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    OpenPayerNPI Medicare & MedicaidErie Shores Surgery Center LLC
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    Erie Shores Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1750948873 · Sandusky, OH · Ambulatory Surgical Clinic/Center

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    Erie Shores Surgery Center LLC is a ambulatory surgical clinic/center provider located in Sandusky, Ohio. This profile covers 23 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
    OrganizationErie Shores Surgery Center LLC
    Address2800 Hayes Ave Bldg E
    CitySandusky
    StateOH
    ZIP44870
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 23, 2019

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

    Payer SourceTotal Paid
    Medicare$498.4K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.260$470$122K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…290$250$70.9K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography320$190$59K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).140$290$41K
    64633In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…50$590$28.9K
    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…10$1,710$22.2K
    45385The 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…50$400$18.2K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…30$590$17.8K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…70$270$17.3K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…70$220$16.1K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4538536667050$270$22.9K
    298277712020$950$19K
    644835827050$170$17.7K
    G026023040$200$17.5K
    64635221030$310$14.8K
    647217813030$400$13.9K
    29880233020$770$13.1K
    52281113020$290$10.9K
    5200021934070$120$10.5K
    64493426040$160$10.3K

    Showing 1–10 of 23

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Firelands Regional Medical CenterOHGeneral Acute Care Hospital$0$37.5M
    Cambridge Home Health Care, Inc.OHHome Health Agency$0$19.4M
    Firelands Regional Medical CenterOHMulti-Specialty Clinic/Center$0$17.5M
    Northern Ohio Medical Specialists LLCOHInternal Medicine Physician$0$16.4M
    Stein Hospice Services, IncOHCommunity Based Hospice Care Agency$0$11.1M
    Erie County Office Of AuditorOHFederally Qualified Health Center (FQHC)$0$7.5M
    Erie County Office Of AuditorOHSubstance Use Disorder Rehabilitation Hospital Unit$0$7M
    Family Health Services Of Erie CountyOHFederally Qualified Health Center (FQHC)$0$6.9M
    Brian MurphyOHHematology & Oncology Physician$2.8M$0
    Sandusky City Office Of TreasurerOHLand Ambulance$345.9K$1.1M

    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. Ohio Distribution
    Erie Shores Surgery Center LLC — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio