Loading...
NPI 1922639426 · Morrisville, NC · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Associated Health Services, Inc. is a ambulatory surgical clinic/center provider located in Morrisville, North Carolina. This profile covers 32 Medicare and 3 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 | Associated Health Services, Inc. |
| Address | 5601 Arringdon Park Dr |
| City | Morrisville |
| State | NC |
| ZIP | 27560 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 3, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.5M |
| Medicaid | $48.5K |
This entity is categorized as an Ambulatory Surgical Clinic/Center and its Medicare code mix is concentrated in ophthalmic and major joint arthroplasty procedures: the top Medicare codes are 66984 (cataract extraction with intraocular lens), 27447 (total knee arthroplasty), and 27130 (total hip arthroplasty), and the presence of high-volume ophthalmic supply codes J1097 and J1096 further supports a substantial cataract surgery service line. The procedure mix implies a dual focus on ophthalmology and orthopedic joint replacement within an ambulatory surgical setting rather than a single specialty clinic.
Revenue concentration on Medicare is high: the precomputed top-3 Medicare codes account for 62.4% of this provider's total Medicare revenue, indicating that 66984, 27447, and 27130 together drive the majority of the $3.5M reported Medicare lifetime revenue. On the Medicaid side the precomputed top-3 codes account for 100.0% of Medicaid revenue, showing that Medicaid receipts are entirely concentrated in the same primary procedure type.
Payer mix is strongly Medicare-dominant: Total Medicare revenue is $3.5M compared with Total Medicaid revenue of $48.5K, so the provider’s commercial activity and scale are driven overwhelmingly by Medicare billing and Medicaid represents a very small share of reported public-payer revenue. Given those figures, this center should be treated as effectively single-payer dominant for strategic and utilization analyses.
Competitive standing for the leading ophthalmology code 66984 is nationally upper-tier: 66984 generates $1.2M (35.8% of Medicare revenue) and ranks #1504 of 15965 providers nationally in the 91st percentile but is described as having typical, unremarkable volume for that code, indicating above-average national placement without being an extreme outlier. The major joint codes 27447 ($568.6K, 16.6% of Medicare revenue, rank #1486 of 12089, 87th percentile) and 27130 ($340.7K, 10.0% of Medicare revenue, rank #1695 of 8062, 78th percentile) similarly sit in upper national percentiles while still being labeled typical, suggesting solid but not dominant national volume in orthopedics.
There is a striking statistical outlier in hand/wrist arthroplasty: code 25447 appears as $57.8K (1.7% of Medicare revenue) and ranks #5 of 947 providers nationally in the 99th percentile, explicitly labeled an extreme outlier and far above typical national volume. This indicates a notable specialization or unusually high case volume in interposition arthroplasty of the intercarpal/carpometacarpal joints relative to peers, worth further operational investigation if assessing clinical capabilities or referral patterns.
Ophthalmic supply and adjunct usage is elevated and consistent with a high-volume cataract practice: J1097 shows $318.3K revenue with 4.2K claims (rank #59 of 443, 87th percentile) and J1096 shows $230.5K with 2.3K claims (rank #43 of 282, 85th percentile). These injectables and inserts typically accompany cataract procedures and corroborate the procedural volume and resource use implied by the high-dollar 66984 activity.
Medicaid billing is narrowly concentrated and modest in scale: Medicaid revenue is entirely accounted for by 66984 (216 claims, $225 avg paid/claim, $48.6K revenue) which ranks #33 of 74 providers in-state (56th percentile) and is described as typical, unremarkable volume. That pattern suggests the provider participates in Medicaid cataract care at a modest, mid-ranking level within the state rather than being a major Medicaid provider for ophthalmic procedures.
The provider’s NPI tenure is relatively recent: enumerated on 2020-02-03 (~6 years ago). Combined with lifetime Medicare revenue of $3.5M, the clinic has accumulated meaningful Medicare billing in a short operational window, a factor to consider when benchmarking growth, market penetration, and capacity trends against longer-tenured competitors.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 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… | 1,470 | $830 | $1.2M |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 80 | $7,110 | $568.6K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 50 | $7,250 | $340.7K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4,190 | $80 | $318.3K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2,330 | $100 | $230.5K |
| 27446 | In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the… | 10 | $7,010 | $84.2K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 30 | $2,500 | $69.9K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 20 | $3,450 | $68.9K |
| 25447 | The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the… | 70 | $840 | $57.8K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 80 | $620 | $46.4K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 2 | 10 | 1,240 | $80 | $151.9K |
| J1096 | 1 | 10 | 1,330 | $100 | $129.1K |
| 66984 | 160 | 580 | 230 | $70 | $73.7K |
| 66991 | 16 | 30 | 30 | $1,280 | $51.4K |
| 27447 | 45 | 460 | 30 | $1,000 | $41.8K |
| 15823 | 36 | 50 | 50 | $520 | $40.3K |
| 27446 | 13 | 20 | 10 | $2,290 | $36.6K |
| 66183 | 9 | 10 | 30 | $1,200 | $35.9K |
| 27130 | 56 | 320 | 30 | $990 | $30.8K |
| 25609 | 14 | 20 | 10 | $2,010 | $30.1K |
Showing 1–10 of 32
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.
3 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… | 220 | $230 | $48.6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 410 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 33 | 70 | 130 | $160 | $107.5K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 15 | 60 | 170 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 20 | 40 | 70 | $0 | $0 |
Other providers in the same ZIP code as Associated Health Services, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Unc Physicians Network LLC | NC | General Practice Physician | $0 | $47M |
| Uwh Of The Carolinas, PLLC | NC | Obstetrics & Gynecology Physician | $0 | $14.9M |
| Andor Labs LLC | NC | Clinical Medical Laboratory | $1.9M | $11.2M |
| Duke University Health System Inc | NC | Diagnostic Radiology Physician | $321.7K | $11.2K |
| National Mobile X-ray LLC | NC | Physiological Laboratory | $174.3K | $13.1K |
| Adedayo Ashana | NC | Orthopaedic Surgery Physician | $181K | $0 |
| Matthew Plymyer | NC | Anatomic Pathology & Clinical Pathology Physician | $81.5K | $0 |
| David Ruch | NC | Orthopaedic Hand Surgery Physician | $71.7K | $0 |
| Marc Richard | NC | Orthopaedic Hand Surgery Physician | $56K | $0 |
| Hayden Joseph | NC | Orthopaedic Surgery Physician | $52.7K | $0 |
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.