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NPI 1013570506 · Egg Harbor Twp, NJ · Ambulatory Surgical Clinic/Center
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Atlanticare Center For Orthopedic Surgery is a ambulatory surgical clinic/center provider located in Egg Harbor Twp, New Jersey. This profile covers 17 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Atlanticare Center For Orthopedic Surgery |
| Address | 2500 English Creek Ave Ste 1201 |
| City | Egg Harbor Twp |
| State | NJ |
| ZIP | 08234 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 19, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.3M |
| Medicaid | $0 |
This provider operates as an ambulatory surgical clinic/center with a clear orthopedic arthroplasty focus: the two highest-revenue Medicare codes are 27447 (total knee replacement) and 27130 (total hip replacement), reporting $2.4M (56.6% of Medicare revenue) on 322 claims and $1.4M (33.0% of Medicare revenue) on 184 claims respectively, with average paid/claim values of $7560 and $7717. The taxonomy and these code-level averages are consistent with a high-throughput ASC model concentrating on major joint replacement procedures.
Revenue at this facility is highly concentrated: the precomputed top-3 Medicare codes account for 91.8% of the provider’s total Medicare revenue, with 27447 and 27130 together representing the majority of that share and C9290 contributing $91.6K (2.1% of Medicare revenue). This concentration implies the business is heavily dependent on a small set of high-revenue orthopedic procedures for its Medicare revenue stream.
Payer mix is effectively single-payer for public programs: lifetime Medicare revenue is $4.3M while there is none (no Medicaid billing on file). The absence of Medicaid billing indicates limited exposure to the Medicaid population and suggests payer diversification is low for public payers.
This provider is a national outlier on its top procedures: 27447 ranks #16 of 12089 providers nationally and 27130 ranks #20 of 8062 providers nationally, with both listed at the 100th percentile as "extreme outlier". Those rankings indicate the center is a major national-volume provider for outpatient knee and hip arthroplasty relative to peers.
A third code, C9290 (bupivacaine liposome injection), appears at $91.6K revenue with 91.6K claims and ranks #3 of 451 providers nationally (100th percentile, extreme outlier), reflecting very large claim volume but a low average paid/claim ($1). This pattern suggests frequent use of a low-dollar, possibly supply-coated injectable product alongside the high-value surgeries, which may reflect perioperative or multimodal pain-management practices.
Beyond arthroplasty, the provider shows notable activity in other orthopedic and pain-management services: 64721 (carpal tunnel) is at the 94th percentile ("notably above typical national volume"), 29827 (rotator cuff repair) is at the 88th percentile, and 64635 (nerve ablation for back pain) is at the 90th percentile. These percentiles indicate that, while arthroplasty drives revenue, the center also maintains meaningful volumes in upper-extremity surgery and spine/pain procedures versus national peers.
Operational throughput is high for core procedures: 322 claims for 27447 and 184 claims for 27130 paired with high average payments ($7560 and $7717) point to sustained procedural volume and substantial per-case Medicare reimbursement. For analysts, this combination signals an ASC structured to support frequent, high-reimbursement joint replacement episodes of care.
The NPI was enumerated on 2019-04-19 (~7 years ago), indicating relatively recent enrollment with rapid attainment of high national ranks on key arthroplasty codes. Coupled with the heavy revenue concentration in a few codes and no Medicaid billing on file, this profile suggests both operational strength in elective orthopedics and potential financial vulnerability to shifts in arthroplasty volume or payer mix.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27447 | In 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… | 320 | $7,560 | $2.4M |
| 27130 | In 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… | 180 | $7,720 | $1.4M |
| C9290 | Injection, bupivacaine liposome, 1 mg | 91,560 | $1 | $91.6K |
| 29827 | The 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… | 40 | $1,970 | $72.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 110 | $540 | $61.5K |
| 64721 | Neuroplasty 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… | 90 | $670 | $60.5K |
| 23430 | In 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 | $3,370 | $37K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 40 | $520 | $22.3K |
| 64483 | This 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). | 60 | $320 | $17.3K |
| 64493 | The 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… | 60 | $280 | $15.4K |
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 1 | 270 | 30 | $1,040 | $51.2K |
| 27130 | 1 | 190 | 30 | $1,070 | $42.7K |
| 64483 | 168 | 330 | 60 | $230 | $20.3K |
| 29827 | 5 | 60 | 20 | $960 | $18.2K |
| 64635 | 8 | 180 | 30 | $440 | $18.2K |
| 64721 | 2 | 90 | 30 | $490 | $16.6K |
| 23430 | 19 | 20 | 20 | $490 | $14.7K |
| 26055 | 24 | 90 | 30 | $330 | $12.9K |
| C9290 | 1 | 10 | 4,060 | $1 | $12.7K |
| 64493 | 101 | 270 | 50 | $210 | $12.6K |
Showing 1–10 of 17
Other providers in the same ZIP code as Atlanticare Center For Orthopedic Surgery, ranked by combined Medicare and Medicaid revenue.
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