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    OpenPayerNPI Medicare & MedicaidCalifornia Medical Surgery Center LLC
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    California Medical Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1831794049 · San Luis Obispo, CA · Ambulatory Surgical Clinic/Center

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    California Medical Surgery Center LLC is a ambulatory surgical clinic/center provider located in San Luis Obispo, California. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCalifornia Medical Surgery Center LLC
    Address620 California Blvd Ste M
    CitySan Luis Obispo
    StateCA
    ZIP93401
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 3, 2020

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    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.

    17 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…790$1,000$784.1K
    66991The 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…60$3,000$177.1K
    0449TThe provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device…50$2,730$144.8K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…260$550$141.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.470$210$99.7K
    67903The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the…90$720$64.1K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$1,770$55K
    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…60$980$54.9K
    66174The 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$1,170$52.6K
    67950Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…40$680$25.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984391,25090$690$122.8K
    0449T11030$2,420$82.3K
    669913118030$1,940$77.7K
    661744114030$860$37.1K
    67904416030$700$37K
    669829451030$800$32K
    67039162020$1,190$30.9K
    15823219030$640$30.9K
    67042189020$1,210$28.9K
    152609111020$800$25.6K

    Showing 1–10 of 17

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of San Luis ObispoCACommunity/Behavioral Health Agency$0$66.8M
    Pacific Point Laboratories, Inc.CAClinical Medical Laboratory$8.5M$38.8M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$25.3M
    San Luis Ambulance Service, Inc.CALand Ambulance$4.3M$7.8M
    Brian DicarloCAHematology & Oncology Physician$4.7M$0
    San Luis Obispo Surgery Center A California Limited PartnershipCAAmbulatory Surgical Clinic/Center$2.9M$0
    Daniel AgarwalCAOphthalmology Physician$2.3M$0
    Erin ChamberlainCAHematology & Oncology Physician$1.9M$0
    Steven JohnsonCAOphthalmology Physician$1.5M$0
    Abroms Dougherty Vision Asc LLCCAAmbulatory Surgical Clinic/Center$972.6K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    California Medical Surgery Center LLC — 5 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California