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    OpenPayerNPI Medicare & MedicaidFredericksburg Ambulatory Surgery Center, LLC
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    Fredericksburg Ambulatory Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1326097981 · Fredericksburg, VA · Ambulatory Surgical Clinic/Center

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    Fredericksburg Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Fredericksburg, Virginia. This profile covers 25 Medicare and 3 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
    OrganizationFredericksburg Ambulatory Surgery Center, LLC
    Address1201 Sam Perry Blvd
    CityFredericksburg
    StateVA
    ZIP22401
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 9, 2006

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

    Payer SourceTotal Paid
    Medicare$666.7K
    Medicaid$20.1K

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.100$710$69.2K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants10$5,770$63.4K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…60$1,010$61.8K
    29827The 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…30$2,060$51.5K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…80$610$49.6K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$1,720$37.8K
    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…40$860$37.2K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…70$490$35.9K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…40$990$34.5K
    52356The 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$1,770$33.5K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J109714101,400$80$248K
    C974071030$5,580$189.6K
    66984322380250$130$139K
    J058558606,400$1$51.9K
    298274512020$1,010$29.2K
    52356529020$680$21.9K
    1930117030$530$18.5K
    25447134020$580$15.6K
    6472189030$420$15.4K
    14040233020$550$14.3K

    Showing 1–10 of 25

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.50$410$19.5K
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)390$1$780
    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…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.2330600$1,370$1.7M
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)1850280$60$50.8K
    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…2730150$1$10

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rappahannock Area Community Services BoardVACommunity/Behavioral Health Agency$0$142.5M
    Mary Washington Hospital Inc.VAGeneral Acute Care Hospital$0$80.1M
    Paragon Autism Services, LLCVABehavior Analyst$0$21.6M
    Fredericksburg Emergency Medical Alliance, Inc.VAEmergency Medicine Physician$0$15M
    Mary Washington Healthcare PhysiciansVAFamily Medicine Physician$0$13.3M
    Pedsplus Urgent Care, LLCVAUrgent Care Clinic/Center$0$11M
    Preferred Pediatrics At SnowdenVAPediatrics Physician$0$6.4M
    Sunny Home Care Inc.VAHome Health Agency$0$6.3M
    Thomas JohnsonVARetina Specialist (Ophthalmology) Physician$3.6M$0
    Central Virginia Surgi-center LPVAAmbulatory Surgical Clinic/Center$3.2M$318.9K

    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. Virginia Distribution
    Fredericksburg Ambulatory Surgery Center, LLC — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Fredericksburg Ambulatory Surgery Center, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia