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    OpenPayerNPI Medicare & MedicaidPotomac Urology Surgery Center, LLC
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    Potomac Urology Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1629659800 · Oxon Hill, MD · Ambulatory Surgical Clinic/Center

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    Potomac Urology Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Oxon Hill, Maryland. This profile covers 13 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
    OrganizationPotomac Urology Surgery Center, LLC
    Address251 National Harbor Blvd # 400a
    CityOxon Hill
    StateMD
    ZIP20745
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 19, 2021

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

    Payer SourceTotal Paid
    Medicare$624.4K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.50$3,990$183.5K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants20$5,770$127K
    55874Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…40$2,850$102.6K
    C9769Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts10$5,810$75.5K
    55700Code deleted December 31, 2025.90$430$37.9K
    55876In this procedure, the provider places one or more location markers or a device that measures radiation dosage within tissue gaps in the prostate prior to the administration of radiation treatment,…40$720$26K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…30$500$16.6K
    J0585Injection, onabotulinumtoxina, 1 unit3,000$10$15K
    52224The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…10$1,200$13.2K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…60$180$11.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C9740132030$5,500$225.7K
    6456193040$2,550$104.4K
    C976911010$5,470$71.1K
    J058565808,130$1$49K
    5587422020$1,890$43.5K
    52000155200120$140$25.8K
    52224162020$820$23.8K
    557001614030$370$18.9K
    52287306030$380$18.8K
    52310899020$400$13.7K

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Potomac Urology Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nilay GandhiVAUrology Physician$570.1K$0
    Inderjit SinghVASpecialist$306.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All Thats Therapeutic IncMDMental Health Clinic/Center (Including Community Mental Health Center)$0$23.7M
    Moore Obgyn LLCMDObstetrics & Gynecology Physician$0$23.2M
    Ib Dental Ii, P.C.MDGeneral Practice Dentistry$0$10.5M
    Tanek L. Jenkins, DdsMDPediatric Dentistry$0$9.8M
    Nspc Surgery Center Of Maryland LLCMDAmbulatory Surgical Clinic/Center$5.8M$6.3K
    All That's Therapeutic, Inc.MDMental Health Clinic/Center (Including Community Mental Health Center)$0$5.3M
    Metrospine PCMDSpecialist$0$4.9M
    Utopian Institute Of Family Living LLCMDCommunity/Behavioral Health Agency$0$4.6M
    Surgcenter At National Harbor, LLCMDAmbulatory Surgical Clinic/Center$2.8M$0
    Vipul MangalMDPain Medicine (Anesthesiology) Physician$2.2M$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. Maryland Distribution
    Potomac Urology Surgery Center, LLC — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland