Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Coastal Surgical Center, LLC (NPI 1336713890)

Field	Value
Entity Type	Organization
Organization	Coastal Surgical Center, LLC
Address	291 Shattuck Way
City	Newington
State	NH
ZIP	03801
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 18, 2021

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

COASTAL SURGICAL CENTER, LLC is heavily focused on ophthalmic surgical services, with its top Medicare procedures reflecting cataract extraction and intraocular lens work (codes 66984, 66991, 66982) and related ophthalmic pharmacologic agents (J1097, J1096). The prominence of 66984 as the single largest revenue driver and the presence of multiple eyelid and glaucoma-related procedures indicate an ambulatory surgical center oriented to outpatient eye surgery and perioperative ophthalmic care.

Medicare revenue dominance is clear: the provider reports Total Medicare revenue of $2.1M and no Medicaid billing on file, making its commercial footprint effectively single-payer in the public programs shown. The absence of Medicaid activity suggests payer mix and access are concentrated in Medicare beneficiaries and commercially insured or self-pay patients not captured here.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 80.5% of this provider's total Medicare revenue. In particular, code 66984 alone represents $1.2M (58.6% of Medicare revenue), showing that a single cataract procedure comprises the majority of reported Medicare earnings and exposes the center to volume risk tied to that specific service line.

The provider’s scale on key ophthalmic codes is generally typical rather than dominant nationally. For example, 66984 ranks #1502 of 15965 providers nationally (91st percentile) and is described as a typical, unremarkable volume for this code, while J1097 ranks #67 of 443 providers nationally (85th percentile) and J1096 ranks #70 of 282 (75th percentile). These percentiles indicate the center operates at a solid but not market-leading volume for these services.

Certain codes show more specialized or lower-volume activity consistent with a focused ambulatory surgical practice: 65820 (incision of limbus) accounts for 5.6% of Medicare revenue and ranks in the 92nd percentile, suggesting occasional higher-than-typical activity for that pediatric glaucoma-related procedure, whereas several eyelid-repair and reconstructive codes (67924, 66250, 67950) sit in low national percentiles (single-digit to low-20s), indicating these are comparatively minor revenue contributors.

Payer and service-line implications point to an operating model that relies on high-volume, routine cataract procedures complemented by supply/drug reimbursement (notably J1097 irrigation solution and J1096 lacrimal insert). The concentration in a few ophthalmic CPT/HCPCS codes suggests an efficient, narrow-service ambulatory center optimized for cataract and anterior-segment procedures rather than a broad multispecialty ASCs.

Competitive standing across Medicare for this provider is mixed: while the center’s 66984 volume is high relative to many peers (91st percentile), its absolute national rank (#1502 of 15965) and the description “typical, unremarkable volume” imply the center is a solid regional competitor but not a dominant national hub. Similarly, J1097’s rank (#67 of 443, 85th percentile) shows relatively strong positioning among providers who bill that drug, but the niche denominator (443 providers) tempers claims of broad dominance.

Tenure is moderate: the NPI was enumerated on 2021-05-18 (~5 years ago), indicating several years of billing history under the current registration. This duration is consistent with an established outpatient surgical practice that has accumulated the reported Medicare volumes and code mix over a multi-year period.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 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…	1,480	$830	$1.2M
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	3,820	$80	$294.4K
J1096	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	1,640	$100	$162.6K
65820	The 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.	80	$1,530	$117.5K
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…	40	$2,530	$108.7K
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…	90	$830	$75.8K
15823	In 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…	100	$520	$49.6K
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	$1,090	$20.8K
67908	The 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	$570	$10.2K
67924	During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…	10	$700	$8.4K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Coastal Surgical Center, LLC — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	2	10	4,240	$80	$324.9K
J1096	1	10	1,640	$100	$162.1K
66984	4	60	220	$310	$144.6K
66991	5	10	40	$1,590	$74.7K
65820	2	10	50	$1,080	$57.4K
15823	2	10	40	$540	$28.8K
66982	3	30	30	$660	$26.5K
67950	4	10	40	$460	$19.8K
66174	2	10	20	$640	$14.7K
66250	1	10	10	$650	$7.8K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Coastal Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

Coastal Surgical Center, LLC — Billing Profile & Reimbursement Data

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Coastal Surgical Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References