Loading...
NPI 1972668317 · San Diego, CA · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Scripps Mercy Ambulatory Surgery Center, LP is a ambulatory surgical clinic/center provider located in San Diego, California. This profile covers 15 Medicare and 6 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 | Scripps Mercy Ambulatory Surgery Center, LP |
| Address | 550 Washington St |
| City | San Diego |
| State | CA |
| ZIP | 92103 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $723.3K |
| Medicaid | $551.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 400 | $970 | $390.5K |
| 0275T | N/A | 20 | $4,330 | $69.2K |
| 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… | 40 | $950 | $36.1K |
| 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… | 20 | $2,030 | $32.5K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 20 | $1,510 | $31.8K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 50 | $520 | $25.9K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 240 | $100 | $23.5K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 40 | $600 | $23.5K |
| 38525 | The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation… | 20 | $1,140 | $22.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 40 | $580 | $21.9K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 130 | 1,250 | 90 | $690 | $122.8K |
| J1096 | 15 | 20 | 290 | $100 | $89.7K |
| 0275T | 29 | 50 | 20 | $2,460 | $59K |
| 66174 | 98 | 140 | 30 | $860 | $37.1K |
| 66982 | 167 | 510 | 30 | $800 | $32K |
| 15823 | 60 | 190 | 30 | $640 | $30.9K |
| 64635 | 221 | 480 | 40 | $460 | $26.3K |
| 66821 | 419 | 950 | 40 | $270 | $18.4K |
| 19301 | 93 | 190 | 30 | $520 | $15.6K |
| 26055 | 158 | 220 | 30 | $360 | $13.8K |
Showing 1–10 of 15
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.
6 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… | 510 | $820 | $417.6K |
| 0490 | N/A | 1,320 | $80 | $102.6K |
| V2632 | Posterior chamber intraocular lens | 400 | $40 | $17.2K |
| 99499 | Use 99499 to report evaluation and management services for which there is no specific code available. | 190 | $70 | $14K |
| 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… | 40 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
6 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… | 122 | 380 | 210 | $510 | $333.1K |
| 0490 | N/A | 21 | 80 | 520 | $150 | $323.2K |
| 99499 | Use 99499 to report evaluation and management services for which there is no specific code available. | 153 | 310 | 190 | $100 | $301.4K |
| V2632 | Posterior chamber intraocular lens | 22 | 90 | 160 | $50 | $23.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 87 | 90 | 80 | $1 | $480 |
| 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… | 84 | 120 | 90 | $1 | $360 |
Other providers in the same ZIP code as Scripps Mercy Ambulatory Surgery Center, LP, ranked by combined Medicare and Medicaid revenue.
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.