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    OpenPayerNPI Medicare & MedicaidSurgery Center Of Oak Ridge, LLC
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    Surgery Center Of Oak Ridge, LLC — Billing Profile & Reimbursement Data

    NPI 1033105960 · Oak Ridge, TN · Ambulatory Surgical Clinic/Center

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    Surgery Center Of Oak Ridge, LLC is a ambulatory surgical clinic/center provider located in Oak Ridge, Tennessee. This profile covers 5 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)

    FieldValue
    Entity TypeOrganization
    OrganizationSurgery Center Of Oak Ridge, LLC
    Address944 Oak Ridge Tpke
    CityOak Ridge
    StateTN
    ZIP37830
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 26, 2005

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

    Payer SourceTotal Paid
    Medicaid$493.4K
    Medicare$241K

    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.

    5 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…20$6,290$138.3K
    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…110$550$59.8K
    26055Trigger 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…80$380$28.8K
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…10$830$9.1K
    26160In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.10$460$5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744718828030$1,440$67.8K
    5855861010$720$18.6K
    6472169030$400$16.9K
    26055107040$270$12.9K
    26160162020$350$5.9K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.420$660$277.6K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.180$1,190$215.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.2350140$850$541.1K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.2270160$500$421.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ridgeview Psychiatric Hospital And Center, Inc.TNPsychiatric Hospital$0$42M
    Southeastern Physician Services PCTNHospitalist Physician$0$14.7M
    Emory Valley CenterTNIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$11.3M
    Discover Diagnostic Laboratory, LLCTNClinical Medical Laboratory$363.5K$4.7M
    Children's ClinicTNPediatric Adolescent Medicine Physician$0$4.7M
    East Tennessee Ear, Nose & Throat Specialists, PCTNOtolaryngology Physician$0$2.6M
    East Tennessee Children's Primary Care Center, Inc.TNPediatrics Physician$0$2.4M
    The Eye Surgery Center Of Oak Ridge LLCTNClinic/Center$783K$3.3K
    Brian BurnettTNFamily Nurse Practitioner$661.1K$0
    Joseph EatherlyTNSpecialist$394.3K$3.9K

    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. Tennessee Distribution
    Surgery Center Of Oak Ridge, LLC — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Surgery Center Of Oak Ridge, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee