Loading...
NPI 1689863771 · Fort Mill, SC · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Carolina Surgery Center LLC is a ambulatory surgical clinic/center provider located in Fort Mill, South Carolina. This profile covers 13 Medicare and 5 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 | Carolina Surgery Center LLC |
| Address | 2536 Lengers Way |
| City | Fort Mill |
| State | SC |
| ZIP | 29707 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 15, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $64.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 630 | $820 | $515K |
| 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… | 40 | $7,130 | $292.2K |
| 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 | $7,270 | $101.8K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 30 | $2,400 | $62.3K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 30 | $1,480 | $36.9K |
| 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… | 20 | $1,630 | $26K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 10 | $2,230 | $24.5K |
| 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… | 30 | $630 | $16.3K |
| 29881 | The 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… | 10 | $1,080 | $14.1K |
| 26055 | Trigger 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… | 20 | $420 | $7.5K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 11 | 10 | 2,610 | $80 | $208.9K |
| 66984 | 63 | 270 | 210 | $170 | $141.3K |
| 66991 | 12 | 20 | 30 | $1,520 | $62.2K |
| 27447 | 116 | 220 | 40 | $1,090 | $61.9K |
| 27130 | 138 | 150 | 40 | $1,060 | $44.7K |
| 65820 | 22 | 40 | 30 | $980 | $40.4K |
| 64721 | 49 | 60 | 40 | $400 | $20.4K |
| 29827 | 55 | 90 | 20 | $880 | $20.1K |
| C9290 | 6 | 10 | 9,440 | $1 | $14.9K |
| 29828 | 40 | 40 | 20 | $710 | $14.2K |
Showing 1–10 of 13
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 140 | $200 | $27.3K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 110 | $180 | $20.6K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 30 | $390 | $9.7K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 50 | $130 | $6.7K |
| V2632 | Posterior chamber intraocular lens | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 33 | 50 | 480 | $160 | $147.9K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 33 | 40 | 140 | $220 | $87.4K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 20 | 40 | 110 | $120 | $48K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 4 | 10 | 220 | $120 | $29.8K |
| V2632 | Posterior chamber intraocular lens | 10 | 10 | 60 | $50 | $11.9K |
Other providers in the same ZIP code as Carolina Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Therapyworks 4 Kids, LLC | SC | Physical Therapist | $0 | $3.9M |
| Diane George | SC | Rheumatology Physician | $811K | $0 |
| Amit Shah | SC | Internal Medicine Physician | $336.2K | $0 |
| Gregory Kimmerle | SC | Internal Medicine Physician | $290.8K | $0 |
| South Carolina Cvs Pharmacy, L.L.C. | SC | Pharmacy | $219.1K | $0 |
| Alan Jones | SC | Optometrist | $83.1K | $63K |
| Christopher Connelly | SC | Physical Therapist | $144.4K | $0 |
| Walgreen Co | SC | Pharmacy | $132.7K | $0 |
| Publix Super Markets Inc | SC | Community/Retail Pharmacy | $132.7K | $0 |
| Joyce Ward | SC | Family Medicine Physician | $120K | $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.