Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Childrens Surgery Center, LLC (NPI 1619284536)

Field	Value
Entity Type	Organization
Organization	Childrens Surgery Center, LLC
Address	2160 Noll Dr
City	Lancaster
State	PA
ZIP	17603
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 13, 2010

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
X2061	N/A	2,060	$1,960	$4M
D2930	N/A	1,280	$1,490	$1.9M
D9420	N/A	910	$1,760	$1.6M
D1120	Prophylaxis–child	630	$640	$404.5K
D2933	N/A	30	$1,790	$53.7K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	30	$1,790	$53.6K
D2330	Resin-based composite - one surface, anterior	10	$1,460	$17.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Childrens Surgery Center, LLC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X2061	N/A	1	10	880	$1,950	$1.9M
D9420	N/A	4	10	130	$1,640	$1.5M
D2930	N/A	40	200	290	$200	$223.1K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	13	20	130	$570	$177.8K
D2933	N/A	15	20	110	$210	$102.3K
D1120	Prophylaxis–child	318	1,240	220	$30	$30.1K
D2330	Resin-based composite - one surface, anterior	172	170	70	$50	$8.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T.w. Ponessa & Associates Counseling Services, Inc.	PA	Community/Behavioral Health Agency	$0	$63.5M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$21.2M
The County Of Lancaster	PA	Case Management Agency	$0	$17M
Lancaster Emergency Medical Services Association	PA	Land Ambulance	$2.1M	$10.9M
Ars Of Lancaster, LP	PA	Methadone Clinic	$163.8K	$8.3M
The County Of Lancaster	PA	Case Manager/Care Coordinator	$0	$8.2M
Glenn Kline	PA	Surgery Physician	$743.4K	$460
Francis Manning	PA	Ophthalmology Physician	$526.4K	$0
Adam Thode	PA	Ophthalmology Physician	$395K	$0
Ryan Yealy	PA	Optometrist	$284.2K	$42.9K

Childrens Surgery Center, LLC — Billing Profile & Reimbursement Data

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Childrens Surgery Center, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References