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    OpenPayerNPI Medicare & MedicaidPort St Lucie Surgery Center Ltd
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    Port St Lucie Surgery Center Ltd — Billing Profile & Reimbursement Data

    NPI 1871557652 · Port St Lucie, FL · Ambulatory Surgical Clinic/Center

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    Port St Lucie Surgery Center Ltd is a ambulatory surgical clinic/center provider located in Port St Lucie, Florida. This profile covers 17 Medicare and 2 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
    OrganizationPort St Lucie Surgery Center Ltd
    Address1310 Se West Star Ave
    CityPort St Lucie
    StateFL
    ZIP34952
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 17, 2006

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

    Payer SourceTotal Paid
    Medicaid$612.1K
    Medicare$529.8K

    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
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…10$14,440$173.3K
    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…110$440$49.5K
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…50$1,070$49.4K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.10$3,730$44.7K
    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…120$360$42.2K
    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.170$230$39.2K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$1,690$27.1K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk50$400$21K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$880$16.8K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk40$400$14.3K

    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
    64590738020$6,330$151.8K
    64561808030$2,080$95.8K
    453852761,14060$300$31K
    453802611,16050$200$18.7K
    432392611,26080$130$16.8K
    G010519170030$280$14.6K
    5855836020$680$14.2K
    5235613922020$530$11.7K
    G012116364020$280$10K
    5570017232020$250$7.8K

    Showing 1–10 of 17

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.650$920$594.7K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.30$650$17.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.1540400$460$395.7K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.7180230$400$331.4K

    Nearby Providers

    Other providers in the same ZIP code as Port St Lucie Surgery Center Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Health Services Of Florida, Inc.FLGeneral Acute Care Hospital$0$11.4M
    Nicholas IannottiFLHematology & Oncology Physician$2.3M$0
    Paul SwansonFLHematology & Oncology Physician$2.2M$0
    Heather Yeckes-rodinFLHematology & Oncology Physician$1.9M$0
    Seth RosenFLHematology & Oncology Physician$1.5M$0
    James MelotekFLRadiation Oncology Physician$1.5M$0
    Phu TranFLHematology & Oncology Physician$1.2M$10.9K
    Vijaya ChundiFLDiagnostic Radiology Physician$833.5K$0
    Joseph CharlesFLDiagnostic Radiology Physician$736.3K$0
    The Surgical Center Of The Treasure Coast, LLCFLAmbulatory Surgical Clinic/Center$726.4K$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. Florida Distribution
    Port St Lucie Surgery Center Ltd — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Port St Lucie Surgery Center Ltd — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida