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    OpenPayerNPI Medicare & MedicaidNorth Pointe Surgery Center, LP
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    North Pointe Surgery Center, LP — Billing Profile & Reimbursement Data

    NPI 1366647968 · Lancaster, PA · Ambulatory Surgical Clinic/Center

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    North Pointe Surgery Center, LP is a ambulatory surgical clinic/center provider located in Lancaster, Pennsylvania. This profile covers 20 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
    OrganizationNorth Pointe Surgery Center, LP
    Address170 North Pointe Blvd
    CityLancaster
    StatePA
    ZIP17601
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 15, 2007

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

    Payer SourceTotal Paid
    Medicare$947.2K
    Medicaid$57.4K

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$7,010$266.5K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$7,260$174.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…260$270$70.5K
    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…90$620$54K
    29828The 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$2,350$51.8K
    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$1,650$46.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.70$540$38.4K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…150$240$35.9K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.70$500$32.5K
    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…60$470$27.4K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744720654030$930$41K
    2713018036030$950$31.3K
    298272412020$970$19.4K
    29848176040$420$19.3K
    6448310634060$190$18.6K
    G0260164060$210$18.4K
    647211216030$420$17.1K
    646353823030$360$16.1K
    2988153020$830$14.9K
    623235936060$140$14.2K

    Showing 1–10 of 20

    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
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)20$2,080$33.3K
    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…30$480$15.4K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.10$680$8.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)223060$410$40.6K
    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…71040$500$21.9K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.41030$540$17.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with North Pointe Surgery Center, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher CookePAOrthopaedic Surgery Physician$299K$820
    Gregory TocksPAAdult Reconstructive Orthopaedic Surgery Physician$286.9K$1.2K
    Rodney BrennemanPAOrthopaedic Surgery Physician$189K$360
    Colin HeinlePAOrthopaedic Surgery Physician$133.3K$25.1K
    Vincent BattistaPAOrthopaedic Hand Surgery Physician$116.7K$0
    Adam GriskaPAOrthopaedic Hand Surgery Physician$100.5K$4.5K
    Thomas ShermanPAOrthopaedic Foot and Ankle Surgery Physician$73.2K$1.5K
    Corey ClydePAOrthopaedic Hand Surgery Physician$45.2K$870

    Nearby Providers

    Other providers in the same ZIP code as North Pointe Surgery Center, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$34.4M
    Andventure, LLCPAHome Health Agency$0$26.7M
    Efcc Acquisition CorpPAHome Health Agency$0$13.1M
    Smilebuilderz LLCPADentist$0$11.5M
    Teamcare Behavioral Health, LLCPAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.3M
    Horizon Healthcare Services, LLCPAHome Infusion Therapy Pharmacy$12.2K$6.5M
    Penn State Health Lancaster Medical CenterPAGeneral Acute Care Hospital$0$5.4M
    Advanced Surgery Center Of Lancaster, LLCPAAmbulatory Surgical Clinic/Center$4M$0
    Roy BrodPARetina Specialist (Ophthalmology) Physician$2.8M$0
    Dina GewailyPAOphthalmology Physician$1.8M$2.7K

    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. Pennsylvania Distribution
    North Pointe Surgery Center, LP — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    North Pointe Surgery Center, LP — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania