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    Specialty Surgicare Of Las Vegas, LP — Billing Profile & Reimbursement Data

    NPI 1477516532 · Las Vegas, NV · Ambulatory Surgical Clinic/Center

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    Specialty Surgicare Of Las Vegas, LP is a ambulatory surgical clinic/center provider located in Las Vegas, Nevada. This profile covers 17 Medicare and 9 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
    OrganizationSpecialty Surgicare Of Las Vegas, LP
    Address7250 Cathedral Rock Dr
    CityLas Vegas
    StateNV
    ZIP89128
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 10, 2006

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

    Payer SourceTotal Paid
    Medicare$575.6K
    Medicaid$472.8K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…230$440$99.4K
    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…190$490$95.8K
    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.330$270$87.8K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$1,860$53.9K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk90$460$42K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.60$680$37.2K
    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…100$370$35.9K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…100$290$29.9K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).60$330$20K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$460$19K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851410060$320$32.5K
    45380139070$250$28.7K
    64635238040$440$25.2K
    644834110060$230$20.3K
    43239911090$150$19.5K
    64493228050$210$17.1K
    64633223030$450$16.2K
    G0105175030$300$13.3K
    5235672020$530$12.3K
    G012156020$300$11.6K

    Showing 1–10 of 17

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.970$210$198K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.140$670$94.4K
    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…290$280$81.5K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.100$610$58.6K
    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…110$260$28.8K
    54161The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.30$320$10K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).20$100$1.7K
    A4649Surgical supply; miscellaneous500$0$0
    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…90$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1820470$640$1.5M
    54161The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.1520340$270$240.7K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).3640250$140$144.9K
    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…2240130$200$139.6K
    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…103080$220$123.3K
    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.1980160$140$122.2K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.21090$440$42.1K
    A4649Surgical supply; miscellaneous410270$1$370
    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…2240190$0$0

    Nearby Providers

    Other providers in the same ZIP code as Specialty Surgicare Of Las Vegas, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sunrise Mountainview Hospital, Inc.NVGeneral Acute Care Hospital$0$32.1M
    Fremont Emergency Services Scherr LtdNVEmergency Medicine Physician$0$22.9M
    Ellis Bandt Birkin Kollins & Wong PLLCNVDiagnostic Radiology Physician$0$18.1M
    Nevada Acute Medical Services-scherr 1 PCNVHospitalist Physician$0$13.5M
    Renal Care Group Las Vegas, LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$13.4M
    Laboratory Medicine Consultants LtdNVClinical Medical Laboratory$1.9M$9.2M
    Cybt, IncNVIn Home Supportive Care Agency$0$11.1M
    Kan-di-ki LLCNVClinical Medical Laboratory$5M$3.6M
    Southwest Rehabilitation Physicians & Farhang Associates PLLCNVPain Medicine Physician$0$7.1M
    New Century Rehabilitation LLCNVPhysical Therapist$0$6.9M

    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. Nevada Distribution
    Specialty Surgicare Of Las Vegas, LP — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Specialty Surgicare Of Las Vegas, LP — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada