Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidStamford Asc LLC
    Ask Trek AI about this page

    Stamford Asc LLC — Billing Profile & Reimbursement Data

    NPI 1396120168 · Stamford, CT · Ambulatory Surgical Clinic/Center

    Customize your policy alerts

    Sign up for Stamford Asc LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Stamford Asc LLC is a ambulatory surgical clinic/center provider located in Stamford, Connecticut. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationStamford Asc LLC
    Address200 First Stamford Pl
    CityStamford
    StateCT
    ZIP06902
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 22, 2015

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

    Payer SourceTotal Paid
    Medicare$869.7K
    Medicaid$0

    Key Findings

    STAMFORD ASC LLC is an ambulatory surgical clinic/center in STAMFORD, CT with an NPI enumerated on 2015-07-22 (~11 years ago). Its lifetime Medicare revenue on file is $869.7K and there is no Medicaid billing on file (none (no Medicaid billing on file)), indicating a single-payer footprint constrained to Medicare in the available data.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 40.8% of this provider's total Medicare revenue. Those top contributors are 64483 ($152.3K, 17.5%), 64493 ($102.4K, 11.8%), and 29828 ($100.1K, 11.5%), showing a small set of procedures driving a large share of billed Medicare dollars.

    The code mix indicates two principal service lines: high-volume spine/pain-management injections and ambulatory shoulder arthroscopy. High-revenue injection and facet codes such as 64483, 64493, G0260, 64635, and 62323 point to an emphasis on image-guided pain procedures, while shoulder arthroscopy codes 29828 and 29827 (biceps tenodesis and rotator cuff repair) show active orthopedic surgical throughput in an ASC setting.

    Competitive standing versus national Medicare peers is uneven but notable in several pain-procedure codes. 64483 ranks #257 of 8202 providers (97th percentile) and 64493 ranks #197 of 7519 providers (97th percentile), both labeled notably above typical national volume; G0260 is especially concentrated, ranking #23 of 967 providers (98th percentile) and also described as notably above typical national volume.

    For the orthopedic shoulder procedures the provider shows high absolute paid amounts per claim but mixed volume signals: 29828 generates $100.1K in revenue and ranks #53 of 1007 providers (95th percentile) while being described as typical, unremarkable volume for that code, and 29827 ranks #194 of 3445 providers (94th percentile) and is described as notably above typical national volume. This suggests STAMFORD ASC LLC captures a relatively strong share of shoulder procedure reimbursements by value even where volume characterizations vary by code.

    There are a few lower-volume or niche procedure signals relative to national peers that may reflect a broader service menu but limited market share for those items. Examples include 28285 (rank #825 of 955, 9th percentile) and 29881 (rank #751 of 1125, 23rd percentile), which are described as typical or below-typical volumes nationally, indicating selective or occasional provision of these services.

    For payers and analysts, the combination of concentrated Medicare revenue ($869.7K total) and no Medicaid activity (none (no Medicaid billing on file)) suggests oversight, contracting, or utilization management efforts should focus on Medicare fee-for-service patterns—particularly image-guided spine injections and ambulatory shoulder arthroscopy. Given multiple codes flagged as notably above typical national volume, payer-side review of utilization patterns and clinical appropriateness benchmarks for high-volume injection codes (e.g., 64483, 64493, G0260) would be a targeted next step.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).440$340$152.3K
    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…320$320$102.4K
    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…40$2,640$100.1K
    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…50$1,690$82.9K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography340$240$80.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$700$55.8K
    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)…140$280$39.2K
    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$520$35.7K
    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…50$720$35.2K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$2,640$29.1K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6462431050$510$37.3K
    2982713020$1,350$29.7K
    2982811020$1,220$24.4K
    G026011050$230$22.8K
    2988181020$1,100$22K
    6463544030$470$18.5K
    6448327060$220$17.7K
    6472184030$490$16.2K
    2984893020$480$14K
    6449316050$200$13.3K

    Showing 1–10 of 22

    Nearby Providers

    Other providers in the same ZIP code as Stamford Asc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stamford HospitalCTGeneral Acute Care Hospital$0$139.9M
    Stamford Emergency Medical Services, Inc.CTLand Ambulance$1.5M$6.3M
    Mvc CtCTSurgery Physician$0$2.7M
    Dva Renal Healthcare IncCTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.6M
    Yoo Jin ShinCTPediatric Dentistry$0$1.7M
    Rainbow Pediatrics, LLCCTPediatrics Physician$0$1.6M
    Emergency Medicine Physicians Of Fairfield County, LLCCTEmergency Medicine Physician$0$1.6M
    South End Dental Center PCCTGeneral Practice Dentistry$0$1.5M
    Child Guidance Center Of Southern Connecticut, Inc.CTCommunity/Behavioral Health Agency$0$1.5M
    Andrews Adade Md, PCCTPediatric Adolescent Medicine Physician$0$1.5M

    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. Connecticut Distribution
    Stamford Asc LLC — 6 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut