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NPI 1497749667 · Mission Viejo, CA · Ambulatory Surgical Clinic/Center
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California Specialty Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Mission Viejo, California. This profile covers 20 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 | California Specialty Surgery Center, LLC |
| Address | 26371 Crown Valley Pkwy |
| City | Mission Viejo |
| State | CA |
| ZIP | 92691 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 2, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $947.8K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $8,340 | $233.4K |
| 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… | 20 | $8,500 | $195.6K |
| 64483 | This 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). | 220 | $350 | $75.6K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 20 | $3,950 | $71K |
| 64493 | The 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… | 210 | $330 | $70.1K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 60 | $730 | $40.7K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 70 | $570 | $39.5K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 20 | $2,080 | $33.2K |
| 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 | $730 | $30.6K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 20 | $1,260 | $30.3K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 425 | 820 | 30 | $1,110 | $48.9K |
| 27130 | 314 | 540 | 30 | $1,070 | $40.8K |
| 25609 | 27 | 60 | 20 | $2,220 | $40K |
| 29827 | 160 | 290 | 20 | $1,320 | $30.3K |
| 64483 | 106 | 790 | 60 | $240 | $28.5K |
| 64635 | 147 | 480 | 40 | $460 | $26.3K |
| 29880 | 37 | 110 | 20 | $900 | $18.9K |
| 64493 | 46 | 670 | 50 | $220 | $18.8K |
| 64721 | 57 | 240 | 20 | $510 | $17.7K |
| 29881 | 27 | 110 | 20 | $830 | $16.5K |
Showing 1–10 of 20
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 |
|---|---|---|---|---|
| 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… | 10 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 78 | 90 | 80 | $1 | $480 |
| 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… | 107 | 120 | 90 | $1 | $360 |
Other providers in the same ZIP code as California Specialty Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Farah Awadalla | CA | Dermatology Physician | $1.4M | $320K |
| Michael Truong | CA | Endocrinology, Diabetes & Metabolism Physician | $1.2M | $0 |
| Lynne Hung | CA | Clinical Cardiac Electrophysiology Physician | $1.1M | $0 |
| Anne Luhan | CA | Surgery Physician | $923.1K | $0 |
| Reza Allamehzadeh | CA | Internal Medicine Physician | $519.5K | $50.3K |
| Brian Toy | CA | Dermatology Physician | $533.3K | $0 |
| Erik Pasin | CA | Urology Physician | $484K | $0 |
| Absalom Hepner | CA | Nuclear Cardiology Physician | $461.7K | $2.7K |
| Mission Ambulatory Surgicenter Ltd. | CA | Ambulatory Surgical Clinic/Center | $451.1K | $0 |
| Eleonora Spokoyny | CA | Neurology Physician | $444.5K | $0 |
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