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    OpenPayerNPI Medicare & MedicaidBon Secours Surgery Center At Harbour View, LLC
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    Bon Secours Surgery Center At Harbour View, LLC — Billing Profile & Reimbursement Data

    NPI 1568505899 · Suffolk, VA · Ambulatory Surgical Clinic/Center

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    Bon Secours Surgery Center At Harbour View, LLC is a ambulatory surgical clinic/center provider located in Suffolk, Virginia. This profile covers 10 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)

    FieldValue
    Entity TypeOrganization
    OrganizationBon Secours Surgery Center At Harbour View, LLC
    Address1020 Bon Secours Dr
    CitySuffolk
    StateVA
    ZIP23435
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 15, 2007

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

    Payer SourceTotal Paid
    Medicare$3.2M
    Medicaid$226.1K

    Key Findings

    BON SECOURS SURGERY CENTER AT HARBOUR VIEW, LLC is an ambulatory surgical center with a billing mix dominated by high-revenue joint replacement and ophthalmic procedures, consistent with an ASC that performs both orthopedic arthroplasty and cataract surgery. The top Medicare CPT in revenue is 27447 (total knee arthroplasty) which alone generates $2.2M and, together with the next two codes, accounts for 92.8% of Medicare revenue, indicating the center’s service-line profile is heavily weighted to a few procedural specialties.

    Medicare revenue ($3.2M) is the primary payer source compared with much smaller Medicaid revenue ($226.1K), so the provider operates with an effectively Medicare-dominant revenue base rather than a balanced dual-payer mix. Medicaid activity is concentrated entirely in a single code (66984) that represents 100.0% of Medicaid revenue, while Medicare revenue is concentrated among three codes that together produce 92.8% of Medicare receipts.

    27447 (total knee arthroplasty) is an outsized driver for this facility: it produced $2.2M (69.1% of the provider’s Medicare revenue) and the provider ranks #20 of 12,089 nationally for that code, described in the dataset as an "extreme outlier" and therefore operating well above typical national volume for knee replacement in an ambulatory setting. This suggests the center is a high-volume site for knee arthroplasty relative to peers and may be regionally specialized or a referral destination for that surgery.

    66984 (cataract extraction with intraocular lens) is the other major revenue contributor across both payers: it generated $492.3K on Medicare (15.6% of Medicare revenue) and $226.6K on Medicaid (100.0% of Medicaid revenue). The Medicare ranking for 66984 is #2562 of 15,965 (84th percentile), indicating above-typical but not extreme cataract volume nationally, while in-state Medicaid rank (#12 of 50, 78th percentile) shows it is a solid but not dominant cataract provider within Virginia Medicaid billing.

    27130 (total hip arthroplasty) contributes a meaningful secondary role to Medicare revenue with $254.8K (8.1% of Medicare revenue) and a national rank of #2602 of 8,062 providers (67th percentile). Combined with the dominant 27447 volume, the orthopedic footprint is concentrated in major joint replacements (knee and hip) rather than a broad mix of minor procedures, implying the ASC focuses on higher-acuity, high-reimbursement orthopedic cases.

    Competitive standing differs by code: for 27447 the center is a clear national outlier and a leading venue for knee replacements, while for other high-volume codes like 66984 and 27130 it occupies above-typical but not top-tier positions (84th and 67th percentiles respectively). For smaller ophthalmic and specialty codes listed (e.g., 66991, 0449T, 66180), ranks are spread across mid to lower percentiles, indicating the center’s dominant market position is concentrated in a narrow set of procedures rather than across all specialty lines.

    The provider has been enumerated since 2007-02-15 (~19 years ago), indicating long operational tenure; that longevity combined with concentrated, high-volume billing for 27447 suggests an established program or referral network supporting its knee arthroplasty throughput.

    Medicaid billing is effectively single-procedure dependent: all Medicaid revenue is attributed to 66984 per the precomputed breakdown, which creates vulnerability to payer policy changes or reimbursement shifts affecting cataract surgery under Medicaid. By contrast, Medicare revenue is concentrated but split across three high-value codes (92.8% precomputed), so Medicare risk is concentrated but slightly more diversified than Medicaid for this facility.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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…320$6,820$2.2M
    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…620$790$492.3K
    27130In 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…40$7,080$254.8K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…30$2,440$65.8K
    0449TThe provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device…30$2,220$57.7K
    65820The 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$1,470$36.6K
    66180The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…20$1,930$34.8K
    66982The 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…20$780$17.2K
    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…20$630$10K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.10$360$5.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984126380250$130$139K
    27447231040$1,150$64.4K
    65820324030$1,110$63.1K
    66991163030$1,460$61.3K
    2713010521040$1,040$45.9K
    0449T41030$1,540$41.6K
    669827612030$610$28.7K
    6618072020$1,460$27.7K
    64721769030$420$15.4K
    6943611010$360$5.1K

    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.

    3 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…1,050$220$226.6K
    G8907Patient 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…190$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis100$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1250200$350$282.9K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis52070$1$20
    G8907Patient 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…1130150$1$10

    Nearby Providers

    Other providers in the same ZIP code as Bon Secours Surgery Center At Harbour View, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Tidewater Community MentalVAMental Health Clinic/Center (Including Community Mental Health Center)$0$84.4M
    Aa&g Group Home,llc.VADevelopmentally Disabled Services Day Training Agency$0$10.8M
    5 Star Residential CareVACommunity/Behavioral Health Agency$0$10.6M
    Snehal DamleVAHematology & Oncology Physician$1.5M$0
    John MansoorVARheumatology Physician$767.7K$0
    Megan EshbaughVARheumatology Physician$697.6K$0
    Julianne OrlowskiVARheumatology Physician$687.7K$0
    Roshan MorbiaVAPlastic Surgery Physician$421.2K$0
    Raman UnnikrishnanVAUrology Physician$358.8K$0
    Robert BaerVADermatology Physician$338.5K$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. Virginia Distribution
    Bon Secours Surgery Center At Harbour View, LLC — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Bon Secours Surgery Center At Harbour View, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia