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NPI 1518916758 · Honesdale, PA · Ambulatory Surgical Clinic/Center
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Mountain Laurel Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Honesdale, Pennsylvania. This profile covers 8 Medicare and 5 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 | Mountain Laurel Surgery Center, LLC |
| Address | 1860 Fair Ave Ste B |
| City | Honesdale |
| State | PA |
| ZIP | 18431 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $618.5K |
| Medicaid | $445.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 630 | $280 | $176.3K |
| 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… | 350 | $370 | $129.9K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 300 | $380 | $113.7K |
| 45385 | The 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… | 220 | $420 | $90.1K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 120 | $380 | $44.2K |
| 45378 | The 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 | $300 | $28.9K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 90 | $300 | $27.7K |
| 45384 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy… | 20 | $330 | $7.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 1,400 | $240 | $340.4K |
| 45378 | The 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… | 220 | $400 | $86.9K |
| 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… | 70 | $260 | $18.9K |
| 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… | 200 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 200 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 45378 | The 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… | 16 | 60 | 40 | $640 | $98K |
| 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. | 14 | 290 | 90 | $290 | $85.6K |
| 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… | 50 | 120 | 60 | $440 | $67.2K |
| 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… | 16 | 40 | 100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | 30 | 100 | $0 | $0 |
Other providers in the same ZIP code as Mountain Laurel Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Wayne Memorial Community Health Centers | PA | Federally Qualified Health Center (FQHC) | $0 | $17.1M |
| Wayne Memorial Community Health Centers | PA | Federally Qualified Health Center (FQHC) | $0 | $10.5M |
| Wayne Memorial Hospital | PA | General Acute Care Hospital | $0 | $9.2M |
| Medical Shoppe Ltd | PA | Pharmacy | $104.7K | $789.2K |
| Philip Liu | PA | Otolaryngology Physician | $468.7K | $0 |
| Glenn Woodley | PA | Foot & Ankle Surgery Podiatrist | $268.1K | $280 |
| David Reynolds | PA | Gastroenterology Physician | $194.7K | $0 |
| Sean Mcveigh | PA | Pulmonary Disease Physician | $108.8K | $0 |
| Walter Kaniefski | PA | Emergency Medicine Physician | $47.3K | $4K |
| Melissa Gibblets | PA | Occupational Therapist | $32.6K | $0 |
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