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    OpenPayerNPI Medicare & MedicaidSpecialty Surgical Center Of Arcadia, LLC
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    Specialty Surgical Center Of Arcadia, LLC — Billing Profile & Reimbursement Data

    NPI 1861408643 · Arcadia, CA · Ambulatory Surgical Clinic/Center

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    Specialty Surgical Center Of Arcadia, LLC is a ambulatory surgical clinic/center provider located in Arcadia, California. This profile covers 13 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)

    FieldValue
    Entity TypeOrganization
    OrganizationSpecialty Surgical Center Of Arcadia, LLC
    Address51 N 5th Ave
    CityArcadia
    StateCA
    ZIP91006
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicare$754.7K
    Medicaid$21.6K

    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.

    13 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…510$970$498.6K
    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.30$1,790$48.4K
    V2785Processing, preserving and transporting corneal tissue20$2,740$43.9K
    43239The 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.90$290$26.4K
    J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg270$100$26.4K
    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…20$1,000$21K
    45385The 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…30$510$17.2K
    45378The 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…40$390$16.5K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$490$14.3K
    45380The 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…30$490$13.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984891,25090$690$122.8K
    J10961220290$100$89.7K
    V278591020$3,390$77.9K
    J240341074,000$1$57.3K
    661747514030$860$37.1K
    453859911,41060$340$33.9K
    6698232451030$800$32K
    453801,1261,46060$230$23.8K
    6682149595040$270$18.4K
    432396271,50080$150$17.3K

    Showing 1–10 of 13

    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.

    1 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…10$1,550$21.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    1 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…345380210$510$333.1K

    Nearby Providers

    Other providers in the same ZIP code as Specialty Surgical Center Of Arcadia, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Los Angeles County Department Of Mental HealthCAMental Health Clinic/Center (Including Community Mental Health Center)$0$45.9M
    Golden Years Services, Inc.CAAdult Day Care Clinic/Center$0$26.6M
    Peter LinCAVascular Surgery Physician$2.4M$0
    Rajesh ChawlaCAInterventional Cardiology Physician$1.3M$0
    Foothill Surgery Center LPCAAmbulatory Surgical Clinic/Center$1.2M$45.1K
    Peter WinCAOphthalmology Physician$1.1M$1.6K
    Ted ShenCAOtolaryngology Physician$969.8K$0
    Mathew CheungCASurgery Physician$688.4K$0
    Levon GazarianCAInternal Medicine Physician$467.1K$61.4K
    Lori MooreCAOphthalmology Physician$499.8K$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.

    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. California Distribution
    Specialty Surgical Center Of Arcadia, LLC — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Specialty Surgical Center Of Arcadia, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California