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    OpenPayerNPI Medicare & MedicaidAdvanced Center For Surgery, LLC
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    Advanced Center For Surgery, LLC — Billing Profile & Reimbursement Data

    NPI 1750658092 · Altoona, PA · Ambulatory Surgical Clinic/Center

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    Advanced Center For Surgery, LLC is a ambulatory surgical clinic/center provider located in Altoona, Pennsylvania. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAdvanced Center For Surgery, LLC
    Address3280 Pleasant Valley Blvd.
    CityAltoona
    StatePA
    ZIP16602
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedNovember 30, 2011

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…130$6,770$879.7K
    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…60$6,910$428.2K
    29827The 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…40$1,890$71.7K
    64721Neuroplasty 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…100$610$57.7K
    29828The 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$2,190$26.2K
    26055Trigger 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…50$430$19.6K
    29881The 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…20$990$17.8K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…10$1,030$14.4K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…30$540$13.4K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…10$750$8.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274472554030$930$41K
    271304336030$950$31.3K
    29827612020$970$19.4K
    64721716030$420$17.1K
    29881103020$830$14.9K
    29880173020$760$14.4K
    29828223010$830$13.4K
    260553614030$280$10.8K
    25447324020$550$9.4K
    2982452020$310$5.6K

    Nearby Providers

    Other providers in the same ZIP code as Advanced Center For Surgery, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Star Services, Inc.PACase Management Agency$0$21M
    Pyramid Healthcare Inc.PASubstance Use Disorder Rehabilitation Clinic/Center$0$14.3M
    Blair Family Solutions, LLCPACommunity/Behavioral Health Agency$0$9.6M
    Altoona Logan Twp Mobile Med Emerg Dept AuthorityPAAmbulance$924.6K$5.3M
    George JabbourPACardiovascular Disease Physician$882.6K$732.1K
    Ziad KhouryPACardiovascular Disease Physician$1.1M$151.8K
    Allegheny Surgery Center LLCPAAmbulatory Surgical Clinic/Center$770.6K$361.2K
    Blair Endoscopy Center, LLCPAEndoscopy Clinic/Center$579.7K$325.8K
    Gregory FulchieroPAMOHS-Micrographic Surgery Physician$842.2K$0
    David BozakPAPhysical Medicine & Rehabilitation Physician$768.3K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Advanced Center For Surgery, LLC — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania