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    OpenPayerNPI Medicare & MedicaidProliance Surgeons, Inc., P.s.
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    Proliance Surgeons, Inc., P.s. — Billing Profile & Reimbursement Data

    NPI 1811936990 · Seattle, WA · Ambulatory Surgical Clinic/Center

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    Proliance Surgeons, Inc., P.s. is a ambulatory surgical clinic/center provider located in Seattle, Washington. 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)

    FieldValue
    Entity TypeOrganization
    OrganizationProliance Surgeons, Inc., P.s.
    Address900 Terry Ave Fl 3
    CitySeattle
    StateWA
    ZIP98104
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 5, 2006

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$24.2K

    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.

    18 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…530$920$490.7K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$7,570$166.5K
    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…90$920$77.9K
    23430In 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.…20$3,410$64.8K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…30$1,910$59.1K
    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).150$330$49.7K
    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…120$320$38.7K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…30$1,170$32.8K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.40$670$28.1K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography120$240$27.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669843746050$560$97.5K
    2744720832030$1,190$46.3K
    66982812030$720$27.3K
    29827169020$1,130$26.1K
    64635369030$400$21.2K
    23430133020$920$20.2K
    2988163020$950$20K
    G026052060$230$19.8K
    644832616050$200$19.7K
    2988032010$870$18.2K

    Showing 1–10 of 18

    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.

    4 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…180$110$19.7K
    V2632Posterior chamber intraocular lens210$20$4.5K
    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…160$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis120$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3250410$180$154K
    V2632Posterior chamber intraocular lens520100$40$15.9K
    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…195090$1$1
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis1430120$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Proliance Surgeons, Inc., P.s., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$2.4M$680
    Proliance Surgeons, Inc., P.s.WAAmbulatory Surgical Clinic/Center$1.7M$0
    Proliance Surgeons Inc PsWAAmbulatory Surgical Clinic/Center$1.4M$0
    Proliance Surgeons, Inc., P.s.WAAmbulatory Surgical Clinic/Center$1.3M$0
    The Retina Surgery Center LLCWAAmbulatory Surgical Clinic/Center$1.1M$0
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$830.4K$0
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$793.8K$0
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$617.8K$0
    Stacia SmithWAOrthopaedic Surgery Physician$324.7K$0
    Timothy AltonWAOrthopaedic Surgery Physician$313.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Proliance Surgeons, Inc., P.s., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harborview Medical CenterWAGeneral Acute Care Hospital$0$128.2M
    Seattle-king County Dept Of Public HealthWACase Manager/Care Coordinator$0$74M
    The Association Of University PhysiciansWAAnesthesiology Physician$0$66.3M
    Seattle-king County Dept Of Public HealthWADental Clinic/Center$0$62.9M
    BloodworksWACommunity/Retail Pharmacy$0$56.8M
    Swedish Health ServicesWAInternal Medicine Physician$0$21.1M
    International Community Health ServicesWADentist$0$16M
    Swedish Health ServicesWAFamily Medicine Physician$0$11.1M
    Northwest Kidney CentersWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.2M
    King County FinanceWAState or Local Public Health Clinic/Center$0$5.7M

    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. Washington Distribution
    Proliance Surgeons, Inc., P.s. — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Proliance Surgeons, Inc., P.s. — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington