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    OpenPayerNPI Medicare & MedicaidWestern PA Surgery Center, Beaver County Branch, L…
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    Western PA Surgery Center, Beaver County Branch, LLC — Billing Profile & Reimbursement Data

    NPI 1568060655 · Aliquippa, PA · Ambulatory Surgical Clinic/Center

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    Western PA Surgery Center, Beaver County Branch, LLC is a ambulatory surgical clinic/center provider located in Aliquippa, Pennsylvania. This profile covers 15 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)

    FieldValue
    Entity TypeOrganization
    OrganizationWestern PA Surgery Center, Beaver County Branch, LLC
    Address103 Pleasant Dr
    CityAliquippa
    StatePA
    ZIP15001
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 12, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$331.5K
    Medicaid$53.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…230$780$175.5K
    25320The provider reconstructs the wrist joint. He repairs the joint capsule and excises synovial membrane. He repairs ligaments and tendons as necessary, to restore the stability of the wrist, due to…10$2,060$22.7K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…40$490$21.7K
    64721Neuroplasty 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$500$18.8K
    23415In this procedure, the provider performs a release of the coracoacromial ligament to restore shoulder function when the patient experiences a stiff, painful, or frozen shoulder. The provider may…10$1,130$15.9K
    23420In this procedure, the provider reconstructs the complete shoulder in a patient with chronic rotator cuff tear or rupture. He also performs an acromioplasty, a procedure in which the provider shaves…10$1,240$13.6K
    15823In 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…20$490$10.7K
    29823The 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…20$570$9.7K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…40$240$8.4K
    26055Trigger 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$340$7.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698416467080$530$97.8K
    2532061020$1,120$24.6K
    67904196030$580$22.7K
    15823497030$520$20.7K
    647215816030$420$17.1K
    2341531020$780$15.6K
    6232326836060$140$14.2K
    2511581030$440$13.7K
    2342041020$550$10.9K
    260559714030$280$10.8K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A90$580$49.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)10$300$3.9K

    Medicaid: Competitive Analysis & Benchmarks

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A156200290$200$223.1K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)703710230$70$49.7K

    Nearby Providers

    Other providers in the same ZIP code as Western PA Surgery Center, Beaver County Branch, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Rehabilitation CenterPASubstance Use Disorder Rehabilitation Clinic/Center$0$36.2M
    Tucked With Care, LLCPAHome Health Agency$0$7.4M
    Pinnacle Treatment Centers Pa-v, LLCPAMethadone Clinic$0$7.1M
    Bryan NegriniPAInternal Medicine Physician$27.6K$941.8K
    James YoungPAPhysical Therapist$87.1K$0
    Kevin BaskinPADiagnostic Radiology Physician$29.6K$18.5K
    Kasey ChaplaPASpeech-Language Pathologist$14.2K$0
    Abby LoscoPAPhysician Assistant$12K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Western PA Surgery Center, Beaver County Branch, LLC — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Western PA Surgery Center, Beaver County Branch, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania