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    OpenPayerNPI Medicare & MedicaidPhysicians' Surgery Center Of Tidewater, LLC
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    Physicians' Surgery Center Of Tidewater, LLC — Billing Profile & Reimbursement Data

    NPI 1699818237 · Virginia Beach, VA · Ambulatory Surgical Clinic/Center

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    Physicians' Surgery Center Of Tidewater, LLC is a ambulatory surgical clinic/center provider located in Virginia Beach, Virginia. This profile covers 17 Medicare and 3 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)

    FieldValue
    Entity TypeOrganization
    OrganizationPhysicians' Surgery Center Of Tidewater, LLC
    Address828 Healthy Way Ste 115
    CityVirginia Beach
    StateVA
    ZIP23462
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 14, 2007

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$71.8K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…550$770$424.6K
    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…20$7,080$155.7K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…100$1,460$151.5K
    66183The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.70$2,160$147K
    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…20$6,940$118K
    J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg980$100$97.6K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.70$1,450$95.4K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…50$1,470$76.2K
    66180The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…20$1,940$44.7K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…40$740$28.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10967101,630$100$256.8K
    66984135380250$130$139K
    6618341070$1,410$89K
    2744725931040$1,150$64.4K
    2713015721040$1,040$45.9K
    6704212020$1,130$33.8K
    67904202050$580$32.8K
    6448310117080$210$31.4K
    669824012030$610$28.7K
    6618042020$1,460$27.7K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…240$300$71.8K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…120$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis100$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The 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…2250200$350$282.9K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis62070$1$20
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…1830150$1$10

    Nearby Providers

    Other providers in the same ZIP code as Physicians' Surgery Center Of Tidewater, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of Virginia Beach Humans ServicesVADevelopmentally Disabled Services Day Training Agency$0$32M
    Bhg Xlii, LLCVASubstance Use Disorder Rehabilitation Clinic/Center$283K$27M
    A&c Alternative Care Support IncVAIn Home Supportive Care Agency$0$27.2M
    Maxim Healthcare Services, Inc.VAHome Health Agency$0$26.3M
    Volunteers Of America Chesapeake, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$25.6M
    Community Direct Services, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$23.8M
    Community Direct Services, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.7M
    Ac Support Systems, LLCVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.2M
    Individuals First, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.2M
    Care Advantage, Inc.VAHome Health Agency$0$12M

    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. Virginia Distribution
    Physicians' Surgery Center Of Tidewater, LLC — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Physicians' Surgery Center Of Tidewater, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia