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NPI 1508846411 · Newark, DE · Ambulatory Surgical Clinic/Center
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First State Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Newark, Delaware. This profile covers 32 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 | First State Surgery Center, LLC |
| Address | 1000 Twin C Lane |
| City | Newark |
| State | DE |
| ZIP | 19713 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $85K |
FIRST STATE SURGERY CENTER, LLC shows a mixed orthopedic and interventional pain/hand-surgery profile: its Medicare top codes include major joint arthroplasties 27447 and 27130 alongside high-volume hand/nerve procedures such as 64721 and 26055, indicating the center performs both implant-based joint replacements and frequent outpatient hand/nerve operations. The code mix (arthroplasty, arthroscopy, carpal tunnel release, trigger finger release, and spine injections) is consistent with an ambulatory surgical clinic that supports both implant cases and high-throughput minor procedures.
Revenue concentration on Medicare is notable but not extreme: the precomputed top 3 Medicare codes by revenue account for 36.3% of this provider's total Medicare revenue, with 27447 contributing $171.6K (13.6%), 27130 contributing $152.2K (12.1%), and 64721 contributing $132.4K (10.5%). This indicates a meaningful reliance on a small set of procedures for roughly one-third of Medicare receipts while the remaining revenue is spread across a long tail of orthopedic and pain codes.
Medicaid billing is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and a single code, 64483, represents $74K (87.2%) of the $85K Medicaid total. Medicaid activity is therefore effectively limited to a narrow set of interventional pain services and a smaller volume of carpal tunnel procedures, rather than a broad surgical mix.
Payer mix is strongly Medicare-weighted: lifetime Medicare revenue is $1.3M versus lifetime Medicaid revenue of $85K, so the practice is effectively Medicare-dominant in scale and financial exposure. Operational decisions and investment priorities are likely to be driven by Medicare reimbursement dynamics given this disparity.
Competitive standing varies by service line: for Medicare musculoskeletal procedures the facility is a modest national participant in large-joint work (27447 ranks #7776 of 12089 nationally, 33th percentile; 27130 ranks #4976 of 8062, 35th percentile), but is an outsized national performer in hand surgery and some minor procedures — 64721 ranks #13 of 3206 nationally (100th percentile; extreme outlier) and 26055 ranks #19 of 2946 (99th percentile; extreme outlier). In interventional spine injections the provider also shows above-typical Medicare volume for 64483 (rank #450 of 8202, 95th percentile; notably above typical national volume).
State-level Medicaid competitiveness for the largest Medicaid code is modest: 64483 ranks #6 of 9 providers in-state (38th percentile; typical, unremarkable volume), so despite very high Medicaid concentration in that single code the center is not a dominant Medicaid provider for that service within the state. By contrast, the provider’s national Medicare footprint for the same injection code is comparatively strong.
Operational implications from the procedure mix: the combination of implant arthroplasties (27447, 27130), arthroscopic shoulder and knee procedures (29827, 29880, 29881), and high-throughput hand/nerve operations (64721, 26055) suggests the center maintains operating-room capability for both complex implant cases and a high turnover of shorter-duration hand procedures. Maintaining inventory and staffing for implants and microsurgical hand cases alongside fluoroscopy capability for spine injections (64483, 64493, 62323) would be expected given the billed services.
The provider has an established presence: the NPI was enumerated on 2006-01-18 (~20 years ago), indicating long tenure in the market which may support stable referral relationships for both orthopedic arthroplasty and high-volume hand surgery lines. This longevity, combined with the extreme national volumes observed for select hand codes, suggests a recognized specialty capability in those areas.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 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… | 20 | $7,460 | $171.6K |
| 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 | $7,610 | $152.2K |
| 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… | 200 | $650 | $132.4K |
| 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). | 340 | $320 | $108.1K |
| 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… | 190 | $450 | $87.7K |
| 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 | $3,530 | $74.1K |
| 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… | 30 | $2,170 | $71.6K |
| 25607 | 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 the… | 10 | $3,530 | $49.4K |
| 29823 | The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the… | 50 | $700 | $36.2K |
| 25447 | The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the… | 40 | $820 | $32.8K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64483 | 10 | 40 | 170 | $220 | $62.4K |
| 27447 | 46 | 50 | 50 | $810 | $52K |
| 25609 | 1 | 10 | 20 | $2,410 | $41K |
| G0260 | 5 | 10 | 80 | $210 | $31.6K |
| 64721 | 1 | 20 | 40 | $470 | $29.4K |
| 27130 | 30 | 40 | 40 | $700 | $28.9K |
| 25607 | 1 | 10 | 10 | $2,020 | $28.3K |
| 29827 | 5 | 20 | 20 | $1,130 | $28.2K |
| 64635 | 18 | 30 | 50 | $390 | $24.8K |
| 26055 | 1 | 20 | 60 | $310 | $23.9K |
Showing 1–10 of 32
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 |
|---|---|---|---|---|
| 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). | 310 | $240 | $74K |
| 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… | 20 | $730 | $10.9K |
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 Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 6 | 10 | 340 | $140 | $79.7K |
| 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… | 2 | 10 | 60 | $240 | $14K |
Other providers in the same ZIP code as First State Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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