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NPI 1407116361 · Capitola, CA · Ambulatory Surgical Clinic/Center
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Monterey Peninsula Surgery Center LLC is a ambulatory surgical clinic/center provider located in Capitola, California. This profile covers 18 Medicare and 17 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 | Monterey Peninsula Surgery Center LLC |
| Address | 2265 41st Avenue |
| City | Capitola |
| State | CA |
| ZIP | 95010 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 24, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $3.4M |
| Medicare | $1.3M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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… | 30 | $10,390 | $290.8K |
| 27130 | In 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 | $10,580 | $179.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 200 | $710 | $144K |
| 64493 | The 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… | 330 | $370 | $122.8K |
| 33285 | The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions. | 20 | $7,860 | $117.9K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 120 | $690 | $85.9K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 200 | $370 | $73K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 210 | $290 | $59.7K |
| 64483 | This 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). | 90 | $470 | $40.2K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 70 | $360 | $25.6K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 33285 | 92 | 130 | 20 | $2,940 | $85.3K |
| 27447 | 425 | 820 | 30 | $1,110 | $48.9K |
| 27130 | 400 | 540 | 30 | $1,070 | $40.8K |
| 64483 | 311 | 790 | 60 | $240 | $28.5K |
| 64635 | 22 | 480 | 40 | $460 | $26.3K |
| G0260 | 11 | 130 | 50 | $260 | $21.6K |
| 64493 | 29 | 670 | 50 | $220 | $18.8K |
| 29848 | 70 | 90 | 30 | $520 | $18.6K |
| 29881 | 45 | 110 | 20 | $830 | $16.5K |
| 64640 | 23 | 50 | 70 | $140 | $15.8K |
Showing 1–10 of 18
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.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64493 | The 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… | 1,410 | $620 | $875.4K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 980 | $620 | $612K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 940 | $480 | $448.9K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 590 | $540 | $320.4K |
| 64491 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 540 | $480 | $260.1K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 370 | $540 | $200.1K |
| 64483 | This 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). | 200 | $730 | $146.5K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 210 | $630 | $134K |
| 64492 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 270 | $480 | $126.6K |
| 64634 | In this add on procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes… | 200 | $500 | $100K |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 152 | 150 | 2,280 | $20 | $278.9K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 21 | 60 | 140 | $230 | $168.3K |
| 64483 | This 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). | 77 | 170 | 150 | $160 | $122.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 13 | 60 | 120 | $240 | $119.4K |
| 62323 | The 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)… | 146 | 160 | 140 | $160 | $101.5K |
| 64493 | The 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… | 20 | 140 | 230 | $120 | $95.3K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 63 | 100 | 120 | $90 | $70.7K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 8 | 40 | 140 | $160 | $68K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 50 | 70 | 100 | $200 | $55.6K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 20 | 50 | 110 | $100 | $48.6K |
Showing 1–10 of 17
Other providers in the same ZIP code as Monterey Peninsula Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Longs Drug Stores California LLC | CA | Pharmacy | $433.2K | $0 |
| Jason Novick | CA | Foot & Ankle Surgery Podiatrist | $196.6K | $205.4K |
| Longs Drug Stores California LLC | CA | Pharmacy | $386.6K | $0 |
| Nicholas Abidi | CA | Orthopaedic Foot and Ankle Surgery Physician | $341.6K | $0 |
| Saqib Ansari | CA | Sleep Medicine (Family Medicine) Physician | $232.6K | $0 |
| Kenneth Mensch | CA | Orthopaedic Hand Surgery Physician | $115.2K | $0 |
| Richard Bernstein | CA | Physical Medicine & Rehabilitation Physician | $80.7K | $0 |
| Raymond Villaverde | CA | Surgical Physician Assistant | $70.8K | $0 |
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