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    OpenPayerNPI Medicare & MedicaidRoosevelt Surgery Center, LLC
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    Roosevelt Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1598039125 · New York, NY · Ambulatory Surgical Clinic/Center

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    Roosevelt Surgery Center, LLC is a ambulatory surgical clinic/center provider located in New York, New York. This profile covers 11 Medicare and 6 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
    OrganizationRoosevelt Surgery Center, LLC
    Address619 W 54th St
    CityNew York
    StateNY
    ZIP10019
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 29, 2012

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$938.4K

    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.

    11 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…790$980$778.7K
    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…130$990$125.2K
    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$1,800$46.7K
    67400The provider incises and explores the orbit, the bony cavity that holds the eyes, through an incision in the eye area, without creating a bone flap. She examines the orbital cavity for the presence…50$940$46.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.110$240$26.4K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml300$80$22.5K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.10$840$11.7K
    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…20$430$10.3K
    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…10$660$9.2K
    66761The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of…50$160$8.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10971120500$80$200.1K
    669844868090$430$104.3K
    6740031050$1,040$55.1K
    65820489030$1,170$48K
    67904223040$570$45.2K
    669821628030$760$35.6K
    1930110113020$600$15.5K
    668214252030$270$14.3K
    2605512213030$320$12.3K
    66761159030$250$9.4K

    Showing 1–10 of 11

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.720$860$621.6K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.180$1,040$187K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.120$1,000$121.8K
    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…10$690$8.2K
    C1889Implantable/insertable device, not otherwise classified320$0$0
    L8699Prosthetic implant, not otherwise specified100$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C1889Implantable/insertable device, not otherwise classified2140320$260$533.3K
    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…149160140$720$423.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.246090$1,190$359.7K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.118080$1,020$306.3K
    42830The provider performs an initial adenoidectomy in a patient who is less than 12 years old.82080$1,260$204.6K
    L8699Prosthetic implant, not otherwise specified61090$250$51.7K

    Nearby Providers

    Other providers in the same ZIP code as Roosevelt Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Lukes Roosevelt Hospital CenterNYGeneral Acute Care Hospital$0$190.5M
    Karen ThorntonNYFamily Medicine Physician$183K$13.5M
    West Side Gi, LLCNYAmbulatory Surgical Clinic/Center$566.4K$13M
    Armistead WilliamsNYNeurology Physician$6.7M$0
    Elizabeth KavalerNYUrology Physician$1.7M$0
    Esoterix Genetic Laboratories, LLCNYClinical Medical Laboratory$418.7K$724.2K
    Suelane Do OuroNYInterventional Pain Medicine Physician$682.3K$332.8K
    Robert HowardNYRegistered Dietitian$17K$962.8K
    James StarkNYNeurology Physician$827.7K$0
    Alexander VolvovskyNYDiagnostic Radiology Physician$814.1K$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. New York Distribution
    Roosevelt Surgery Center, LLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Roosevelt Surgery Center, LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York