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NPI 1902877509 · Culpeper, VA · Ambulatory Surgical Clinic/Center
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Culpeper Surgery Center LLC is a ambulatory surgical clinic/center provider located in Culpeper, Virginia. This profile covers 12 Medicare and 9 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 | Culpeper Surgery Center LLC |
| Address | 541 Sunset Lane |
| City | Culpeper |
| State | VA |
| ZIP | 22701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $771.4K |
| Medicaid | $33.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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… | 540 | $860 | $466.8K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,450 | $80 | $110.5K |
| 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… | 50 | $850 | $38.9K |
| 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… | 70 | $460 | $33.9K |
| 45384 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy… | 60 | $370 | $22.7K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 10 | $1,560 | $21.9K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 50 | $430 | $20.4K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 40 | $430 | $17.8K |
| 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… | 40 | $410 | $16.3K |
| 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. | 40 | $250 | $9.1K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 7 | 10 | 1,400 | $80 | $248K |
| 66984 | 136 | 380 | 250 | $130 | $139K |
| 65820 | 43 | 40 | 30 | $1,110 | $63.1K |
| 64483 | 147 | 170 | 80 | $210 | $31.4K |
| 66982 | 33 | 120 | 30 | $610 | $28.7K |
| 45385 | 198 | 400 | 70 | $260 | $24.7K |
| 45380 | 247 | 400 | 60 | $160 | $12.9K |
| 45384 | 9 | 20 | 40 | $210 | $12.2K |
| 43239 | 291 | 390 | 70 | $110 | $9.3K |
| G0105 | 65 | 240 | 30 | $240 | $9.2K |
Showing 1–10 of 12
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 210 | $60 | $12.7K |
| 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. | 30 | $250 | $6.6K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 20 | $290 | $4.7K |
| 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… | 10 | $260 | $3.1K |
| 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… | 10 | $180 | $2.5K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 20 | $90 | $2.1K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 20 | $60 | $1K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 20 | $20 | $290 |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 20 | $20 | $290 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 121 | 150 | 300 | $420 | $381.2K |
| 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… | 64 | 70 | 190 | $570 | $297K |
| 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… | 77 | 90 | 150 | $520 | $281.8K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 15 | 30 | 180 | $320 | $121.7K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 24 | 30 | 70 | $530 | $111.9K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 29 | 40 | 70 | $350 | $96.4K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 23 | 30 | 50 | $90 | $18.2K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 6 | 10 | 60 | $50 | $4.9K |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 7 | 10 | 20 | $30 | $2.9K |
Other providers in the same ZIP code as Culpeper Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Uva Culpeper Medical Center | VA | General Acute Care Hospital | $0 | $53.9M |
| Chrysalis Counseling Centers | VA | Clinical Social Worker | $0 | $13M |
| Uva Outpatient Imaging Culpeper, LLC | VA | Radiology Clinic/Center | $486.3K | $432.1K |
| Zia Roshandel | VA | Cardiovascular Disease Physician | $505.2K | $0 |
| Uva Culpeper Medical Center | VA | Land Ambulance | $317K | $41.6K |
| Andrew Kaiser | VA | Diagnostic Radiology Physician | $334.7K | $23.7K |
| Anthony Crimaldi | VA | Radiation Oncology Physician | $350.6K | $0 |
| Linz Audain | VA | Internal Medicine Physician | $200.2K | $0 |
| Erin Frank | VA | Psychiatric/Mental Health Nurse Practitioner | $172.9K | $0 |
| Bradley Church | VA | Optometrist | $122.2K | $0 |
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