Surgery Centre Of Sw Florida LLC — Billing Profile & Reimbursement Data
NPI 1881969269 · Cape Coral, FL · Ambulatory Surgical Clinic/Center
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Surgery Centre Of Sw Florida LLC is a ambulatory surgical clinic/center provider located in Cape Coral, Florida. This profile covers 11 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Surgery Centre Of Sw Florida LLC |
| Address | 665 Del Prado Blvd S |
| City | Cape Coral |
| State | FL |
| ZIP | 33990 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 19, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| 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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 950 | $440 | $418.9K |
| 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. | 950 | $250 | $238.3K |
| 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… | 400 | $330 | $131.9K |
| 43248 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the… | 340 | $300 | $103K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 190 | $400 | $77.6K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 110 | $400 | $44.8K |
| 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… | 90 | $320 | $29.7K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 90 | $310 | $26.8K |
| 43251 | An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. The physician removes one or more lesions using a snare… | 10 | $570 | $6.2K |
| 45331 | In this procedure, the provider examines the inner part of the rectum and the sigmoid colon using a sigmoidoscope, a flexible, narrow tube with a camera at its one end. He then takes one or more… | 20 | $300 | $6.2K |
Showing 1–10 of 11
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 45385 | 8 | 1,140 | 60 | $300 | $31K |
| 45380 | 40 | 1,160 | 50 | $200 | $18.7K |
| 43239 | 13 | 1,260 | 80 | $130 | $16.8K |
| G0105 | 32 | 700 | 30 | $280 | $14.6K |
| G0121 | 32 | 640 | 20 | $280 | $10K |
| 43248 | 1 | 230 | 30 | $180 | $9.9K |
| 43251 | 91 | 100 | 20 | $330 | $9.8K |
| 45378 | 34 | 670 | 20 | $200 | $6.5K |
| 45331 | 14 | 60 | 20 | $200 | $3.7K |
| 43235 | 19 | 470 | 20 | $120 | $3.7K |
Showing 1–10 of 11
Nearby Providers
Other providers in the same ZIP code as Surgery Centre Of Sw Florida LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cape Memorial Hospital Inc | FL | General Acute Care Hospital | $0 | $13.8M |
| Quality Life Home Health Agency Corp | FL | Home Health Agency | $0 | $7.9M |
| Constantine Mantz | FL | Therapeutic Radiology Physician | $3.8M | $0 |
| Dunnett Durando | FL | Dermatology Physician | $455.7K | $0 |
| John Thompson | FL | Adult Reconstructive Orthopaedic Surgery Physician | $286.7K | $0 |
| Donald Mcalpine | FL | Pulmonary Disease Physician | $276.4K | $0 |
| Brian Rajca | FL | Internal Medicine Physician | $230.2K | $0 |
| Alejandro Martinez | FL | Family Medicine Physician | $187K | $0 |
| Richard Wingert | FL | Otolaryngology Physician | $182.9K | $0 |
| Patrick Rickert | FL | Physical Therapist | $180.6K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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