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NPI 1851396014 · Worcester, MA · Ambulatory Surgical Clinic/Center
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Arc Worcester Center, L.P. is a ambulatory surgical clinic/center provider located in Worcester, Massachusetts. This profile covers 16 Medicare and 12 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 | Arc Worcester Center, L.P. |
| Address | 300 Grove St |
| City | Worcester |
| State | MA |
| ZIP | 01605 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $1.2M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 610 | $890 | $536.9K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 330 | $450 | $146.4K |
| 66982 | The 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… | 110 | $880 | $99.8K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 160 | $440 | $68.6K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 240 | $260 | $60.9K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 100 | $470 | $49.3K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 110 | $440 | $48K |
| 55706 | The provider performs multiple needle biopsies of the prostate gland through the perineum (the area between the scrotum and the anus) using a stereotactic template system that helps precisely guide… | 40 | $1,210 | $42.2K |
| 67042 | In 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… | 20 | $1,590 | $38.1K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 20 | $1,580 | $28.5K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 89 | 330 | 170 | $200 | $143.2K |
| 66982 | 15 | 140 | 30 | $680 | $36.9K |
| 67042 | 6 | 30 | 20 | $1,170 | $25.7K |
| 15823 | 19 | 40 | 30 | $610 | $24.8K |
| 50590 | 26 | 30 | 20 | $710 | $24.7K |
| 45385 | 138 | 460 | 60 | $260 | $23.8K |
| 64721 | 47 | 80 | 30 | $400 | $18K |
| 67036 | 6 | 20 | 20 | $960 | $17.3K |
| 55706 | 1 | 10 | 20 | $690 | $13.8K |
| 67108 | 2 | 20 | 10 | $900 | $13.5K |
Showing 1–10 of 16
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,330 | $350 | $465.8K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 820 | $540 | $442K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 70 | $1,510 | $110.3K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 530 | $210 | $110K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 130 | $250 | $31.6K |
| 58661 | The provider removes one or both ovaries and one or both fallopian tubes or a combination of both using a laparoscope. | 10 | $1,590 | $19.1K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 30 | $230 | $5.7K |
| V2632 | Posterior chamber intraocular lens | 250 | $1 | $1K |
| C1889 | Implantable/insertable device, not otherwise classified | 270 | $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… | 180 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
12 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. | 10 | 20 | 130 | $1,630 | $701.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 62 | 120 | 530 | $450 | $681.5K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 61 | 100 | 260 | $550 | $524.4K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 5 | 30 | 40 | $1,170 | $484.3K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 60 | 70 | 160 | $620 | $428.7K |
| 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… | 12 | 60 | 330 | $380 | $352.9K |
| 58661 | The provider removes one or both ovaries and one or both fallopian tubes or a combination of both using a laparoscope. | 5 | 10 | 50 | $2,780 | $319.9K |
| V2632 | Posterior chamber intraocular lens | 8 | 10 | 350 | $1 | $1.8K |
| L8699 | Prosthetic implant, not otherwise specified | 2 | 10 | 240 | $1 | $570 |
| 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… | 23 | 40 | 350 | $1 | $560 |
Showing 1–10 of 12
Other providers in the same ZIP code as Arc Worcester Center, L.P., ranked by combined Medicare and Medicaid revenue.
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