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    OpenPayerNPI Medicare & MedicaidFairlawn Surgery Center, LLC
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    Fairlawn Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1770802555 · Roanoke, VA · Ambulatory Surgical Clinic/Center

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    Fairlawn Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Roanoke, Virginia. This profile covers 13 Medicare and 4 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)

    FieldValue
    Entity TypeOrganization
    OrganizationFairlawn Surgery Center, LLC
    Address2030 Stephenson Ave Sw
    CityRoanoke
    StateVA
    ZIP24014
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 19, 2010

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

    Payer SourceTotal Paid
    Medicare$997K
    Medicaid$572.4K

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…210$1,660$351.7K
    36905Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…40$4,310$176.7K
    36903The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…20$4,990$114.7K
    36906Under fluoroscopic guidance (live X–rays which can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…10$8,210$98.5K
    36832In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein often located in the upper arm or…20$1,920$46.1K
    36818The provider creates an arteriovenous anastomosis by connecting the cephalic vein to the brachial artery in the upper arm, which provides better vascular access in patients with kidney failure who…20$1,920$44.1K
    49421The provider surgically inserts a catheter within the abdominal cavity in a patient with kidney disease who requires dialysis.30$1,220$30.4K
    36901The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of…70$430$30.2K
    36820The provider creates an arteriovenous anastomosis by connecting a vein to an artery in the forearm to provide better vascular access in patients with kidney failure who will receive hemodialysis…20$1,930$28.9K
    36581This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction.30$1,150$28.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3690661030$4,950$158.4K
    3690572030$2,190$105.1K
    3690276030$860$71.8K
    3690331020$3,000$69.1K
    3683231020$730$28.3K
    3681821020$1,170$28K
    3658192020$580$22.6K
    3682021020$1,180$18.8K
    4942121030$670$17.4K
    3690163020$290$12.4K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…1,810$320$572K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.20$20$310
    G8907Patient 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…560$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…6101,810$210$328.7K
    36589In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.31020$230$7.8K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis152070$1$20
    G8907Patient 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…630150$1$10

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Fairlawn Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shahram AhmadzadehVANephrology Physician$147.9K$0
    Ryan EvansVANephrology Physician$135K$0
    Peter DeforestVACertified Registered Nurse Anesthetist$11.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carilion Medical CenterVAGeneral Acute Care Hospital$0$124.7M
    Carilion Medical CenterVAMulti-Specialty Clinic/Center$0$73.4M
    Carilion Medical CenterVAEmergency Medicine Physician$0$18.1M
    Carilion Emergency Services, Inc.VAUrgent Care Clinic/Center$0$11.1M
    Carilion Clinic Patient Transportation, LLCVAAir Ambulance$2.6M$6.1M
    Quest Diagnostics Clinical Laboratories IncVAClinical Medical Laboratory$3.9M$186.2K
    Mark KochenderferVAHematology & Oncology Physician$2.5M$0
    Amanda Gillespie-twardyVAHematology & Oncology Physician$1.9M$0
    Suzan MertenVAHematology & Oncology Physician$1.8M$90
    Padmaja MallidiVAHematology & Oncology Physician$1.7M$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Fairlawn Surgery Center, LLC — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Fairlawn Surgery Center, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia