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    OpenPayerNPI Medicare & MedicaidThe Surgery Center Of Newport Coast, LLC
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    The Surgery Center Of Newport Coast, LLC — Billing Profile & Reimbursement Data

    NPI 1982880829 · Newport Beach, CA · Ambulatory Surgical Clinic/Center

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    The Surgery Center Of Newport Coast, LLC is a ambulatory surgical clinic/center provider located in Newport Beach, California. 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
    OrganizationThe Surgery Center Of Newport Coast, LLC
    Address17 Corporate Plaza Dr
    CityNewport Beach
    StateCA
    ZIP92660
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 10, 2008

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

    Payer SourceTotal Paid
    Medicare$1.3M
    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
    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…90$8,340$742.4K
    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$8,510$340.4K
    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$2,230$64.6K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…10$3,690$40.6K
    29881The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…20$1,210$29.1K
    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…50$520$24.3K
    29880In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…20$1,250$20K
    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…30$380$12.6K
    29823The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…20$750$12K
    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.40$300$11.5K

    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
    274478382030$1,110$48.9K
    2713017054030$1,070$40.8K
    453858471,41060$340$33.9K
    298276229020$1,320$30.3K
    453801,0491,46060$230$23.8K
    298805711020$900$18.9K
    432391,1081,50080$150$17.3K
    298812711020$830$16.5K
    23430546020$630$16.4K
    G010549165030$340$14.8K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as The Surgery Center Of Newport Coast, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Coast Bio Lab LLCCAClinical Medical Laboratory$1.4M$2.1M
    Leonid LernerCAOphthalmology Physician$3.4M$0
    Lynn DiminoCADermatology Physician$1.9M$0
    Newport Coast Surgery Center, LPCAAmbulatory Surgical Clinic/Center$1.8M$0
    Bryan DoonanCAFamily Medicine Physician$1M$579.3K
    Gregory HendersonCAMOHS-Micrographic Surgery Physician$1.5M$0
    George SemeniukCAHematology & Oncology Physician$1.5M$0
    Adam RotundaCAMOHS-Micrographic Surgery Physician$1.1M$0
    Orthopedic Surgery Center Of Oc LLCCAAmbulatory Surgical Clinic/Center$1.1M$0
    Wade SmithCAHematology & Oncology Physician$970.7K$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. California Distribution
    The Surgery Center Of Newport Coast, LLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California