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NPI 1790786218 · Fort Washington, PA · Ambulatory Surgical Clinic/Center
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Fort Washington Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Fort Washington, Pennsylvania. This profile covers 22 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Fort Washington Surgery Center, LLC |
| Address | 467 Pennsylvania Ave Ste 108 |
| City | Fort Washington |
| State | PA |
| ZIP | 19034 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 9, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $403.5K |
FORT WASHINGTON SURGERY CENTER, LLC has a mixed ambulatory surgical and pain/spine procedure profile: its top Medicare codes include cataract extraction with IOL insertion (66984) and several high-revenue spinal device and implant procedures (63685, 63650, 27279), indicating the facility performs both ophthalmologic surgery and complex spinal implant/pain interventions rather than focusing on a single narrow subspecialty. The presence of multiple implant/device codes (63685, 63650, 62362, 27279) suggests a procedural mix that includes surgical implantation and device management in an ambulatory setting.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 57.0% of the provider's total Medicare revenue, showing that a handful of procedures (notably 66984, 63685, 63650) drive the majority of Medicare receipts and therefore represent core service lines for payer negotiations or utilization reviews. For Medicaid the concentration is extreme: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and in fact a single code 66984 represents 100.0% of reported Medicaid revenue, indicating Medicaid business is essentially limited to cataract surgery.
The payer mix is skewed toward Medicare in absolute scale: lifetime Medicare revenue is $2.4M versus total Medicaid revenue of $403.5K, showing Medicare is the larger revenue source by several-fold and Medicaid accounts for a substantially smaller share of the provider's lifetime billing. At the same time, Medicaid activity appears highly specialized (solely 66984), meaning any changes in Medicaid cataract reimbursement or volume would disproportionately affect the provider's Medicaid revenue.
Competitive standing on Medicare is mixed by code: 66984 ranks #2166 of 15965 providers nationally (86th percentile), indicating above-typical national volume for cataract extraction relative to peers, while high-revenue spinal generator placement 63685 ranks #458 of 1281 (61st percentile) and epidural electrode placement 63650 ranks #320 of 1371 (75th percentile), both described as typical, unremarkable volumes. These rank/percentile positions imply the practice is a relatively strong regional cataract provider with modest, credible activity in spinal device procedures but not a dominant national leader in spine device implantation.
In-state Medicaid footing for cataracts is comparatively strong: 66984 ranks #10 of 81 providers in-state (89th percentile) for Medicaid, which aligns with the provider’s heavy Medicaid concentration in that single ophthalmology code and suggests it is among the more active Medicaid cataract providers in Pennsylvania. However, because Medicaid revenue here is concentrated entirely in one procedure, the provider’s statewide competitive position is narrowly focused on that service line rather than broad Medicaid offerings.
Several Medicare codes show notably high average payments per claim tied to device-centric services, for example 63685 with an average paid/claim of $19400 and 27279 at $13429, which explains why relatively few claims can generate substantial revenue; this mix increases revenue volatility by depending on infrequent, high-cost device procedures rather than large volumes of low-cost visits. Conversely, high-volume, lower-paid injection and block procedures (e.g., 64635 at $595 avg, 64483 at $325 avg) contribute steady but smaller Medicare revenue streams, indicating a blended revenue model of high-value implants plus higher-volume pain management.
Tenure is long enough to indicate an established operation: the NPI was enumerated on 2005-08-09 (~21 years ago), which supports the idea that observed coding and payer mix reflect longstanding service lines rather than a very recent strategic shift. This longevity may factor into network contracting and credentialing — payers can expect historical stability in the provider’s service mix.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 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… | 850 | $810 | $683.6K |
| 63685 | The 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… | 20 | $19,400 | $388K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 70 | $3,860 | $269.9K |
| 27279 | The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic… | 20 | $13,430 | $214.9K |
| 0275T | N/A | 50 | $3,780 | $192.6K |
| 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… | 70 | $2,570 | $179.7K |
| 62362 | The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as… | 10 | $11,100 | $122.1K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 120 | $600 | $68.4K |
| 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. | 50 | $1,200 | $63.7K |
| 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 | $850 | $35K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 14 | 40 | 20 | $6,350 | $139.6K |
| 27279 | 3 | 10 | 20 | $6,590 | $118.7K |
| 0275T | 13 | 50 | 30 | $2,160 | $112.6K |
| 63650 | 11 | 40 | 40 | $1,960 | $107.6K |
| 66984 | 20 | 670 | 80 | $530 | $97.8K |
| 66991 | 13 | 70 | 40 | $1,430 | $67K |
| 62362 | 5 | 10 | 10 | $3,360 | $43.7K |
| 65820 | 11 | 50 | 30 | $950 | $36.2K |
| 66982 | 53 | 200 | 30 | $640 | $23.2K |
| 64483 | 111 | 340 | 60 | $190 | $18.6K |
Showing 1–10 of 22
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.
1 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… | 520 | $780 | $403.5K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
1 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… | 10 | 80 | 50 | $610 | $122.4K |
Other providers in the same ZIP code as Fort Washington Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Healthfleet Ambulance, Inc. | PA | Ambulance | $1.1M | $14.4M |
| Acute Care Medical Transports, Inc. | PA | Land Ambulance | $763K | $906.1K |
| Andrew Kaplan | PA | Dermatology Physician | $576.2K | $0 |
| Aradhna Saxena | PA | MOHS-Micrographic Surgery Physician | $496.8K | $0 |
| Rubina Haidar | PA | Pulmonary Disease Physician | $446.3K | $0 |
| Justin Winas | PA | Pain Medicine Physician | $325.9K | $8.6K |
| Scott Fleischer | PA | Geriatric Psychiatry Physician | $277.7K | $0 |
| George Zavitsanos | PA | Surgery of the Hand (Plastic Surgery) Physician | $223.9K | $950 |
| Michael Frank | PA | MOHS-Micrographic Surgery Physician | $209.1K | $0 |
| Debra Resnick | PA | Psychologist | $171.8K | $0 |
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