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NPI 1538164546 · Greer, SC · Ambulatory Surgical Clinic/Center
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Surgery Center At Pelham, LLC is a ambulatory surgical clinic/center provider located in Greer, South Carolina. This profile covers 16 Medicare and 3 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 | Surgery Center At Pelham, LLC |
| Address | 2755 S Highway 14 |
| City | Greer |
| State | SC |
| ZIP | 29650 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $585K |
| Medicare | $300.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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… | 10 | $6,830 | $88.8K |
| 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… | 10 | $6,970 | $76.6K |
| 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… | 60 | $420 | $25.4K |
| 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 | $1,080 | $18.3K |
| 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 | $560 | $13.5K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 20 | $650 | $11.8K |
| 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… | 30 | $330 | $11.2K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 20 | $400 | $9.1K |
| 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. | 40 | $190 | $8.3K |
| 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… | 20 | $370 | $8.2K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 209 | 220 | 40 | $1,090 | $61.9K |
| 27130 | 147 | 150 | 40 | $1,060 | $44.7K |
| 45385 | 156 | 270 | 90 | $270 | $36.9K |
| 64721 | 52 | 60 | 40 | $400 | $20.4K |
| 31267 | 10 | 10 | 20 | $810 | $20.2K |
| 45380 | 184 | 260 | 60 | $170 | $18.9K |
| 43239 | 193 | 270 | 90 | $120 | $16.1K |
| G0105 | 128 | 170 | 40 | $260 | $16K |
| C9290 | 4 | 10 | 9,440 | $1 | $14.9K |
| 28285 | 25 | 30 | 30 | $350 | $13.2K |
Showing 1–10 of 16
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1,690 | $220 | $377.5K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 430 | $460 | $198.7K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 30 | $320 | $9.3K |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 8 | 50 | 480 | $160 | $147.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 12 | 40 | 140 | $220 | $87.4K |
| 42830 | The provider performs an initial adenoidectomy in a patient who is less than 12 years old. | 13 | 20 | 60 | $270 | $45.5K |
Other providers in the same ZIP code as Surgery Center At Pelham, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Prisma Health-upstate | SC | General Acute Care Hospital | $0 | $10.9M |
| Pediatric Dentistry, PA | SC | Pediatric Dentistry | $0 | $6.7M |
| Warren Keith Stafford, M.d. | SC | Family Medicine Physician | $0 | $5.4M |
| The Pediatric Center | SC | Pediatrics Physician | $0 | $3.9M |
| Innovation Counseling Services | SC | Community/Behavioral Health Agency | $0 | $2.8M |
| Uhs Of Greenville, LLC | SC | Psychiatric Hospital | $0 | $2.7M |
| Memorial Drive Medical PC, LLC | SC | Pediatrics Physician | $0 | $2.1M |
| Frank Armocida | SC | Adult Reconstructive Orthopaedic Surgery Physician | $393K | $0 |
| Brayton Shirley | SC | Orthopaedic Surgery Physician | $308.8K | $0 |
| Marvin Mcmeekin | SC | Optometrist | $267.1K | $27.7K |
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