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    OpenPayerNPI Medicare & MedicaidNorthern Monmouth Regional Surgery Center LLC
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    Northern Monmouth Regional Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1962435990 · Manalapan, NJ · Ambulatory Surgical Clinic/Center

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    Northern Monmouth Regional Surgery Center LLC is a ambulatory surgical clinic/center provider located in Manalapan, New Jersey. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthern Monmouth Regional Surgery Center LLC
    Address195 Us Highway 9
    CityManalapan
    StateNJ
    ZIP07726
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal 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 CodeDescriptionClaimsAvg PaidRevenue
    27130In 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…40$7,770$326.4K
    27447In 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…40$7,630$320.4K
    64483This 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).470$310$146.5K
    27446In 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…20$7,530$120.4K
    64721Neuroplasty 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…50$690$36K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$2,160$34.5K
    64493The 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…90$280$24.4K
    62323The 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)…80$270$20.5K
    C9290Injection, bupivacaine liposome, 1 mg13,030$1$13K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…50$260$12.2K

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744710527030$1,040$51.2K
    271306319030$1,070$42.7K
    2744641020$2,010$32.1K
    64483633060$230$20.3K
    29827256020$960$18.2K
    64721189030$490$16.6K
    C92902104,060$1$12.7K
    644935227050$210$12.6K
    623235925040$180$10.8K
    G0260344030$230$10.5K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Northern Monmouth Regional Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arthur MandatoNJCommunity/Behavioral Health Agency$0$33.5M
    Stress Care Of New Jersey, LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$14.4M
    Ivy Pediatrics, PANJPediatrics Physician$0$11.7M
    Igor PrivenNJEndocrinology, Diabetes & Metabolism Physician$702.6K$9.6K
    John CovaleskyNJCardiovascular Disease Physician$569.3K$0
    Jatinchandra PatelNJCardiovascular Disease Physician$528.9K$0
    Mark PassNJGeriatric Medicine (Internal Medicine) Physician$496.5K$0
    Charles MarcheseNJPodiatrist$469.5K$0
    Yelena BirgerNJInternal Medicine Physician$286.1K$157.6K
    Inessa GrinblatNJSpecialist$411.9K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Northern Monmouth Regional Surgery Center LLC — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey