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NPI 1912434697 · Columbia, MD · Ambulatory Surgical Clinic/Center
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Summit Ambulatory Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Columbia, Maryland. This profile covers 23 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Summit Ambulatory Surgical Center, LLC |
| Address | 10710 Charter Dr |
| City | Columbia |
| State | MD |
| ZIP | 21044 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 12, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $3.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64590 | The 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… | 20 | $14,750 | $280.3K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 880 | $210 | $181.7K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 40 | $3,810 | $140.9K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 20 | $5,490 | $109.8K |
| 52356 | The 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… | 70 | $1,680 | $109.3K |
| 55700 | Code deleted December 31, 2025. | 130 | $630 | $79.1K |
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 90 | $640 | $56.3K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 30 | $1,720 | $55.1K |
| 51715 | In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a… | 20 | $1,560 | $28K |
| 52648 | Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with… | 10 | $1,730 | $24.2K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 14 | 20 | 30 | $5,500 | $225.7K |
| 64590 | 10 | 20 | 20 | $7,550 | $151.1K |
| 64561 | 14 | 30 | 40 | $2,550 | $104.4K |
| J0585 | 63 | 80 | 8,130 | $1 | $49K |
| 50590 | 25 | 30 | 30 | $800 | $32.2K |
| 52648 | 24 | 40 | 20 | $1,160 | $31.4K |
| 52601 | 7 | 40 | 20 | $1,260 | $29.1K |
| 52000 | 7 | 200 | 120 | $140 | $25.8K |
| 52356 | 8 | 100 | 20 | $900 | $25.3K |
| 52630 | 2 | 10 | 10 | $1,710 | $22.2K |
Showing 1–10 of 23
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 30 | $130 | $3.5K |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 16 | 20 | 60 | $50 | $23.4K |
Other providers in the same ZIP code as Summit Ambulatory Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
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