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NPI 1306217039 · Seattle, WA · Ambulatory Surgical Clinic/Center
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First Hill Surgery Center LLC is a ambulatory surgical clinic/center provider located in Seattle, Washington. This profile covers 23 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | First Hill Surgery Center LLC |
| Address | 1101 Madison St |
| City | Seattle |
| State | WA |
| ZIP | 98104 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 7, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $41.9K |
FIRST HILL SURGERY CENTER LLC’s Medicare activity is dominated by ophthalmic surgeries: code 66984 (cataract extraction with intraocular lens) generates $603.9K in revenue (42.4% of the provider’s Medicare revenue), with additional ophthalmic contribution from V2785 (corneal tissue processing) at $126.1K (8.9%) and 66982 (complex IOL insertion) at $89.5K (6.3%). These three codes together account for 57.6% of this provider’s total Medicare revenue, indicating a concentrated, eye-care–focused service line within the ambulatory surgical center taxonomy.
The provider’s overall payer mix is heavily Medicare-skewed: lifetime Medicare revenue is $1.4M versus total Medicaid revenue of $41.9K, so Medicare is the dominant revenue source by a large margin. Medicaid appears effectively secondary in scale and scope relative to Medicare for this facility.
Medicaid billing is narrowly concentrated: L8699 (prosthetic implant, not otherwise specified) represents $42K in revenue on 181 claims and is shown as 100.0% of the provider’s Medicaid revenue. In-state competitive standing on that code is modest—ranked #9 of 11 providers in-state (20th percentile; typical, unremarkable volume)—which suggests Medicaid activity is focused on a single prosthetics line rather than broad Medicaid surgical volume.
On national Medicare benchmarks the center shows above-average volumes for core ophthalmology work but is still described as operating at typical scale for these codes. For example, 66984 ranks #2449 of 15965 (85th percentile; typical, unremarkable volume), V2785 ranks #53 of 231 (77th percentile; typical, unremarkable volume), and 66982 ranks #380 of 4580 (92th percentile; typical, unremarkable volume), which together point to a relatively strong, though not dominant, ophthalmic presence versus national peers.
Procedure mix indicates the ASC delivers multi-specialty outpatient surgery beyond ophthalmology: notable non-ophthalmic Medicare revenue items include 49650 (laparoscopic inguinal hernia repair) at $70K (4.9%), 52648 (transurethral resection of the prostate) at $55.7K (3.9%), and 29828 (biceps tenodesis) at $48.1K (3.4%). This spread of urology, general surgery, and orthopedics codes implies the facility operates as a multi-specialty ambulatory surgical center rather than a single-procedure clinic.
Several glaucoma and pediatric ophthalmic procedure codes appear at low relative volumes, which may reflect a more limited footprint in those subspecialty services. Examples include 66174 at $30.2K (2.1%) with a 18th percentile descriptor (typical, unremarkable volume), 66170 at $10.3K (0.7%) at the 10th percentile (typical, unremarkable volume), and 65820 at $27.6K (1.9%) at the 9th percentile (typical, unremarkable volume), suggesting these procedures are present but not a central revenue driver.
The NPI was enumerated on 2015-10-07 (~11 years ago), indicating the center has an established operating history. Combined with lifetime Medicare revenue of $1.4M and the concentrated ophthalmology code mix, the profile is consistent with a mid-scale ambulatory surgical center that has developed a specialty emphasis in cataract and corneal services.
For payer and contracting analysts, the profile signals concentrated risk and opportunity: a large share of Medicare revenue comes from a small set of ophthalmic codes (57.6% from the top three Medicare codes) and Medicaid activity is focused entirely on L8699 (100.0% of Medicaid revenue). These patterns warrant targeted credentialing, rate benchmarking, and utilization review around cataract/IOL services and corneal tissue processing while recognizing the provider’s broader but smaller-volume multi-specialty procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 670 | $900 | $603.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 40 | $3,320 | $126.1K |
| 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 | $920 | $89.5K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 40 | $1,940 | $70K |
| 66991 | The 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… | 20 | $2,790 | $66.8K |
| 52648 | Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with… | 30 | $1,920 | $55.7K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 30 | $1,680 | $48.6K |
| 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 | $2,670 | $48.1K |
| 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… | 20 | $1,610 | $38.7K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 20 | $1,830 | $38.5K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 30 | 460 | 50 | $560 | $97.5K |
| V2785 | 2 | 10 | 30 | $3,540 | $91.9K |
| 66991 | 25 | 40 | 40 | $1,470 | $63.1K |
| 65820 | 18 | 20 | 20 | $1,120 | $37K |
| 29828 | 9 | 30 | 20 | $1,240 | $28.4K |
| 65756 | 2 | 20 | 20 | $1,270 | $27.9K |
| 52648 | 2 | 10 | 30 | $1,090 | $27.3K |
| 66982 | 6 | 120 | 30 | $720 | $27.3K |
| 14301 | 18 | 30 | 20 | $850 | $26.3K |
| 29827 | 24 | 90 | 20 | $1,130 | $26.1K |
Showing 1–10 of 23
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| L8699 | Prosthetic implant, not otherwise specified | 180 | $230 | $42K |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| L8699 | Prosthetic implant, not otherwise specified | 9 | 10 | 250 | $250 | $138.2K |
Other providers in the same ZIP code as First Hill Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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