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NPI 1316219470 · Neptune, NJ · Ambulatory Surgical Clinic/Center
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Coastal Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Neptune, New Jersey. This profile covers 3 Medicare and 4 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 | Coastal Surgery Center, LLC |
| Address | 3700 Route 33 |
| City | Neptune |
| State | NJ |
| ZIP | 07753 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 6, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.1M |
| Medicare | $75.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31267 | In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus… | 30 | $1,160 | $34.7K |
| 31276 | In this procedure, the provider inserts an endoscope into the frontal sinus to explore it for abnormalities. The provider may also remove bone, scar tissue, polyps, or other tissue from the frontal… | 20 | $1,380 | $27.6K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 30 | $470 | $13.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 5,600 | $450 | $2.5M |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 290 | $1,320 | $386.2K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 250 | $770 | $187.7K |
| 69610 | The provider repairs a perforated eardrum, which may include site preparation, or roughening of the site before closure. The procedure may also include applying a paper patch to the closure. | 80 | $490 | $37.5K |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1 | 30 | 290 | $590 | $379.3K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 11 | 30 | 150 | $1,170 | $313.7K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 3 | 10 | 120 | $560 | $172.8K |
| 69610 | The provider repairs a perforated eardrum, which may include site preparation, or roughening of the site before closure. The procedure may also include applying a paper patch to the closure. | 1 | 10 | 50 | $470 | $24K |
Other providers in the same ZIP code as Coastal Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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