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NPI 1811101439 · Suffolk, VA · Ambulatory Surgical Clinic/Center
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Sentara Obici Ambulatory Surgery, LLC is a ambulatory surgical clinic/center provider located in Suffolk, Virginia. This profile covers 19 Medicare and 7 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 | Sentara Obici Ambulatory Surgery, LLC |
| Address | 2750 Godwin Blvd |
| City | Suffolk |
| State | VA |
| ZIP | 23434 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 10, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $270.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $17,180 | $498.2K |
| 63655 | In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall… | 30 | $12,910 | $348.6K |
| 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… | 360 | $790 | $286.6K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1,480 | $100 | $145.2K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,550 | $80 | $115.9K |
| 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… | 30 | $2,430 | $65.6K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 20 | $3,360 | $63.9K |
| 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. | 50 | $1,060 | $52.8K |
| 23430 | In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.… | 10 | $3,070 | $36.8K |
| 57288 | The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed… | 20 | $1,720 | $25.7K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 6 | 10 | 1,630 | $100 | $256.8K |
| J1097 | 6 | 10 | 1,400 | $80 | $248K |
| 66984 | 160 | 380 | 250 | $130 | $139K |
| 63685 | 4 | 20 | 20 | $3,270 | $65.5K |
| 66991 | 16 | 30 | 30 | $1,460 | $61.3K |
| 63655 | 3 | 10 | 20 | $2,840 | $54K |
| 66174 | 5 | 20 | 40 | $890 | $33.7K |
| 64483 | 96 | 170 | 80 | $210 | $31.4K |
| 66982 | 107 | 120 | 30 | $610 | $28.7K |
| 28750 | 7 | 20 | 20 | $1,380 | $24.9K |
Showing 1–10 of 19
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 600 | $420 | $249.4K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 30 | $380 | $12.8K |
| 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… | 50 | $180 | $8.3K |
| V2632 | Posterior chamber intraocular lens | 40 | $1 | $40 |
| D9420 | N/A | 30 | $0 | $0 |
| 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… | 90 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 90 | $0 | $0 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 14 | 30 | 600 | $1,370 | $1.7M |
| 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… | 39 | 50 | 200 | $350 | $282.9K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 382 | 420 | 370 | $50 | $84.1K |
| D9420 | N/A | 7 | 10 | 70 | $40 | $6.8K |
| V2632 | Posterior chamber intraocular lens | 12 | 20 | 110 | $1 | $170 |
| 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… | 19 | 30 | 150 | $1 | $10 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 2 | 10 | 110 | $0 | $0 |
Other providers in the same ZIP code as Sentara Obici Ambulatory Surgery, LLC, ranked by combined Medicare and Medicaid revenue.
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