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    OpenPayerNPI Medicare & MedicaidSurgery Center Of Sandusky LLC
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    Surgery Center Of Sandusky LLC — Billing Profile & Reimbursement Data

    NPI 1295841666 · Sandusky, OH · Ambulatory Surgical Clinic/Center

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    Surgery Center Of Sandusky LLC is a ambulatory surgical clinic/center provider located in Sandusky, Ohio. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSurgery Center Of Sandusky LLC
    Address2616 Hayes Ave
    CitySandusky
    StateOH
    ZIP44870
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 21, 2006

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

    Payer SourceTotal Paid
    Medicare$974.7K
    Medicaid$0

    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.

    11 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…640$760$485.1K
    66991The 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…40$2,320$99.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.540$190$99.5K
    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…120$760$89.2K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml850$80$64.4K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…110$380$40K
    66174The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.50$730$33.4K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…60$490$27.2K
    65820The 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.20$1,310$22.3K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…20$550$9.3K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10971120860$80$98.1K
    66984179530210$110$92.8K
    66991124030$1,060$52.8K
    1582395050$500$35.8K
    65820384040$850$33.3K
    66174102040$690$29.8K
    669821215030$470$24.9K
    6790093040$440$21.5K
    67908131030$470$16.9K
    66821436050$180$15.8K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Firelands Regional Medical CenterOHGeneral Acute Care Hospital$0$37.5M
    Cambridge Home Health Care, Inc.OHHome Health Agency$0$19.4M
    Firelands Regional Medical CenterOHMulti-Specialty Clinic/Center$0$17.5M
    Northern Ohio Medical Specialists LLCOHInternal Medicine Physician$0$16.4M
    Stein Hospice Services, IncOHCommunity Based Hospice Care Agency$0$11.1M
    Erie County Office Of AuditorOHFederally Qualified Health Center (FQHC)$0$7.5M
    Erie County Office Of AuditorOHSubstance Use Disorder Rehabilitation Hospital Unit$0$7M
    Family Health Services Of Erie CountyOHFederally Qualified Health Center (FQHC)$0$6.9M
    Brian MurphyOHHematology & Oncology Physician$2.8M$0
    Sandusky City Office Of TreasurerOHLand Ambulance$345.9K$1.1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Surgery Center Of Sandusky LLC — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio