Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maryland (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Monocacy Surgery Center LLC (NPI 1821421256)

Field	Value
Entity Type	Organization
Organization	Monocacy Surgery Center LLC
Address	4991 New Design Rd
City	Frederick
State	MD
ZIP	21703
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 21, 2013

Payer Source	Total Paid
Medicare	$141.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In 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	$7,140	$107.1K
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	20	$760	$15.2K
62323	The 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)…	30	$250	$7.1K
64483	This 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).	20	$330	$6.9K
C9088	Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg	5,020	$1	$5K
C9290	Injection, bupivacaine liposome, 1 mg	2,260	$1	$2.3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	10	$20	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Monocacy Surgery Center LLC — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	228	270	30	$1,500	$72K
64483	222	240	100	$220	$32K
62323	159	200	60	$170	$15.9K
28285	20	30	20	$560	$15K
20610	818	840	70	$50	$7.6K
C9290	17	20	4,920	$1	$7.5K
C9088	1	10	5,020	$1	$2.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavioral Health Partners Of Frederick, Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.7M
Btst Services LLC	MD	Community/Behavioral Health Agency	$0	$11.5M
Cindy Lenzi Autism Waiver Provider LLC	MD	Developmentally Disabled Services Day Training Agency	$0	$5.9M
Brook Lane Behavioral Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M
Patriot Medical Laboratories LLC	MD	Clinical Medical Laboratory	$108K	$3M
Tanisha Osbourne	MD	Specialist	$561.1K	$0
Sunil Thadani	MD	Ophthalmology Physician	$493K	$0
Willie Yu	MD	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$379K	$15.9K
Anita Nahar	MD	Nephrology Physician	$324.3K	$0
Mohamed Kamel Elsayed	MD	Psychiatry Physician	$132.7K	$0

Monocacy Surgery Center LLC — Billing Profile & Reimbursement Data

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Monocacy Surgery Center LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References