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NPI 1720543481 · Williamsburg, VA · Ambulatory Surgical Clinic/Center
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Surgical Suites Of Coastal Virginia, LLC is a ambulatory surgical clinic/center provider located in Williamsburg, Virginia. This profile covers 19 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 | Surgical Suites Of Coastal Virginia, LLC |
| Address | 400 Sentara Cir Ste 200 |
| City | Williamsburg |
| State | VA |
| ZIP | 23188 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 7, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $8.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 90 | $6,860 | $644.7K |
| 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… | 40 | $6,890 | $255.1K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 30 | $3,360 | $87.3K |
| 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 | $2,140 | $70.5K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 60 | $650 | $41.6K |
| 28298 | The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes proximal phalanx osteotomy, cutting and realigning a toe… | 10 | $2,960 | $32.6K |
| 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… | 30 | $1,020 | $30.5K |
| 28308 | The provider performs an osteotomy of any metatarsal bone other than the first. He may or may not lengthen, shorten, or correct an angular deformity of the metatarsal. He performs the procedure to… | 30 | $690 | $20K |
| 15738 | The provider creates a muscle, myocutaneous, or fasciocutaneous flap from a lower extremity of the patient to treat injury or open wounds on an affected area. | 20 | $1,020 | $16.4K |
| 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… | 20 | $620 | $14.9K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 50 | 310 | 40 | $1,150 | $64.4K |
| 27130 | 102 | 210 | 40 | $1,040 | $45.9K |
| 29827 | 27 | 120 | 20 | $1,010 | $29.2K |
| 28750 | 4 | 20 | 20 | $1,380 | $24.9K |
| 15738 | 3 | 10 | 20 | $980 | $16.7K |
| 29880 | 16 | 20 | 20 | $790 | $15.8K |
| 64721 | 55 | 90 | 30 | $420 | $15.4K |
| 29881 | 5 | 30 | 20 | $780 | $14.9K |
| 28285 | 2 | 40 | 30 | $410 | $14.5K |
| 26055 | 65 | 90 | 30 | $290 | $13.3K |
Showing 1–10 of 19
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 |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 30 | $350 | $8.7K |
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
1 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. | 37 | 50 | 110 | $840 | $309.8K |
Other providers in the same ZIP code as Surgical Suites Of Coastal Virginia, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sentara Hospitals | VA | General Acute Care Hospital | $0 | $21.9M |
| Velocity Urgent Care, LLC | VA | Urgent Care Clinic/Center | $0 | $20.9M |
| Addiction Recovery Center Of Virginia | VA | Clinic/Center | $0 | $6M |
| Evolution Recovery Services LLC | VA | Addiction (Substance Use Disorder) Counselor | $0 | $5.6M |
| Bo Zhao | VA | Hematology & Oncology Physician | $2.6M | $0 |
| John Paschold | VA | Specialist | $1.6M | $0 |
| Sonia Hepburn | VA | Hematology & Oncology Physician | $1.2M | $0 |
| Audra Albert | VA | Family Nurse Practitioner | $639.8K | $0 |
| Aleisha Johnson | VA | Diagnostic Radiology Physician | $626.6K | $0 |
| Pranav Parikh | VA | Internal Medicine Physician | $579K | $0 |
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