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NPI 1477516979 · Fairfax, VA · Ambulatory Surgical Clinic/Center
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Fairfax Surgical Center, L.P. is a ambulatory surgical clinic/center provider located in Fairfax, Virginia. This profile covers 18 Medicare and 4 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 | Fairfax Surgical Center, L.P. |
| Address | 10730 Main St |
| City | Fairfax |
| State | VA |
| ZIP | 22030 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $636.2K |
FAIRFAX SURGICAL CENTER, L.P. operates as an ambulatory surgical clinic/center and its paid-claim mix indicates a dual focus on ophthalmology and orthopedic procedures; the Medicare and Medicaid top codes show high volumes of cataract extraction with intraocular lens insertion (66984) alongside outpatient hip and knee arthroplasty (27130, 27447), plus a steady stream of ENT and minor hand/wrist procedures that are typical for an ASC setting. This mix suggests the center functions as a multi-specialty ASC rather than a single-procedure clinic.
Medicare revenue is concentrated in a very small set of procedures: the precomputed top three Medicare codes account for 81.4% of the provider's Medicare revenue, with 66984 alone contributing $1.5M of the $2.6M total Medicare revenue recorded. That concentration implies that shifts in ophthalmology referral patterns or reimbursement for 66984 would materially affect Medicare performance.
On the Medicaid side the top three codes account for 100.0% of the provider's Medicaid revenue, and 66984 is dominant there as well, representing $519.7K and 81.7% of the $636.2K total Medicaid revenue. Tympanostomy with tube insertion (69436) and tonsil/adenoid removal (42820) round out the Medicaid mix, indicating a pediatric ENT component to the Medicaid case load.
Payer mix is skewed toward Medicare in absolute scale: the provider reports $2.6M in lifetime Medicare revenue versus $636.2K in Medicaid revenue, so Medicare is the larger revenue stream on file. Both payers show heavy reliance on cataract surgery, but the Medicaid dataset is effectively limited to the same small set of procedures, making Medicaid exposure concentrated and narrow.
Competitive standing for cataract surgery is relatively strong: 66984 ranks #1162 of 15965 providers nationally (93th percentile) in Medicare and #9 of 50 providers in-state (84th percentile) in Medicaid, though the data labels that activity as "typical, unremarkable volume." In plain terms, the facility is a meaningful regional provider of cataract procedures but not statistically flagged as an extreme outlier.
By contrast, the facility is a more modest participant nationally for major joint replacement codes: 27447 sits at the 71th percentile and 27130 at the 61th percentile among national peers, both characterized as "typical, unremarkable volume." Those rankings indicate the center performs outpatient arthroplasty at a scale that is noticeable but not dominant versus national ASC peers.
The provider has long tenure in the Medicare/Medicaid data: NPI was enumerated on 2006-04-07 (~20 years ago), consistent with an established ASC operation that has produced multi-year billing history across both payers. That longevity supports interpreting the concentrated revenue pattern as an operational steady-state rather than a short-term anomaly.
There are no codes in the supplied lists labeled as extreme outliers; the narrative provided for most codes is "typical, unremarkable volume," and a few lower-ranked items (for example V2785 and 29848) are in low national percentiles but still described as typical. Overall, the dataset shows a concentrated service-line profile centered on high-volume cataract work with ancillary ENT and outpatient orthopedics rather than a broad portfolio of high-volume outlier procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,800 | $850 | $1.5M |
| 27447 | In 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… | 50 | $7,070 | $346.2K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 30 | $7,610 | $243.4K |
| 65820 | The 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. | 60 | $1,530 | $93.1K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 50 | $1,570 | $80.2K |
| 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… | 90 | $820 | $69.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 10 | $3,470 | $45K |
| 31267 | In this procedure, the provider inserts an endoscope into the nasal cavity. She then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus… | 30 | $1,240 | $32.2K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 50 | $700 | $32.1K |
| 64721 | Neuroplasty 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… | 40 | $610 | $24.2K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 6 | 10 | 40 | $3,750 | $146.1K |
| 66984 | 78 | 380 | 250 | $130 | $139K |
| 27447 | 129 | 310 | 40 | $1,150 | $64.4K |
| 65820 | 11 | 40 | 30 | $1,110 | $63.1K |
| 27130 | 115 | 210 | 40 | $1,040 | $45.9K |
| 66174 | 4 | 20 | 40 | $890 | $33.7K |
| 66982 | 15 | 120 | 30 | $610 | $28.7K |
| 29848 | 38 | 40 | 40 | $430 | $21.5K |
| 26123 | 16 | 20 | 20 | $830 | $16.5K |
| 25447 | 30 | 40 | 20 | $580 | $15.6K |
Showing 1–10 of 18
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,940 | $270 | $519.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 230 | $430 | $95.8K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 40 | $540 | $20.5K |
| G8907 | Patient 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… | 310 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 20 | 30 | 50 | $1,670 | $401.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 18 | 50 | 110 | $840 | $309.8K |
| 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… | 9 | 50 | 200 | $350 | $282.9K |
| G8907 | Patient 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… | 8 | 30 | 150 | $1 | $10 |
Other providers in the same ZIP code as Fairfax Surgical Center, L.P., ranked by combined Medicare and Medicaid revenue.
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