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    OpenPayerNPI Medicare & MedicaidMontgomery Surgery Center Limited Partnership
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    Montgomery Surgery Center Limited Partnership — Billing Profile & Reimbursement Data

    NPI 1437120953 · Rockville, MD · Ambulatory Surgical Clinic/Center

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    Montgomery Surgery Center Limited Partnership is a ambulatory surgical clinic/center provider located in Rockville, Maryland. This profile covers 14 Medicare and 5 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
    OrganizationMontgomery Surgery Center Limited Partnership
    Address46 W Gude Dr
    CityRockville
    StateMD
    ZIP20850
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 1, 2006

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$467.9K

    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.

    14 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…1,030$850$878.4K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…90$1,540$144.5K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.90$1,560$138.7K
    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…20$7,460$134.2K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml1,420$70$100.6K
    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…90$860$79.5K
    65820The 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.40$1,520$60.6K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.40$1,320$56.6K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…40$1,530$53.7K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…20$2,610$39.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J109713202,270$80$202.6K
    6698414250130$630$172.5K
    2744721127030$1,500$72K
    66991293030$1,580$64.7K
    65820114030$1,150$53.9K
    669821713030$710$34.3K
    6704213020$1,060$25.4K
    6703612020$960$22K
    6790821040$530$19.7K
    6698621020$630$18.4K

    Showing 1–10 of 14

    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.

    5 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…1,780$260$460K
    J3490Unclassified drugs80$80$6.3K
    V2632Posterior chamber intraocular lens20$60$930
    G8907Patient 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…220$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis30$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…43060$200$103.2K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis385090$70$28.2K
    G8907Patient 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…2890110$30$11.9K
    V2632Posterior chamber intraocular lens41040$10$4.4K
    J3490Unclassified drugs2430390$1$3.9K

    Nearby Providers

    Other providers in the same ZIP code as Montgomery Surgery Center Limited Partnership, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mep Health, LLCMDEmergency Medicine Physician$0$105.9M
    Montgomery County Public Schools ServicesMDCounselor$0$56.8M
    A Plus Adult Medical Day Care Center CorporationMDAdult Day Care Clinic/Center$0$30.1M
    Pediatrix Medical Group Of The Mid-atlantic PCMDMaternal & Fetal Medicine Physician$0$28.4M
    Adult Day Health, Inc.MDAdult Day Care Clinic/Center$0$17M
    Jarher IncorporatedMDAdult Day Care Clinic/Center$0$12M
    Cornerstone Montgomery, Inc.MDCommunity/Behavioral Health Agency$0$11.6M
    Asthma & Allergy Center LLCMDAllergy & Immunology Physician$0$11.5M
    Montgomery Hospice IncMDCommunity Based Hospice Care Agency$0$10.3M
    Adventist Healthcare, Inc.MDGeneral Acute Care Hospital$0$9.7M

    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. Maryland Distribution
    Montgomery Surgery Center Limited Partnership — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Montgomery Surgery Center Limited Partnership — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland