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NPI 1831489335 · Hagerstown, MD · Ambulatory Surgical Clinic/Center
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Hagerstown Surgery Center,llc is a ambulatory surgical clinic/center provider located in Hagerstown, Maryland. This profile covers 15 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 | Hagerstown Surgery Center,llc |
| Address | 11236 Robinwood Dr |
| City | Hagerstown |
| State | MD |
| ZIP | 21742 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 18, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $559K |
| Medicaid | $28.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 50 | $6,720 | $349.5K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 10 | $6,860 | $75.4K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 60 | $590 | $36.3K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 30 | $680 | $18.4K |
| 64493 | The 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… | 70 | $250 | $16.7K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 60 | $200 | $12K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 30 | $350 | $11K |
| C9290 | Injection, bupivacaine liposome, 1 mg | 8,110 | $1 | $8.1K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 30 | $240 | $7.5K |
| 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 | $310 | $6.2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 85 | 270 | 30 | $1,500 | $72K |
| 27130 | 173 | 180 | 30 | $1,430 | $56K |
| 64483 | 224 | 240 | 100 | $220 | $32K |
| 64493 | 119 | 210 | 80 | $210 | $22.5K |
| 64721 | 13 | 60 | 30 | $490 | $22.1K |
| 62323 | 165 | 200 | 60 | $170 | $15.9K |
| 26055 | 38 | 70 | 30 | $340 | $15.5K |
| G0260 | 27 | 70 | 50 | $210 | $15K |
| 28285 | 11 | 30 | 20 | $560 | $15K |
| 64718 | 9 | 20 | 20 | $510 | $12.8K |
Showing 1–10 of 15
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 |
|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 20 | $1,290 | $28.4K |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 4 | 10 | 20 | $300 | $16.4K |
Other providers in the same ZIP code as Hagerstown Surgery Center,llc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Medical Practices Of Antietam, LLC | MD | General Practice Physician | $0 | $20.5M |
| Meritus Medical Laboratory LLC | MD | Clinical Medical Laboratory | $3.4M | $12.1M |
| Brook Lane Behavioral Services, Inc. | MD | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $14.5M |
| Meritus Urgent Care, LLC | MD | Urgent Care Clinic/Center | $0 | $4.9M |
| William Su | MD | Vascular Surgery Physician | $1.4M | $0 |
| Syed Mahmood | MD | Medical Oncology Physician | $1M | $0 |
| Sarim Mir | MD | Neurology Physician | $801.3K | $0 |
| Meridian Surgery Center LLC | MD | Ambulatory Surgical Clinic/Center | $614.4K | $0 |
| Ernest Amegashie | MD | Cardiovascular Disease Physician | $588.2K | $130 |
| Thomas Gilbert | MD | Emergency Medicine Physician | $556.7K | $0 |
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