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    OpenPayerNPI Medicare & MedicaidSurgical Specialty Center Of Mid Atlantic, LLC
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    Surgical Specialty Center Of Mid Atlantic, LLC — Billing Profile & Reimbursement Data

    NPI 1659772648 · Bethesda, MD · Ambulatory Surgical Clinic/Center

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    Surgical Specialty Center Of Mid Atlantic, LLC is a ambulatory surgical clinic/center provider located in Bethesda, Maryland. This profile covers 11 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
    OrganizationSurgical Specialty Center Of Mid Atlantic, LLC
    Address6430 Rockledge Dr
    CityBethesda
    StateMD
    ZIP20817
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 9, 2014

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

    Payer SourceTotal Paid
    Medicare$1.1M
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…70$7,380$486.9K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…60$7,600$441K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).200$320$65.4K
    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…20$2,140$38.6K
    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…50$680$31.2K
    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…50$510$23.6K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…20$1,130$19.2K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…10$1,090$15.2K
    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.20$560$8.5K
    C9290Injection, bupivacaine liposome, 1 mg2,930$1$2.9K

    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
    274476327030$1,500$72K
    271303618030$1,430$56K
    6448355240100$220$32K
    29827438020$1,210$30.3K
    29848485040$460$27K
    64721196030$490$22.1K
    29880193020$830$16.6K
    26055247030$340$15.5K
    29881123020$840$15.1K
    C929015204,920$1$7.5K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Surgical Specialty Center Of Mid Atlantic, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ralph BocciaMDHematology & Oncology Physician$2.5M$0
    Khiet NguyenMDDiagnostic Radiology Physician$1.6M$0
    Jason MarquartMDMOHS-Micrographic Surgery Physician$1.5M$0
    Stephen GrecoMDRadiation Oncology Physician$1.3M$0
    Johns Hopkins Surgery Centers SeriesMDAmbulatory Surgical Clinic/Center$1.2M$0
    Carolyn HendricksMDSpecialist$1.1M$0
    Srinivas SastryMDOphthalmology Physician$1M$0
    Christopher CannovaMDSpecialist$961.4K$0
    Capitol Surgical Center LLCMDAmbulatory Surgical Clinic/Center$932.8K$0
    Chitra RajagopalMDHematology & Oncology Physician$893.1K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Surgical Specialty Center Of Mid Atlantic, LLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland