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NPI 1306851902 · Irvine, CA · Ambulatory Surgical Clinic/Center
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Specialty Surgical Center Of Irvine LP is a ambulatory surgical clinic/center provider located in Irvine, California. This profile covers 18 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 | Specialty Surgical Center Of Irvine LP |
| Address | 15825 Laguna Canyon Rd |
| City | Irvine |
| State | CA |
| ZIP | 92618 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 30, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.4M |
| Medicare | $1.1M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 520 | $970 | $500.9K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 20 | $4,470 | $102.7K |
| 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… | 60 | $1,860 | $102.2K |
| 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… | 30 | $2,930 | $99.6K |
| 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… | 110 | $530 | $55.2K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 130 | $420 | $54.4K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 160 | $260 | $42K |
| 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… | 30 | $990 | $26.6K |
| 66174 | The 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. | 20 | $970 | $18.5K |
| 52332 | The provider performs 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… | 10 | $1,100 | $15.4K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 86 | 1,250 | 90 | $690 | $122.8K |
| 66991 | 66 | 180 | 30 | $1,940 | $77.7K |
| 64561 | 10 | 30 | 20 | $2,560 | $58.8K |
| 66174 | 108 | 140 | 30 | $860 | $37.1K |
| 45385 | 409 | 1,410 | 60 | $340 | $33.9K |
| 66982 | 250 | 510 | 30 | $800 | $32K |
| 45380 | 332 | 1,460 | 60 | $230 | $23.8K |
| 29848 | 63 | 90 | 30 | $520 | $18.6K |
| 43239 | 301 | 1,500 | 80 | $150 | $17.3K |
| G0105 | 369 | 650 | 30 | $340 | $14.8K |
Showing 1–10 of 18
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 |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 2,430 | $180 | $445.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 1,370 | $270 | $365.5K |
| 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… | 1,120 | $330 | $365.3K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 1,260 | $210 | $263.1K |
| 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… | 70 | $70 | $5K |
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 10 | $50 | $620 |
| 0490 | N/A | 200 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 253 | 380 | 210 | $510 | $333.1K |
| 0490 | N/A | 45 | 80 | 520 | $150 | $323.2K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 107 | 780 | 350 | $180 | $200.7K |
| 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… | 64 | 410 | 180 | $310 | $178.8K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 83 | 570 | 210 | $250 | $160.5K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 87 | 530 | 140 | $240 | $158.4K |
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 10 | 10 | 40 | $60 | $9.2K |
Other providers in the same ZIP code as Specialty Surgical Center Of Irvine LP, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mdxhealth, Inc. | CA | Clinical Medical Laboratory | $24M | $797.5K |
| Biognomics Lab, LLC | CA | Clinical Laboratory Director (Non-physician) | $16.4M | $235.6K |
| Shoreline Diagnostics LLC | CA | Clinical Medical Laboratory | $6.2M | $9.6M |
| Agendia Inc | CA | Clinical Medical Laboratory | $10.2M | $5.1M |
| Cap Diagnostics LLC | CA | Clinical Medical Laboratory | $3.4M | $10.8M |
| Healthquest Esoterics Inc | CA | Clinical Medical Laboratory | $159K | $6.7M |
| Fang Yu | CA | Gastroenterology Physician | $121.8K | $2.1M |
| Emeritus Medical Technology LLC | CA | Clinical Medical Laboratory | $1.9M | $20.8K |
| Sandeep Thakkar | CA | Neurology Physician | $1.4M | $92.5K |
| Kenneth Tokita | CA | Radiation Oncology Physician | $1.3M | $0 |
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