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    OpenPayerNPI Medicare & MedicaidSurgicare Center LLC
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    Surgicare Center LLC — Billing Profile & Reimbursement Data

    NPI 1598846925 · Fort Myers, FL · Ambulatory Surgical Clinic/Center

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    Surgicare Center LLC is a ambulatory surgical clinic/center provider located in Fort Myers, Florida. This profile covers 8 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)

    FieldValue
    Entity TypeOrganization
    OrganizationSurgicare Center LLC
    Address4101 Evans Ave
    CityFort Myers
    StateFL
    ZIP33901
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 19, 2006

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

    Payer SourceTotal Paid
    Medicaid$541.2K
    Medicare$306.4K

    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.

    8 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$810$182.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.180$190$34K
    J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg260$100$25.1K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…10$1,470$17.7K
    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…20$810$17.1K
    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…30$490$15.6K
    65426During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft.10$660$8.5K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml70$80$5.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J109743401,040$80$140.2K
    66984248940100$570$125.5K
    J10961740260$100$73K
    67042698020$1,180$36.5K
    1582311118050$530$36.1K
    6698221029030$660$27.7K
    668219974060$230$24.1K
    6542621010$570$7.5K

    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.

    5 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…1,560$330$516.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.240$90$21.1K
    V2632Posterior chamber intraocular lens50$40$1.7K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml280$1$1.1K
    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…250$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    5 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…47090$260$78.6K
    V2632Posterior chamber intraocular lens810110$20$14.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.310120$60$10.6K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml110280$1$1.2K
    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…2810060$1$20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee Memorial Health SystemFLGeneral Acute Care Hospital$0$97.7M
    Loving Hands Home Health Agency, Inc.FLHome Health Agency$0$51.4M
    A1 America Home Health Agency, Inc.FLHome Health Agency$0$24.2M
    County Of Lee-office Of County CommFLAmbulance$7.1M$6.4M
    Ryan OlsonFLAnatomic Pathology & Clinical Pathology Physician$12.8M$80
    Family Health Centers Of Southwest Florida IncFLFederally Qualified Health Center (FQHC)$0$11.3M
    Nursing Alliance Home Care West Coast IncFLHome Health Agency$0$10.7M
    Physicians Surgery Center LLCFLAmbulatory Surgical Clinic/Center$2.5M$0
    Josiah MagnussonFLNuclear Medicine Physician$1.8M$0
    Edward DanehyFLDiagnostic Radiology Physician$695.2K$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. Florida Distribution
    Surgicare Center LLC — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Surgicare Center LLC — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida