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    OpenPayerNPI Medicare & MedicaidCold Springs Medical Surgical Group LLC
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    Cold Springs Medical Surgical Group LLC — Billing Profile & Reimbursement Data

    NPI 1639149255 · Santa Barbara, CA · Ambulatory Surgical Clinic/Center

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    Cold Springs Medical Surgical Group LLC is a ambulatory surgical clinic/center provider located in Santa Barbara, California. This profile covers 19 Medicare and 2 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
    OrganizationCold Springs Medical Surgical Group LLC
    Address2323 De La Vina St
    CitySanta Barbara
    StateCA
    ZIP93105
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 25, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.6M
    Medicare$633.1K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…30$4,300$111.8K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…60$1,180$75.7K
    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…110$630$67.1K
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…40$1,380$57.8K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.80$690$57.5K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…70$730$47.3K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…50$730$37.9K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$2,510$35.1K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…30$1,040$31.3K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…40$750$28.4K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2560986020$2,220$40K
    2982719629020$1,320$30.3K
    140404618020$610$23K
    26145173050$320$21.2K
    2984849030$520$18.6K
    2612314020$1,000$18K
    647213324020$510$17.7K
    2648012010$700$14K
    2544716020$730$13.8K
    260551022030$360$13.8K

    Showing 1–10 of 19

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0490N/A1,830$870$1.6M
    0972N/A70$30$2.2K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0490N/A1880520$150$323.2K
    0972N/A11070$30$2.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cold Springs Medical Surgical Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael BehrmanCAOrthopaedic Hand Surgery Physician$389.1K$0
    Robert RuthCAOrthopaedic Hand Surgery Physician$200.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Cold Springs Medical Surgical Group LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hillside House, Inc.CAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$35.6M
    Sansum ClinicCAMulti-Specialty Clinic/Center$0$24.4M
    Daniel GreenwaldCAMedical Oncology Physician$3.5M$0
    Santa Barbara Outpatient Surgery Centers LLCCAAmbulatory Surgical Clinic/Center$3M$0
    Julian DavisCAHematology & Oncology Physician$2.7M$0
    David CarlsonCANuclear Medicine Physician$2.6M$0
    Mukul GuptaCAMedical Oncology Physician$2.3M$0
    Sansum ClinicCAAmbulatory Surgical Clinic/Center$1.4M$699.5K
    Gregg NewmanCAHematology & Oncology Physician$2M$0
    Justin VoogCARadiation Oncology Physician$1.6M$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. California Distribution
    Cold Springs Medical Surgical Group LLC — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Cold Springs Medical Surgical Group LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California