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    OpenPayerNPI Medicare & MedicaidPleasantdale Ambulatory Care, LLC
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    Pleasantdale Ambulatory Care, LLC — Billing Profile & Reimbursement Data

    NPI 1578805982 · West Orange, NJ · Ambulatory Surgical Clinic/Center

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    Pleasantdale Ambulatory Care, LLC is a ambulatory surgical clinic/center provider located in West Orange, New Jersey. This profile covers 20 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPleasantdale Ambulatory Care, LLC
    Address61 Main St
    CityWest Orange
    StateNJ
    ZIP07052
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMarch 24, 2013

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

    Payer SourceTotal Paid
    Medicare$570.4K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0275TN/A40$3,950$154.2K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).200$320$63.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…200$270$55.1K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.80$680$51.7K
    45380The 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…120$370$42.8K
    45385The 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…80$430$32.9K
    43239The 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.110$270$29.9K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…80$280$22.6K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…70$270$19.1K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…30$630$18.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0275T94020$2,600$75.5K
    4538516156050$320$25.4K
    4538011259060$230$21.3K
    644833533060$230$20.3K
    4323918861080$160$18.5K
    646351718030$440$18.2K
    45384193040$260$16.9K
    G010525528030$320$13.9K
    45390203020$500$13K
    64493627050$210$12.6K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as Pleasantdale Ambulatory Care, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barnabas Health Medical Group, PCNJSpecialist$0$39.6M
    Anchor Behavioral Solutions LLCNJCommunity/Behavioral Health Agency$0$27.2M
    Vna Health Group Of New Jersey, LLCNJCommunity Based Hospice Care Agency$0$24.5M
    Premie Home Health Care Services, Inc.NJHome Health Agency$0$12.5M
    Mental Health Assn Of Essex And MorrisNJCase Management Agency$0$10.6M
    Vna Health Group Of New Jersey, LLCNJHome Health Agency$0$10.6M
    Kessler Institute For Rehabilitation IncNJRehabilitation Hospital$0$10.2M
    Rwjbh Primary Care ServicesNJInternal Medicine Physician$0$8.6M
    West Orange Board Of EducationNJLocal Education Agency (LEA)$0$8.2M
    Maxim Healthcare Services, Inc.NJHome Health Agency$0$8.1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Pleasantdale Ambulatory Care, LLC — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey