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    OpenPayerNPI Medicare & MedicaidThomas Johnson Surgery Center, LLC
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    Thomas Johnson Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1679757959 · Frederick, MD · Ambulatory Surgical Clinic/Center

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    Thomas Johnson Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Frederick, Maryland. This profile covers 21 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
    OrganizationThomas Johnson Surgery Center, LLC
    Address197 Thomas Johnson Dr
    CityFrederick
    StateMD
    ZIP21702
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 23, 2007

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

    Payer SourceTotal Paid
    Medicare$789.7K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…10$14,840$178K
    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…70$1,550$115K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.50$1,110$58.7K
    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…60$940$56.5K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.10$3,830$42.1K
    C1747Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)40$1,050$39.9K
    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…40$1,020$35.5K
    74420The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…240$150$35.3K
    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…50$640$33.2K
    J0585Injection, onabotulinumtoxina, 1 unit6,600$10$33K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590202020$7,550$151.1K
    64561253040$2,550$104.4K
    J058552808,130$1$49K
    C174711040$1,050$39.9K
    5059073030$800$32.2K
    52000185200120$140$25.8K
    52356710020$900$25.3K
    5222462020$820$23.8K
    52234152020$790$20.5K
    557009114030$370$18.9K

    Showing 1–10 of 21

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frederick County Public SchoolsMDLocal Education Agency (LEA)$0$21.3M
    Dr.sivakumar Pediatric Dental Center LLCMDPediatric Dentistry$0$14.7M
    Concerted Care Group Frederick LLCMDMethadone Clinic$290K$7.4M
    Frederick Pediatric Associates P.A.MDPediatrics Physician$0$7.6M
    Potomac Case Management ServicesMDCase Management Agency$0$6.7M
    Amr HegaziMDHematology & Oncology Physician$2.3M$0
    Grant LouieMDRheumatology Physician$2.1M$0
    Sadaf TaimurMDHematology & Oncology Physician$1.7M$0
    Frederick Surgical Center, LLCMDAmbulatory Surgical Clinic/Center$1.7M$0
    Gregory GagnonMDRadiation 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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Thomas Johnson Surgery Center, LLC — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland