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NPI 1730277575 · Bedford, NH · Ambulatory Surgical Clinic/Center
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Bedford Ambulatory Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Bedford, New Hampshire. This profile covers 23 Medicare and 2 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 | Bedford Ambulatory Surgical Center, LLC |
| Address | 11 Washington Pl |
| City | Bedford |
| State | NH |
| ZIP | 03110 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $146K |
BEDFORD AMBULATORY SURGICAL CENTER’s billing mix is consistent with its taxonomy as an Ambulatory Surgical Clinic/Center: high-volume outpatient ophthalmic procedures (multiple cataract and eyelid codes), orthopedic joint replacement codes (e.g., 27447, 27130), and GI endoscopy codes (e.g., 45385, 45380) together make up its reported activity. The presence of both cataract codes (66984, 66991) and joint arthroplasty codes indicates the facility supports a mix of ophthalmology and ambulatory orthopedic surgery rather than being limited to a single specialty.
Revenue concentration on Medicare is high: the precomputed top-3 Medicare codes account for 72.9% of the provider’s total Medicare revenue, with 66984 representing 45.5% of Medicare revenue, 27447 14.3%, and 66991 13.1%. This concentration implies that a small number of procedures—particularly cataract and select joint replacements—drive the majority of Medicare receipts.
Medicaid billing is effectively single-service for this facility: Medicaid revenue totals $146K and 66984 alone accounts for 100.0% of the provider’s Medicaid revenue (763 claims, $145.7K revenue). The precomputed top-3 Medicaid codes also account for 100.0% of Medicaid revenue, indicating Medicaid activity is almost entirely concentrated in cataract surgery.
Payer mix is heavily Medicare-weighted: lifetime Medicare revenue is $2.4M versus total Medicaid revenue of $146K, making Medicare the dominant payer by scale for this provider. Given this gap, operational and reimbursement changes in Medicare policy will have a much larger impact on this center’s topline than changes in Medicaid.
Competitive standing is mixed by code: for the combined cataract and aqueous drainage procedure 66991 the provider ranks #29 of 1445 nationally (98th percentile) and is described as "notably above typical national volume," signaling regional specialization or higher-than-typical volume for this more complex ophthalmic service. By contrast, 66984 ranks #1610 of 15965 nationally (90th percentile) and is labeled typical/unremarkable volume, indicating strong but not dominant national scale in routine cataract surgery.
Reimbursement differentials are evident for the same CPT across payers: Medicare paid an average of $814 per claim for 66984 while Medicaid paid an average of $191 per claim for 66984 in this dataset, reflecting substantially lower Medicaid payment rates for the identical procedure within the reported claims. This spread highlights the financial reliance on Medicare revenue per case for high-volume services.
The provider shows operational longevity: the NPI was enumerated 2006-10-10 (~20 years ago), which supports that the center has been established in the market and may have stable referral relationships supporting its concentrated case mix. Lifetime Medicare revenue of $2.4M suggests a modest-scale ambulatory surgery operation relative to larger multisite ASCs.
There are specialty-level and volume outliers within the mix: certain procedures are low-volume relative to national peers (for example, 27130 hip replacement ranks #6957 of 8062, 9th percentile, and 43235 ranks at the 0th percentile), while other procedures are high-volume outliers (66991 at the 98th percentile). This pattern suggests the center selectively performs a narrow set of high-throughput procedures while occasionally providing less-frequent services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 1,350 | $810 | $1.1M |
| 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… | 50 | $7,070 | $346.6K |
| 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… | 130 | $2,500 | $317K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 200 | $450 | $88.6K |
| 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 | $6,730 | $87.5K |
| 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… | 90 | $810 | $70.1K |
| 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. | 40 | $1,450 | $63.7K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 130 | $370 | $46.3K |
| 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… | 20 | $2,180 | $37.1K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 90 | $410 | $35.4K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 6 | 60 | 220 | $310 | $144.6K |
| 66991 | 1 | 10 | 40 | $1,590 | $74.7K |
| 27447 | 34 | 90 | 40 | $1,310 | $57.7K |
| 65820 | 5 | 10 | 50 | $1,080 | $57.4K |
| 27130 | 60 | 70 | 30 | $1,580 | $55.3K |
| 15823 | 3 | 10 | 40 | $540 | $28.8K |
| 66982 | 4 | 30 | 30 | $660 | $26.5K |
| 45385 | 11 | 100 | 80 | $250 | $26.5K |
| 29827 | 11 | 20 | 20 | $1,160 | $24.4K |
| 64721 | 6 | 30 | 40 | $450 | $19.3K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 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… | 760 | $190 | $145.7K |
| G8907 | Patient 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… | 150 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Hampshire median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1 | 10 | 160 | $200 | $68.7K |
| G8907 | Patient 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… | 4 | 10 | 120 | $0 | $0 |
Other providers in the same ZIP code as Bedford Ambulatory Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
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