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NPI 1558327338 · Ridgefield, CT · Ambulatory Surgical Clinic/Center
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Danbury Surgical Center LP is a ambulatory surgical clinic/center provider located in Ridgefield, Connecticut. This profile covers 24 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 | Danbury Surgical Center LP |
| Address | 901 Ethan Allen Hwy Ste 105 |
| City | Ridgefield |
| State | CT |
| ZIP | 06877 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $44.3K |
This facility is functionally an ambulatory surgical center with heavy ophthalmology and endoscopy throughput: Medicare top CPTs are dominated by cataract procedures 66984 (747 claims, $685K revenue, 46.4% of Medicare revenue) and 66982 (135 claims, $112.2K revenue, 7.6% of Medicare revenue), alongside sizable colonoscopic polypectomy volume in 45385 (254 claims, $121.7K revenue, 8.2% of Medicare revenue). The mix of high-volume cataract codes plus GI procedures indicates an ASC setup that performs both ophthalmic and gastrointestinal surgical workstreams rather than a single-specialty office practice.
Revenue concentration on Medicare is substantial: the precomputed top-3 Medicare codes account for 62.2% of this provider’s $1.5M Medicare revenue, signaling that a small set of procedures — primarily cataract extraction and related intraocular lens work plus colonoscopy with polypectomy — drive the majority of billed Medicare dollars. On Medicaid the concentration is even narrower, with the precomputed top-3 Medicaid codes accounting for 100.0% of the provider’s $44.3K Medicaid revenue, indicating near-total reliance on three procedure types in the state Medicaid population.
Payer mix is heavily Medicare-skewed in scale: the provider reports $1.5M in Medicare revenue versus $44.3K in Medicaid revenue, so Medicare is the dominant payer by a large margin and the facility should be treated as effectively Medicare-driven for revenue and utilization analytics. Medicaid activity exists but is a small share of overall billing, concentrated in a few procedure codes.
Competitive standing for the facility’s primary Medicare cataract code 66984 is in the middle of the national distribution: it ranks #2313 of 15965 providers nationally (86th percentile) and is described in the record as "typical, unremarkable volume for this code," indicating a solid but not unusual national footprint for routine cataract cases. For related complex cataract work 66982 the provider ranks #204 of 4580 (96th percentile) and for colonoscopic polypectomy 45385 it ranks #893 of 16310 (94th percentile); both are high national percentiles yet the dataset still labels these volumes as "typical, unremarkable volume for this code," which together suggest above-average specialization without being an extreme outlier.
In-state Medicaid competitiveness is modest to limited: Medicaid 66984 activity ranks #27 of 39 providers in-state (32th percentile) and tympanostomy 69436 ranks #7 of 12 in-state (45th percentile), so the facility is not a leading Medicaid provider of these procedures within Connecticut. A third Medicaid code, 43239, ranks #81 of 83 in-state (2th percentile) and contributes only $3.6K (8.2% of Medicaid revenue), reinforcing that Medicaid-facing services are thin and uneven across procedure types.
There are procedure-level low-percentile signals worth noting for clinical/service planning: several device- and glaucoma-related codes such as 66989 (ranks #55 of 64, 6th percentile) and 66183 (ranks #247 of 289, 8th percentile) are at very low national percentiles, suggesting these specialized glaucoma/device insertions are handled infrequently and are not a major revenue stream for this site. These low-volume, higher-paid procedures (e.g., 66989 avg paid/claim $2791) could be occasional case types rather than routine service lines.
Operational tenure is long enough to support stable referral relationships: the NPI was enumerated on 2006-04-21 (~20 years ago), indicating the facility has been registered and operating for roughly two decades, which can matter for contracting and historical utilization trend analysis. Long tenure paired with concentrated service lines suggests established referral patterns for ophthalmology and endoscopy.
Procedure-level reimbursement characteristics vary and can inform case-mix and margin analysis: Medicare average paid per claim for top codes ranges from $479 for 45385 to $917 for 66984, while Medicaid average paid per claim for 66984 is $241 and for 69436 is $122, illustrating materially lower Medicaid unit rates for the same or related services. Given the provider’s Medicare-dominant revenue profile, profitability and capacity planning should emphasize Medicare case volumes and payer-specific reimbursement differences rather than Medicaid activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 750 | $920 | $685K |
| 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… | 250 | $480 | $121.7K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 140 | $830 | $112.2K |
| 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… | 190 | $380 | $72.8K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 30 | $1,650 | $56.2K |
| 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 | $2,480 | $52.2K |
| 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. | 180 | $230 | $41.8K |
| 66989 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction using complex techniques and devices. The provider also inserts one or more anterior… | 10 | $2,790 | $36.3K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 20 | $1,670 | $33.3K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 60 | $520 | $32.8K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 11 | 150 | 90 | $400 | $87.8K |
| 66989 | 1 | 10 | 10 | $2,790 | $36.3K |
| 65820 | 5 | 10 | 30 | $910 | $34.5K |
| 66180 | 2 | 10 | 20 | $1,300 | $31.1K |
| 29827 | 13 | 30 | 20 | $1,350 | $29.7K |
| 66183 | 5 | 10 | 10 | $1,850 | $29.7K |
| 66982 | 3 | 40 | 30 | $740 | $27.5K |
| 29880 | 8 | 10 | 20 | $1,010 | $21.2K |
| 45385 | 8 | 240 | 50 | $290 | $19.3K |
| 15823 | 1 | 10 | 30 | $600 | $18.8K |
Showing 1–10 of 24
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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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 |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 100 | $240 | $24.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 140 | $120 | $16.6K |
| 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. | 20 | $230 | $3.6K |
| 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 |
| V2632 | Posterior chamber intraocular lens | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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. | 81 | 80 | 990 | $260 | $592K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 7 | 10 | 270 | $510 | $521.4K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 27 | 40 | 380 | $310 | $334K |
| V2632 | Posterior chamber intraocular lens | 12 | 10 | 110 | $1 | $10 |
| 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… | 11 | 30 | 110 | $0 | $0 |
Other providers in the same ZIP code as Danbury Surgical Center LP, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rvnahealth, Inc. | CT | Home Health Agency | $0 | $1.1M |
| Town Of Ridgefield | CT | Ambulance | $401.2K | $165.4K |
| Western Connecticut Health Network Affiliates, Inc. | CT | Radiology Clinic/Center | $396.2K | $76.1K |
| Lucille Soldano | CT | Diagnostic Radiology Physician | $273.6K | $0 |
| James Ahern | CT | Family Medicine Physician | $201.8K | $0 |
| David Pazer | CT | Internal Medicine Physician | $179K | $0 |
| Ronald Raymond | CT | Cardiovascular Disease Physician | $160K | $0 |
| Robert Ruxin | CT | Internal Medicine Physician | $151.6K | $310 |
| Serafima Glouzgal | CT | Internal Medicine Physician | $132.7K | $13.9K |
| E S Pharmacy Inc | CT | Community/Retail Pharmacy | $145K | $0 |
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