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    OpenPayerNPI Medicare & MedicaidCts Surgical Associates LLC
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    Cts Surgical Associates LLC — Billing Profile & Reimbursement Data

    NPI 1447748470 · Millsboro, DE · Ambulatory Surgical Clinic/Center

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    Cts Surgical Associates LLC is a ambulatory surgical clinic/center provider located in Millsboro, Delaware. 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)

    FieldValue
    Entity TypeOrganization
    OrganizationCts Surgical Associates LLC
    Address32711 Long Neck Rd
    CityMillsboro
    StateDE
    ZIP19966
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 25, 2018

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

    Payer SourceTotal Paid
    Medicare$105.3K
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The 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…90$430$37.2K
    43239The 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.100$220$22K
    45378The 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…40$320$12.3K
    11606The provider excises a cancerous (malignant) lesion, including margins, over 4.0 cm in diameter, from the skin of the trunk, arms, or legs.30$420$11.6K
    45380The 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…20$310$7K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.60$80$5.1K
    11604The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the trunk, arms, or legs.20$210$3.8K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.50$80$3.8K
    12052This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.20$80$1.4K
    12042This CPT® code is used for the intermediate repair of superficial wounds to the neck, hands, feet, and/or external genitalia that are 2.6 to 7.5 cm in size.10$70$860

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453854060100$310$44.7K
    432393560110$130$18.6K
    45380446060$200$17.7K
    1203283040$200$9.5K
    17004153050$120$9.5K
    1160611030$320$8.7K
    45378124020$210$8.6K
    1204251020$190$4.2K
    1160431020$160$3.2K
    1205221020$150$2.7K

    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
    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…250$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis190$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…410150$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis11050$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cts Surgical Associates LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ctm Medical Associates LLCDESurgery Physician$0$1.9M
    Fady GergesDEAnatomic Pathology Physician$906.3K$0
    Patrick SwierDEPlastic Surgery Physician$520.7K$0
    Mohamed AhmedMDPain Medicine (Anesthesiology) Physician$367.4K$0
    Semaan AbboudDEInternal Medicine Physician$202.9K$0
    Fabricio AlarconDEInternal Medicine Physician$157K$0
    Cheryl ZdanaDEPain Management Registered Nurse$136K$0
    Allison HagerDEDermatology Physician$132.5K$0
    William PfaffDEOrthopaedic Surgery of the Spine Physician$105.7K$0
    Lewes Surgical & Medical Associates, P.A.DEInternal Medicine Physician$0$99.9K

    Nearby Providers

    Other providers in the same ZIP code as Cts Surgical Associates LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Mentor Healthcare, LLCDEIntellectual & Developmental Disabilities Psychologist$0$108.7M
    Coras Wellness And Behavioral Health, LLCDESubstance Use Disorder Rehabilitation Clinic/Center$703K$18.2M
    Peninsula Dental, LLCDEGeneral Practice Dentistry$0$12.3M
    Sleepy Tooth Orthodontics LLCDEOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M
    Green Valley Terrace Snf LLCDESkilled Nursing Facility$0$822K
    Georges DahrDECardiovascular Disease Physician$763.7K$0
    Millsboro Fire Company Inc.DELand Ambulance$517.4K$165.3K
    Mid Sussex Rescue Squad Inc.DEAmbulance$497.1K$178K
    William SingletonDEAddiction (Substance Use Disorder) Counselor$0$636.8K
    Beebe Medical Center, Inc.DEHome Health Agency$0$559.9K

    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. Delaware Distribution
    Cts Surgical Associates LLC — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware
    Medicaid Revenue by Year vs. Delaware Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Cts Surgical Associates LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware