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    OpenPayerNPI Medicare & MedicaidSurgery Center Of Lancaster, LLC
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    Surgery Center Of Lancaster, LLC — Billing Profile & Reimbursement Data

    NPI 1437115094 · Lancaster, PA · Ambulatory Surgical Clinic/Center

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    Surgery Center Of Lancaster, LLC is a ambulatory surgical clinic/center provider located in Lancaster, Pennsylvania. This profile covers 13 Medicare and 2 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
    OrganizationSurgery Center Of Lancaster, LLC
    Address810 Plaza Blvd Ste 101
    CityLancaster
    StatePA
    ZIP17601
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 24, 2006

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$61.6K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…860$830$712K
    J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg1,940$100$192.5K
    V2785Processing, preserving and transporting corneal tissue20$5,010$110.3K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.20$3,710$77.8K
    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…20$1,940$33K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.90$370$32.2K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.20$1,490$31.2K
    66982The 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…40$810$28.2K
    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$570$15.5K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…20$730$12.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V278551030$3,630$159.8K
    63650344040$1,960$107.6K
    J1096210270$100$99.7K
    669841867080$530$97.8K
    65756112030$1,200$38.3K
    669826620030$640$23.2K
    298275812020$970$19.4K
    647218716030$420$17.1K
    6232324636060$140$14.2K
    2605511914030$280$10.8K

    Showing 1–10 of 13

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…80$660$55.4K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.20$270$6.1K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.375070$620$190.6K
    66984The 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…388050$610$122.4K

    Nearby Providers

    Other providers in the same ZIP code as Surgery Center Of Lancaster, LLC, 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
    Surgery Center Of Lancaster, LLC — 2 of 13 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Surgery Center Of Lancaster, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania