Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Specialists Surgery Center Of Del Mar LLC (NPI 1700985397)

Field	Value
Entity Type	Organization
Organization	Specialists Surgery Center Of Del Mar LLC
Address	12264 El Camino Real
City	San Diego
State	CA
ZIP	92130
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 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…	950	$970	$925.3K
J1096	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	1,330	$100	$131.9K
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…	40	$2,940	$123.4K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	70	$1,190	$79.5K
66982	The 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…	50	$980	$50.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	200	$240	$47.9K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	20	$750	$12K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	20	$120	$3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Specialists Surgery Center Of Del Mar LLC — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	29	1,250	90	$690	$122.8K
J1096	6	20	290	$100	$89.7K
66991	54	180	30	$1,940	$77.7K
66174	18	140	30	$860	$37.1K
66982	107	510	30	$800	$32K
15823	154	190	30	$640	$30.9K
66821	49	950	40	$270	$18.4K
65855	182	300	30	$190	$9.9K

Nearby Providers

Other providers in the same ZIP code as Specialists Surgery Center Of Del Mar LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tandem Diabetes Care Inc	CA	Durable Medical Equipment & Medical Supplies	$0	$83M
Derm - Jes Holdings, LLC	CA	Clinical Medical Laboratory	$7.4M	$157.1K
Nikolas London	CA	Ophthalmology Physician	$6.4M	$0
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$2.2M	$0
Manisha Kumar	CA	Rheumatology Physician	$1.1M	$0
Megan Lynch	CA	Rheumatology Physician	$1M	$0
Jeffrey Eaton	CA	MOHS-Micrographic Surgery Physician	$554.9K	$0
Andrew White	CA	Allergy & Immunology Physician	$389.6K	$0
Salvatore Pacella	CA	Plastic Surgery Physician	$341K	$0
Katharine Woessner	CA	Allergy & Immunology Physician	$308.8K	$0

Specialists Surgery Center Of Del Mar LLC — Billing Profile & Reimbursement Data

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Specialists Surgery Center Of Del Mar LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References