Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Somerset Outpatient Surgery, LLC (NPI 1477695336)

Field	Value
Entity Type	Organization
Organization	Somerset Outpatient Surgery, LLC
Address	100 Franklin Square Dr
City	Somerset
State	NJ
ZIP	08873
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 13, 2007

Payer Source	Total Paid
Medicare	$127.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	50	$790	$39.3K
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…	20	$1,360	$23.1K
67908	The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…	30	$550	$16.4K
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…	20	$450	$10.9K
30140	This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).	20	$470	$10.3K
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.	30	$300	$8.3K
30520	Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.	10	$630	$7.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	10	$430	$6K
64640	Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.	70	$90	$5.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Somerset Outpatient Surgery, LLC — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45380	501	590	60	$230	$21.3K
31267	8	10	20	$930	$18.6K
43239	540	610	80	$160	$18.5K
67908	5	10	30	$560	$18.4K
28285	2	20	30	$510	$14.8K
30140	5	10	20	$390	$8.6K
64640	3	10	40	$150	$8.6K
30520	8	10	10	$550	$8.2K
69436	5	10	20	$300	$5.1K

Nearby Providers

Other providers in the same ZIP code as Somerset Outpatient Surgery, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem New Jersey, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$218M
Rwjbh Emergency Medicine Associates, LLC	NJ	Emergency Medicine Physician	$0	$117.8M
Everas Community Services, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$114.2M
Premier Supports, LLC	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$71.4M
Forever Young Medical Day Care	NJ	Adult Day Care Clinic/Center	$0	$35.8M
Audiology Services Company Usa, LLC	NJ	Hearing and Speech Clinic/Center	$0	$33.3M
Paradise Adult Day Healthcare LLC	NJ	Adult Day Care Clinic/Center	$0	$27M
National Mentor Healthcare, LLC	NJ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Franklin Township Publc Schools	NJ	Local Education Agency (LEA)	$0	$9.3M
Jersey Behavioral Care LLC	NJ	Mental Health Counselor	$0	$8.7M

Somerset Outpatient Surgery, LLC — Billing Profile & Reimbursement Data

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Somerset Outpatient Surgery, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References