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    OpenPayerNPI Medicare & MedicaidLakewood Surgery Center, LLC
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    Lakewood Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1780673327 · Lakewood, NJ · Ambulatory Surgical Clinic/Center

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    Lakewood Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Lakewood, New Jersey. This profile covers 27 Medicare and 1 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
    OrganizationLakewood Surgery Center, LLC
    Address1215 Route 70, Suite 2000
    CityLakewood
    StateNJ
    ZIP08701
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 17, 2005

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$4.7K

    Key Findings

    LAKEWOOD SURGERY CENTER, LLC appears to be a specialized ambulatory surgical center focused on implantable neurostimulation and pain/interventional spine procedures, based on its Medicare top codes (63685, 63650, 0275T) which together account for 66.2% of its Medicare revenue. The presence of additional high-volume spine/pain codes (64555, 64483, 64635, 62323) and urology/lithotripsy codes (50590, 52356 series) suggests the center combines neuromodulation and interventional pain services with a significant endourology/stone-treatment line. This mix indicates an operation oriented around same-day surgical implants and image-guided injections rather than broad primary care or inpatient surgery.

    Revenue concentration on Medicare is high: the top three Medicare codes by revenue make up 66.2% of the provider’s Medicare receipts, indicating that a small set of complex, high-paid procedures (notably neurostimulator implantation and spinal electrode placement) drive the majority of Medicare reimbursement. Medicaid revenue is negligible by comparison — total Medicaid revenue is $4.7K versus Total Medicare revenue of $2.7M — so the provider is effectively single-payer from a revenue perspective with Medicare overwhelmingly dominant.

    Within Medicare, the single largest code is 63685 (neurostimulator pulse generator insertion) generating $829.3K (31.0% of Medicare revenue) and ranking in the 92nd percentile nationally. That ranking and share position the center as a meaningful national participant for this procedure: not an extreme outlier but at high-percentile volume, consistent with a focused implant practice.

    Code 63650 (epidural electrode placement) is also a major Medicare revenue contributor ($514.5K, 19.3% of Medicare revenue) and ranks in the 93rd percentile nationally, reinforcing the center’s specialization in neuromodulation. In contrast, 0275T (unspecified here) contributes $425K (15.9% of Medicare revenue) and ranks in the 98th percentile nationally, explicitly flagged as “notably above typical national volume,” which signals unusually high utilization of that specific service relative to peers.

    For Medicaid, all reported Medicaid revenue is concentrated in a single code: 62323 lumbar/sacral epidural injection accounts for 100.0% of Medicaid revenue ($4.7K) and ranks at the 15th percentile in-state. This makes the center a modest Medicaid participant for that service and confirms Medicaid is a very small portion of its payer mix compared with Medicare.

    Competitive standing is mixed by code: the center’s high national percentiles for 63685 and 63650 (92nd–93rd) and an exceptional 98th percentile for 0275T indicate regional-to-national strength in neuromodulation and a very high relative volume on that T-code. Conversely, many ancillary injection and urology codes sit in typical percentiles (roughly 27th–97th but often in the middle 70s–90s), suggesting the center is a solid but not dominant provider across its broader service set.

    The provider has an established operating history with NPI enumeration dated 2005-10-17 (approximately 21 years ago), supporting that these procedural volumes are produced by a long-tenured ambulatory surgical clinic rather than a recent entrant. That tenure aligns with the high-complexity implant services which often require sustained programmatic investment and patient referral relationships.

    Several codes show targeted high-volume specialization rather than broad service expansion: the top three Medicare codes drive the majority of revenue (66.2%), and several high-revenue implant codes rank well above typical national volumes. Payers and network planners should view this entity as a specialized ambulatory surgical center with concentrated risk/reimbursement exposure tied to neuromodulation and select interventional spine/urology procedures.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…40$20,230$829.3K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.130$3,960$514.5K
    0275TN/A110$3,940$425K
    64555A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…40$4,580$192.2K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.80$1,220$98.9K
    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).220$310$69.4K
    55700Code deleted December 31, 2025.80$690$54.4K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.100$540$53.2K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$1,850$42.6K
    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…140$280$39.9K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368522020$9,070$190.6K
    6365033040$2,210$125.7K
    0275T14020$2,600$75.5K
    6455511020$2,110$50.7K
    J0585661106,100$1$45.6K
    644832133060$230$20.3K
    5059047020$710$19.1K
    646351118030$440$18.2K
    520002129070$190$15.5K
    52601133010$830$14.9K

    Showing 1–10 of 27

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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)…20$260$4.7K

    Medicaid: Competitive Analysis & Benchmarks

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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)…3440120$520$107.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Ocean County Chapter, IncNJIn Home Supportive Care Agency$0$147.4M
    Monmouth Medical Center IncNJGeneral Acute Care Hospital$0$60.1M
    Lakewood Resource And Referral Center IncNJFederally Qualified Health Center (FQHC)$0$46.8M
    Lakewood Board Of EducationNJLocal Education Agency (LEA)$0$43.9M
    Teamcare LLCNJIn Home Supportive Care Agency$0$38.8M
    I.m.e.m. Clinical Associates LLCNJSpecialist$0$27.8M
    Eviancare LLCNJIn Home Supportive Care Agency$0$23.4M
    Nj Dentistry For Children, P.A.NJPediatric Dentistry$0$21.9M
    The Special Children CenterNJDevelopmentally Disabled Services Day Training Agency$0$17.4M
    Precious Health Of Lakewood, PCNJPediatrics Physician$0$15.6M

    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. New Jersey Distribution
    Lakewood Surgery Center, LLC — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Lakewood Surgery Center, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey