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NPI 1780630251 · East Brunswick, NJ · Ambulatory Surgical Clinic/Center
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Specialized Surgical Center Of Central New Jersey, LLC is a ambulatory surgical clinic/center provider located in East Brunswick, New Jersey. This profile covers 18 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Specialized Surgical Center Of Central New Jersey, LLC |
| Address | 41 Arthur St |
| City | East Brunswick |
| State | NJ |
| ZIP | 08816 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $678.3K |
SPECIALIZED SURGICAL CENTER OF CENTRAL NEW JERSEY, LLC operates as an ambulatory surgical clinic/center with a clear ophthalmic focus: the Medicare and Medicaid top codes are dominated by cataract extraction and intraocular lens insertion (66984, 66982, 66991) and include adjunct glaucoma and laser procedures. Medicare revenue totals $2.3M and Medicaid $678.3K, consistent with a specialty ASC that bundles surgical procedures with in-procedure ophthalmic drugs and devices billed via J-codes (J1096, J1097).
Revenue concentration on Medicare is high: the precomputed top-3 Medicare codes account for 69.1% of this provider's total Medicare revenue, with 66984 responsible for $1.1M from 1.3K claims, 66982 for $274.5K from 317 claims, and 66991 for $206.2K from 77 claims. This concentration underscores that standard and complex cataract surgeries are the primary revenue drivers for the practice under Medicare.
Medicaid billing is extremely concentrated: the top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and 66984 alone represents $667.9K (98.6% of Medicaid revenue) across 1.8K claims. The remaining Medicaid revenue is a small contribution from 66982 ($9.5K, 35 claims) and zero-paid quality/process codes (G8907, G8918), indicating Medicaid activity is effectively focused on routine cataract extractions.
Payer mix is Medicare-weighted: reported Medicare revenue ($2.3M) substantially exceeds Medicaid revenue ($678.3K), so the provider’s financial footprint is driven more by Medicare patients while still maintaining meaningful Medicaid volume for 66984. This combination suggests the center’s operational and throughput planning is optimized around the higher-volume Medicare cataract population while accepting Medicaid cases primarily for the same dominant procedure.
The provider’s competitive standing varies by code: for Medicare, 66982 ranks #37 of 4580 providers nationally (99th percentile, described as notably above typical national volume), marking the center as a national outlier for complex intraocular lens procedures. By contrast, 66984 ranks #1670 of 15965 (90th percentile; typical, unremarkable volume), reflecting high but not exceptional national volume for routine cataract extraction.
State-level competitive position for Medicaid is strong on the dominant procedure: 66984 ranks #7 of 63 providers in-state (90th percentile), which indicates the center is among the higher-volume Medicaid cataract providers in New Jersey. The in-state rank supports a regional foothold for routine cataract surgery among Medicaid patients despite Medicaid revenue being smaller overall than Medicare.
Several non-primary codes show above-typical national volume and point to a broader glaucoma/laser service mix: 66710 ranks #10 of 300 providers nationally (97th percentile, noted as notably above typical) and 66761 ranks #37 of 671 (94th percentile, notably above typical). These signals indicate the center performs a measurable volume of laser and glaucoma-related procedures in addition to cataract surgery.
Operationally, the center bills meaningful ancillary ophthalmic supply/drug codes under Medicare—J1096 (1.7K claims, $172.6K revenue) and J1097 (1.7K claims, $129.4K revenue)—which suggests integration of intracameral/implantable therapeutic products into the surgical workflow and downstream revenue capture associated with cataract cases. The combination of operative CPTs and high-count J-code claims is consistent with an ASC model embedding product administration into standard cataract episodes.
The provider has an established presence: NPI enumerated on 2006-05-26 (~20 years ago), indicating long-tenure operation in East Brunswick, NJ, which aligns with sustained, specialized procedure volume across both Medicare and Medicaid payers. This longevity, paired with concentrated cataract volumes, supports the interpretation of a stable, specialty ambulatory surgical center rather than a newly formed or multi-service outpatient facility.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 1,310 | $870 | $1.1M |
| 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… | 320 | $870 | $274.5K |
| 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… | 80 | $2,680 | $206.2K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1,740 | $100 | $172.6K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,700 | $80 | $129.4K |
| 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. | 70 | $1,530 | $105.2K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 90 | $940 | $85.7K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 30 | $1,580 | $41.1K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 20 | $2,140 | $38.5K |
| 66710 | The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure. | 60 | $640 | $36.6K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 9 | 20 | 860 | $100 | $162.9K |
| 66984 | 10 | 370 | 100 | $670 | $141.2K |
| J1097 | 8 | 20 | 860 | $80 | $123.6K |
| 66991 | 6 | 50 | 30 | $2,020 | $82.9K |
| 65820 | 7 | 60 | 30 | $1,130 | $50.9K |
| 66982 | 4 | 160 | 30 | $740 | $40.7K |
| 66988 | 6 | 10 | 30 | $1,200 | $34.7K |
| 66174 | 4 | 40 | 30 | $860 | $34.5K |
| 66180 | 5 | 10 | 20 | $1,730 | $31.2K |
| 66987 | 1 | 10 | 20 | $1,490 | $26.8K |
Showing 1–10 of 18
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.
4 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… | 1,850 | $360 | $667.9K |
| 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… | 40 | $270 | $9.5K |
| 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… | 120 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
4 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… | 7 | 60 | 110 | $370 | $327.3K |
| 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… | 7 | 10 | 80 | $330 | $266.2K |
| 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… | 12 | 30 | 80 | $1 | $20 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 8 | 20 | 40 | $1 | $1 |
Other providers in the same ZIP code as Specialized Surgical Center Of Central New Jersey, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Apluscare, LLC | NJ | Community/Behavioral Health Agency | $0 | $54.7M |
| Their Place Inc. | NJ | Community/Behavioral Health Agency | $0 | $43.8M |
| University Radiology Group, LLC | NJ | Diagnostic Radiology Physician | $0 | $33.8M |
| Just Home Inc | NJ | Adult Day Care Clinic/Center | $0 | $21.9M |
| Aculabs Inc | NJ | Clinical Medical Laboratory | $7.7M | $7.2M |
| Catholic Charities, Diocese Of Metuchen | NJ | Community/Behavioral Health Agency | $0 | $13M |
| Osprey Home Health LLC | NJ | Home Health Agency | $0 | $7.8M |
| Allmed Transportation Inc | NJ | Ambulance | $6.9M | $831.6K |
| Ez Clinical Laboratory Inc | NJ | Clinical Medical Laboratory | $463.4K | $880.2K |
| Naveen Ahuja | NJ | Plastic Surgery Physician | $970.7K | $30.3K |
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