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

    NPI 1982871935 · Fairfax, VA · Ambulatory Surgical Clinic/Center

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    Northern Virginia Surgery Center LLC is a ambulatory surgical clinic/center provider located in Fairfax, Virginia. This profile covers 21 Medicare and 4 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)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthern Virginia Surgery Center LLC
    Address3620 Joseph Siewick Dr Ste 202
    CityFairfax
    StateVA
    ZIP22033
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 9, 2008

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

    Payer SourceTotal Paid
    Medicare$953.6K
    Medicaid$54.4K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…540$420$226.2K
    C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants30$5,750$143.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.400$250$99.4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…190$470$90.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk130$430$56.3K
    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…30$1,850$55.6K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.30$1,780$51.7K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk80$430$32.3K
    28285The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.30$840$25.3K
    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…40$660$23.7K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C974041030$5,580$189.6K
    298273212020$1,010$29.2K
    453854140070$260$24.7K
    29848284040$430$21.5K
    29880112020$790$15.8K
    64721329030$420$15.4K
    2988193020$780$14.9K
    28285214030$410$14.5K
    26055639030$290$13.3K
    45380640060$160$12.9K

    Showing 1–10 of 21

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.280$150$42.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…40$280$12K
    G8907Patient 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…60$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.75150300$420$381.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…6390150$520$281.8K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis132070$1$20
    G8907Patient 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…2130150$1$10

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inova Health Care ServicesVAGeneral Acute Care Hospital$0$33.5M
    Trusted Doctors LLCVAPediatrics Physician$0$13.6M
    Apollo Home Healthcare LLCVAHome Health Agency$0$12.2M
    Daniel ChongVAHematology & Oncology Physician$1.1M$0
    Metropolitan Laboratory Services IncVAClinical Medical Laboratory$878.7K$63.4K
    Jeffrey ScottVAMOHS-Micrographic Surgery Physician$875.4K$0
    Malgorzata GradzkaVARheumatology Physician$764.7K$0
    Bradley BoydVAOrthopaedic Surgery Physician$573.8K$0
    Mitchell StashowerVASpecialist$379.6K$0
    Kathy TieuVADermatology Physician$376.2K$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.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Northern Virginia Surgery Center LLC — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Northern Virginia Surgery Center LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia