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    OpenPayerNPI Medicare & MedicaidPine Ridge Surgery Center, LLC
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    Pine Ridge Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1669787958 · Wausau, WI · Ambulatory Surgical Clinic/Center

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    Pine Ridge Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Wausau, Wisconsin. This profile covers 12 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
    OrganizationPine Ridge Surgery Center, LLC
    Address2500 Pine Ridge Blvd
    CityWausau
    StateWI
    ZIP54401
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 11, 2010

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

    Payer SourceTotal Paid
    Medicare$260.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…50$1,510$78.4K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.30$1,350$40.6K
    C9290Injection, bupivacaine liposome, 1 mg26,200$1$26.2K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$790$23.6K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…60$390$23.5K
    60500In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…10$1,760$19.4K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…20$910$13.6K
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.20$600$10.8K
    Q9968Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg1,400$10$8.4K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…20$370$5.5K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    60500192020$600$14.5K
    C92901105,790$1$11.5K
    19301193020$470$10.3K
    5235616020$410$8.7K
    4965013010$510$7.6K
    4538027130040$130$7.6K
    G010516618020$220$6.4K
    4538453030$160$6.3K
    Q9968110980$10$5.8K
    4323927332050$80$4.8K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Morgan O'connellWIPodiatrist$79.4K$0
    Mark ThomasWIPodiatrist$77.5K$0
    Joel TikalskyWIPodiatrist$44.5K$0
    Cecilia StroedeWISurgery Physician$30.4K$0
    Robert MassopWIAnesthesiology Physician$17.7K$0
    Aaron AndersonWIAnesthesiology Physician$13.9K$0
    William HolmWIAnesthesiology Physician$13K$0
    Patrick PikeWIAnesthesiology Physician$12.1K$0
    Michael HodekWIAnesthesiology Physician$12K$0
    Thomas HoganWIAnesthesiology Physician$6.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Impressions ScWIPediatric Dentistry$0$17.3M
    Aspirus Wausau Hospital, Inc.WIGeneral Acute Care Hospital$0$16.3M
    Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.WINon-Surgical Family Planning Clinic/Center$0$10.2M
    Aspirus Wausau Hospital, Inc.WILand Ambulance$4M$6.1M
    Aspirus Wausau Hospital, Inc.WIClinical Medical Laboratory$0$6.9M
    Aspirus Vna Home Health IncWIInpatient Hospice$0$3.2M
    Northwest Counseling & Guidance ClinicWIAdolescent and Children Mental Health Clinic/Center$0$3M
    Aspirus Wausau Hospital, IncWIEmergency Medicine Physician$0$2.7M
    Aspirus Vna Home Health Inc.WIDurable Medical Equipment & Medical Supplies$0$2.4M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M

    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. Wisconsin Distribution
    Pine Ridge Surgery Center, LLC — 4 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin