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NPI 1972886190 · Silver Spring, MD · Ambulatory Surgical Clinic/Center
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Summit Ambulatory Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Silver Spring, Maryland. This profile covers 16 Medicare and 2 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 | 3801 International Dr |
| City | Silver Spring |
| State | MD |
| ZIP | 20906 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 23, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $2.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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 | $15,460 | $278.3K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 70 | $3,970 | $258.1K |
| 54405 | The provider inserts inflatable synthetic material for a multicomponent, inflatable penile prosthesis into the penis of the patient. The provider also places a pump, the cylinders, and a reservoir… | 10 | $12,390 | $148.6K |
| 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… | 610 | $220 | $133.4K |
| 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… | 60 | $1,810 | $103.2K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 20 | $5,770 | $92.4K |
| 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… | 40 | $1,790 | $71.5K |
| 55700 | Code deleted December 31, 2025. | 70 | $650 | $44.9K |
| 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… | 40 | $680 | $29.2K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 5,800 | $10 | $29K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 15 | 20 | 30 | $5,500 | $225.7K |
| 64590 | 14 | 20 | 20 | $7,550 | $151.1K |
| 54405 | 4 | 10 | 20 | $7,010 | $126.2K |
| 64561 | 4 | 30 | 40 | $2,550 | $104.4K |
| J0585 | 57 | 80 | 8,130 | $1 | $49K |
| 52601 | 2 | 40 | 20 | $1,260 | $29.1K |
| 52000 | 12 | 200 | 120 | $140 | $25.8K |
| 52356 | 17 | 100 | 20 | $900 | $25.3K |
| 52630 | 1 | 10 | 10 | $1,710 | $22.2K |
| 55700 | 25 | 140 | 30 | $370 | $18.9K |
Showing 1–10 of 16
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.
2 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 | $110 | $2.9K |
| 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… | 30 | $0 | $0 |
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
2 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 |
| 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… | 76 | 90 | 110 | $30 | $11.9K |
Other providers in the same ZIP code as Summit Ambulatory Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Blossom Services, Inc. | MD | Community/Behavioral Health Agency | $0 | $9.4M |
| R3 Dental Group LLC | MD | General Practice Dentistry | $0 | $8.2M |
| Artin Aharonian | MD | Diagnostic Radiology Physician | $1M | $0 |
| Fredrick Isaacs | MD | Specialist | $506.8K | $0 |
| Ramani Reddy | MD | Infectious Disease Physician | $499.2K | $0 |
| Zoovia Aman | MD | Internal Medicine Physician | $382.7K | $0 |
| Anup Vora | MD | Urology Physician | $318.2K | $0 |
| Stephanie Block | MD | Neurology Physician | $312.1K | $0 |
| David Taragin | MD | Neurology Physician | $299.7K | $0 |
| Candice Fori | MD | Physician Assistant | $291.7K | $0 |
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