Loading...
NPI 1689679680 · Youngstown, OH · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Tosc, LLC is a ambulatory surgical clinic/center provider located in Youngstown, Ohio. This profile covers 25 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Tosc, LLC |
| Address | 8551 Crossroad Dr |
| City | Youngstown |
| State | OH |
| ZIP | 44514 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $9.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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 | $6,390 | $466.3K |
| 22869 | Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous… | 20 | $7,570 | $143.8K |
| 27130 | In 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… | 10 | $6,080 | $66.9K |
| 29827 | The 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… | 30 | $2,050 | $63.5K |
| 64483 | This 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). | 220 | $250 | $54K |
| 64721 | Neuroplasty 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… | 60 | $570 | $36.7K |
| 29848 | The 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. | 70 | $500 | $34.2K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 120 | $230 | $26.6K |
| 29824 | The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure… | 30 | $590 | $20.1K |
| 29823 | The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the… | 40 | $490 | $19.2K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 73 | 540 | 30 | $1,280 | $52.4K |
| 22869 | 1 | 10 | 10 | $3,500 | $49K |
| 27130 | 324 | 340 | 20 | $1,250 | $38.8K |
| C9290 | 6 | 10 | 15,410 | $1 | $27.4K |
| 29827 | 12 | 120 | 20 | $950 | $19K |
| 64483 | 38 | 270 | 50 | $170 | $17.7K |
| G0260 | 29 | 30 | 40 | $200 | $17.5K |
| 26145 | 5 | 10 | 60 | $280 | $16.2K |
| 64721 | 13 | 130 | 30 | $400 | $13.9K |
| 26123 | 5 | 10 | 10 | $960 | $13.5K |
Showing 1–10 of 25
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 29848 | The 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. | 10 | $740 | $9.6K |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 29848 | The 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. | 14 | 10 | 40 | $710 | $97.1K |
Other providers in the same ZIP code as Tosc, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Maxim Healthcare Services, Inc. | OH | Home Health Agency | $0 | $22.9M |
| Knapp Center For Childhood Development | OH | Community/Behavioral Health Agency | $0 | $16.6M |
| Julie Knapp | OH | Clinical Psychologist | $0 | $10M |
| Shc Youngstown Ohio Laboratory Services Company LLC | OH | Clinical Medical Laboratory | $708.9K | $3.4M |
| Cavalier Mobile Xray Co | OH | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $486.5K | $2.5M |
| Sanaullah Khalid | OH | Hematology & Oncology Physician | $2M | $0 |
| Center For Advanced Eye Surgery, Ltd | OH | Ambulatory Surgical Clinic/Center | $1.1M | $221.8K |
| Amy Awaida | OH | Hematology & Oncology Physician | $414.7K | $0 |
| Nicholas Flebotte | OH | Optometrist | $372.7K | $400 |
| Dean Ball | OH | Diagnostic Radiology Physician | $300.4K | $0 |
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.