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NPI 1447415278 · Kailua, HI · Ambulatory Surgical Clinic/Center
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Castle Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Kailua, Hawaii. This profile covers 10 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Castle Ambulatory Surgery Center, LLC |
| Address | 642 Ulukahiki St |
| City | Kailua |
| State | HI |
| ZIP | 96734 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 21, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $391.8K |
| Medicaid | $114.9K |
CASTLE AMBULATORY SURGERY CENTER, LLC bills predominantly for GI and ophthalmologic ambulatory procedures, consistent with its taxonomy as an Ambulatory Surgical Clinic/Center. Medicare top codes include 45380 (colonoscopy with biopsy), 66984 (routine extracapsular cataract extraction with IOL), and 45385 (colonoscopy with polypectomy), while Medicaid billing is almost entirely dominated by 45380 and 43239 (EGD with biopsy), indicating the center’s operations are concentrated on endoscopy and cataract work rather than broad multi-specialty inpatient services.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes by revenue account for 66.6% of this provider’s total Medicare revenue, driven by 45380 (29.3% of Medicare revenue), 66984 (19.3%), and 45385 (17.9%). This concentration suggests that a relatively small set of procedure lines—primarily colonoscopy and cataract surgery—drive the majority of Medicare receipts.
Medicaid revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with 45380 alone representing $103.6K or 90.2% of Medicaid revenue and 43239 contributing the remaining 9.8%. In practice, this means Medicaid activity is nearly synonymous with colonoscopic services at this facility.
On payer mix, the provider reports $391.8K in lifetime Medicare revenue compared with $114.9K in lifetime Medicaid revenue, so Medicare is the materially larger payer relationship for this facility. The presence of both payers indicates mixed payer activity, but Medicare is the primary source of fee-for-service revenue on the record.
Competitive standing by code is mixed: for Medicare 45380 the provider ranks #680 of 16427 nationally (96th percentile) and is described as notably above typical national volume, signaling national-level strength for that colonoscopy code. By contrast, Medicare 66984 ranks #8949 of 15965 (44th percentile) and 45385 ranks #2846 of 16310 (82th percentile), both labeled as typical or unremarkable volume, and Medicaid rankings for 45380 (#10 of 20; 53th percentile) and 43239 (#26 of 31; 17th percentile) position the center as a modest in-state participant rather than a dominant statewide provider.
Observed unit economics vary across payers and procedures: Medicare average paid per claim is $419 for 45380 and $971 for 66984, while Medicaid average paid per claim is $484 for 45380 and $433 for 43239 as reported. These per-claim payment levels, combined with the claim counts (e.g., Medicare 45380: 274 claims; Medicaid 45380: 214 claims), indicate substantial utilization of colonoscopy services across both payers even as procedure-level reimbursement differs by code and payer.
The provider has an established presence, with an NPI enumeration date of 2008-07-21 (~18 years ago), suggesting long-standing operation in Kailua, HI. Despite multi-year tenure, the lifetime reported Medicare ($391.8K) and Medicaid ($114.9K) revenue figures imply a relatively modest overall billing scale for an ambulatory surgery center, concentrated in a few high-volume procedure lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 270 | $420 | $114.8K |
| 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… | 80 | $970 | $75.7K |
| 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… | 130 | $520 | $70.2K |
| 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… | 30 | $990 | $32.7K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 430 | $80 | $32.5K |
| 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. | 120 | $260 | $30.9K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 20 | $700 | $10.5K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $470 | $9.9K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $480 | $9.6K |
| 45381 | The provider inserts a flexible endoscope into the anus and navigates the scope through the entire colon. The provider performs one or more injections into the submucosa (the tissue below the mucous… | 20 | $320 | $4.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 210 | $480 | $103.6K |
| 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. | 30 | $430 | $11.3K |
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 10 | 20 | 190 | $340 | $177.3K |
| 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. | 26 | 30 | 100 | $280 | $111.1K |
Other providers in the same ZIP code as Castle Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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