Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Ohio (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

White Fence Surgical Suites, LLC (NPI 1033468400)

Field	Value
Entity Type	Organization
Organization	White Fence Surgical Suites, LLC
Address	7277 Smiths Mill Rd
City	New Albany
State	OH
ZIP	43054
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 31, 2012

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

This entity reports $2.8M in total Medicare revenue and has no Medicaid billing on file, making it effectively a single-payer (Medicare) operation in the available data; analysts should treat Medicaid as absent when modeling payer mix or access for low-income populations. The provider taxonomy is Ambulatory Surgical Clinic/Center, which aligns with the Medicare-only revenue concentration and outpatient procedural billing.

Revenue is highly concentrated in three joint-replacement codes: 27447 accounts for 51.2% of the provider's total Medicare revenue, 27130 accounts for 27.6%, and 27446 accounts for 16.1%, and precomputed figures show the top 3 Medicare codes by revenue account for 94.9% of this provider's total Medicare revenue. This extreme concentration means nearly all Medicare dollars flow from major hip and knee procedures, so any change in those service lines or reimbursement would materially affect the provider's revenue.

The code mix and code descriptions (27447, 27130, 27446) indicate a clear service-line focus on major lower-extremity arthroplasty and knee reconstruction, consistent with an ambulatory surgical center specializing in hip and knee joint replacement and related reconstructive work. Given the large share of revenue coming from high-acuity orthopedic procedures, the site likely positions itself operationally around perioperative workflows, implants/supplies, and post-operative follow-up typical of arthroplasty care.

Several top codes are national outliers or well above typical volume for those services: 27447 is labeled an "extreme outlier" and ranks #90 of 12089 providers nationally (99th percentile), 27130 ranks #171 of 8062 providers (98th percentile; "notably above typical national volume"), and 27446 ranks #20 of 450 providers (96th percentile; "notably above typical national volume"). These rank/percentile signals identify the provider as a nationally prominent high-volume performer for knee and hip replacement compared with peers.

A separate billing pattern stands out for C9290 (Injection, bupivacaine liposome): the file shows 93.9K claims, $1 avg paid/claim, and $93.9K revenue; C9290 ranks #2 of 451 providers nationally (100th percentile) and is labeled an "extreme outlier." The combination of an unusually large claim count with a very low average payment suggests a high-frequency supply or drug administration billing pattern that warrants targeted review by payers or analysts familiar with injectable analgesic/adjunct supply pathways.

Secondary and ancillary procedure codes contribute only small fractions of revenue relative to the arthroplasty trio: for example, 64483 (transforaminal epidural injection) produced $32.7K (1.2% of total) across 102 claims and ranks #2575 of 8202 (68th percentile, typical), while 27570 and 62323 each contribute under 0.5% of Medicare revenue with mid-to-low national ranks. This distribution reinforces that perioperative and pain-management injections exist as adjunct services but are not primary revenue drivers.

The provider has an NPI enumeration date of 2012-08-31 (~14 years ago), indicating an established operating history; the combination of longevity with highly concentrated, high-volume arthroplasty billing suggests a sustained specialization in joint replacement rather than a recent, transient billing spike. Analysts evaluating contracting, utilization trends, or competitive positioning should consider multi-year stability when benchmarking against peers.

For payers and network managers, the implications are practical: contracting and utilization-management attention should focus on pricing, implant/supply utilization, and clinical pathways for hip and knee arthroplasty given that the provider derives the bulk of Medicare revenue from those services. The absence of Medicaid billing also means this provider will not materially impact state Medicaid networks or access metrics, so competitive assessments should be done within the Medicare/outpatient arthroplasty market segment only.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 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…	200	$7,050	$1.4M
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…	110	$7,210	$764.6K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	60	$6,970	$446.3K
C9290	Injection, bupivacaine liposome, 1 mg	93,900	$1	$93.9K
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).	100	$320	$32.7K
27570	In this procedure, the provider performs manipulation of the knee joint under anesthesia. Manipulation consists of passive movement and stretching of the knee joint with an aim to break up the…	20	$560	$8.4K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	20	$240	$4.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	30	$20	$520
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	20	$20	$460

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

White Fence Surgical Suites, LLC — 4 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27446	1	20	20	$2,160	$56.1K
27447	5	540	30	$1,280	$52.4K
27130	4	340	20	$1,250	$38.8K
C9290	1	10	15,410	$1	$27.4K
64483	78	270	50	$170	$17.7K
62323	239	280	50	$120	$8.9K
27570	4	10	20	$450	$8.1K
20610	1,212	1,640	60	$50	$4.7K
20550	242	370	30	$30	$1.6K

Nearby Providers

Other providers in the same ZIP code as White Fence Surgical Suites, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Ohio Surgical Institute, LLC	OH	Ambulatory Surgical Clinic/Center	$5.4K	$3.5M
New Albany Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$529.7K	$0
Adolph Lombardi	OH	Adult Reconstructive Orthopaedic Surgery Physician	$472K	$0
Michael Morris	OH	Adult Reconstructive Orthopaedic Surgery Physician	$322.4K	$0
Martin Taylor	OH	Neurology Physician	$290K	$0
Jason Hurst	OH	Adult Reconstructive Orthopaedic Surgery Physician	$277.8K	$0
David Crawford	OH	Orthopaedic Surgery Physician	$274K	$0
Derek Snook	OH	Orthopaedic Surgery of the Spine Physician	$243.5K	$0
Dwight Mosley	OH	Pain Medicine (Anesthesiology) Physician	$225.6K	$1.3K
Bassel Shneker	OH	Neurology Physician	$150.2K	$0

White Fence Surgical Suites, LLC — Billing Profile & Reimbursement Data

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White Fence Surgical Suites, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References