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NPI 1417922915 · Alexandria, VA · Ambulatory Surgical Clinic/Center
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Franconia-springfield Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Alexandria, Virginia. This profile covers 28 Medicare and 10 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 | Franconia-springfield Surgery Center, LLC |
| Address | 6355 Walker Ln |
| City | Alexandria |
| State | VA |
| ZIP | 22310 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $275.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
28 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… | 570 | $840 | $478.5K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 840 | $420 | $354.9K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 290 | $450 | $130.5K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 470 | $220 | $103.6K |
| 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. | 30 | $1,540 | $46.3K |
| 30465 | Nasal vestibular stenosis occurs due to congenital defects, trauma, or previous stenosis surgery leading to breathing problems. | 20 | $1,960 | $43.1K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 570 | $80 | $43K |
| 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… | 50 | $870 | $39K |
| 29827 | The 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… | 20 | $1,940 | $38.7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 80 | $330 | $26K |
Showing 1–10 of 28
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
28 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 11 | 10 | 1,400 | $80 | $248K |
| 66984 | 131 | 380 | 250 | $130 | $139K |
| 65820 | 24 | 40 | 30 | $1,110 | $63.1K |
| 64483 | 143 | 170 | 80 | $210 | $31.4K |
| 29827 | 58 | 120 | 20 | $1,010 | $29.2K |
| 66982 | 36 | 120 | 30 | $610 | $28.7K |
| 45385 | 12 | 400 | 70 | $260 | $24.7K |
| 64635 | 71 | 120 | 40 | $390 | $23.6K |
| 30465 | 1 | 10 | 20 | $1,170 | $22.3K |
| 29848 | 24 | 40 | 40 | $430 | $21.5K |
Showing 1–10 of 28
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 150 | $540 | $80.8K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 320 | $240 | $76.1K |
| 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… | 150 | $380 | $57K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 80 | $380 | $31.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 40 | $270 | $10.1K |
| 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)… | 40 | $160 | $7K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 10 | $500 | $6.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 10 | $500 | $6.4K |
| G8907 | Patient 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… | 130 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 70 | $0 | $0 |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 28 | 30 | 50 | $1,670 | $401.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 73 | 150 | 300 | $420 | $381.2K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 22 | 50 | 110 | $840 | $309.8K |
| 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… | 29 | 50 | 200 | $350 | $282.9K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 65 | 90 | 150 | $520 | $281.8K |
| 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)… | 24 | 40 | 70 | $350 | $96.4K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 1 | 10 | 80 | $380 | $31.1K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 1 | 10 | 10 | $490 | $6.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | 20 | 70 | $1 | $20 |
| G8907 | Patient 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… | 15 | 30 | 150 | $1 | $10 |
Other providers in the same ZIP code as Franconia-springfield Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gordon Byrnes | VA | Retina Specialist (Ophthalmology) Physician | $4.9M | $0 |
| Sundeep Kasi | VA | Retina Specialist (Ophthalmology) Physician | $4.1M | $0 |
| Reshma Katira | VA | Retina Specialist (Ophthalmology) Physician | $2.8M | $0 |
| Simon Fishman | VA | Specialist | $624K | $0 |
| Michael Abidin | VA | Otolaryngology/Facial Plastic Surgery Physician | $439.2K | $0 |
| Thomas Martinelli | VA | Orthopaedic Surgery Physician | $296.7K | $0 |
| Peter Thomas | VA | Surgery of the Hand (Surgery) Physician | $157.7K | $0 |
| Daniel Weingold | VA | Orthopaedic Surgery Physician | $154.1K | $0 |
| Yvette Appiah | VA | Dermatology Physician | $136.2K | $0 |
| Iyad Saidi | VA | Otolaryngic Allergy Physician | $124.6K | $0 |
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