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    OpenPayerNPI Medicare & MedicaidPremier Surgery Center Of Santa Maria LLC
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    Premier Surgery Center Of Santa Maria LLC — Billing Profile & Reimbursement Data

    NPI 1780752352 · Santa Maria, CA · Ambulatory Surgical Clinic/Center

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    Premier Surgery Center Of Santa Maria LLC is a ambulatory surgical clinic/center provider located in Santa Maria, California. This profile covers 17 Medicare and 6 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
    OrganizationPremier Surgery Center Of Santa Maria LLC
    Address816 East Enos Drive
    CitySanta Maria
    StateCA
    ZIP93454
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$476.7K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…890$1,050$937.8K
    66991The 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…90$3,160$281.2K
    J7351Injection, bimatoprost, intracameral implant, 1 microgram680$160$109.2K
    0449TThe provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device…30$2,860$91.6K
    66982The 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…80$1,060$88.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.330$250$82.3K
    66030The provider injects medication in the anterior chamber of the eye, typically for therapeutic purposes.80$1,030$76.9K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$1,860$54K
    66174The 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.50$1,080$50.8K
    67039The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…30$1,920$49.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J109726301,020$80$135.3K
    66984321,25090$690$122.8K
    J7351620570$160$103.2K
    0449T21030$2,420$82.3K
    669911418030$1,940$77.7K
    661743614030$860$37.1K
    66030123060$450$37K
    67904426030$700$37K
    669824551030$800$32K
    6703942020$1,190$30.9K

    Showing 1–10 of 17

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…1,430$270$391.3K
    0490N/A50$910$44.5K
    0360N/A110$370$39.5K
    0276N/A20$110$2K
    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…1,080$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis1,080$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0360N/A216260960$120$350.3K
    66984The 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…45380210$510$333.1K
    0490N/A6280520$150$323.2K
    0276N/A21020$20$670
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis99080$1$480
    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…1312090$1$360

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$49.6M
    Lags Spine And Sportscare Medical Centers IncCAPain Medicine (Physical Medicine & Rehabilitation) Physician$0$33.4M
    General Dentistry For Children: Dental Group Of Kleinsasser Dental CorCAGeneral Practice Dentistry$0$28.8M
    Pediatric Medical Group Of Santa Maria IncCAPediatrics Physician$0$27.7M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$23.3M
    The Endoscopy Center Of Santa Maria LLCCAAmbulatory Surgical Clinic/Center$2.3M$7.4M
    Cypress Ambulatory Surgery CenterCAAmbulatory Surgical Clinic/Center$1.3M$3.9M
    Pierre LabrecqueCASpecialist$226.8K$3.2M
    Dignity HealthCAHome Infusion Therapy Pharmacy$1.5M$873K
    Ragui SedeekCARetina Specialist (Ophthalmology) Physician$1.4M$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. California Distribution
    Premier Surgery Center Of Santa Maria LLC — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Premier Surgery Center Of Santa Maria LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California