buckeye Ranch, IncOHAdolescent and Children Mental Health Clinic/Center$0$32.5M
    Caring Heart Home Health Agency LLCOHHome Health Agency$0$24.3M
    Golden Rule Home Health Care LLCOHHome Health Agency$0$13.8M
    Columbia Home Health Care IncOHHome Health Agency$0$11.7M
    Alta Home Health Care, LLCOHHome Health Agency$0$10.4M
    Hospitalist Medicine Physicians Of Ohio, Professional CorporationOHInternal Medicine Physician$0$9.7M

    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. Ohio Distribution
    East Columbus Surgery Center LLC — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    East Columbus Surgery Center LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio