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    OpenPayerNPI Medicare & MedicaidNorthpointe Surgical Suites, LLC
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    Northpointe Surgical Suites, LLC — Billing Profile & Reimbursement Data

    NPI 1043679509 · Zanesville, OH · Ambulatory Surgical Clinic/Center

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    Northpointe Surgical Suites, LLC is a ambulatory surgical clinic/center provider located in Zanesville, Ohio. This profile covers 14 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
    OrganizationNorthpointe Surgical Suites, LLC
    Address3250 Northpointe Drive
    CityZanesville
    StateOH
    ZIP43701
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 12, 2016

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

    Payer SourceTotal Paid
    Medicare$1M
    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.

    14 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$6,490$577.6K
    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$6,730$282.8K
    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…40$980$35.2K
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…10$2,210$24.3K
    29879The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by reshaping the articular cartilage covering its ball and socket, grinding its surface and in some cases…40$500$20.5K
    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…10$1,430$19.9K
    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…30$560$19K
    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…40$430$18.7K
    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$1,000$18.1K
    29876The provider examines the inside of the knee joint with an arthroscope to inspect and repair the membrane between the bony surfaces and the joint capsule. She inserts instruments and excises synovial…30$500$14K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274474754030$1,280$52.4K
    271307134020$1,250$38.8K
    298276812020$950$19K
    6448322627050$170$17.7K
    29828313020$800$14.4K
    647215013030$400$13.9K
    2988144020$680$13.5K
    29880123020$770$13.1K
    2987911020$510$11.7K
    260552612030$270$9.4K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Healthcare SystemOHGeneral Acute Care Hospital$0$101.8M
    Spero Health Of Ohio, LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$46M
    Allwell Behavioral Health ServicesOHMental Health Clinic/Center (Including Community Mental Health Center)$0$35M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$28.7M
    Mid-ohio Behavioral Health LLCOHMental Health Counselor$0$28.6M
    Genesis Medical Group LLCOHGeneral Practice Physician$0$15.2M
    Genesis Emergency Physicians LLCOHEmergency Medicine Physician$0$10.8M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$9.7M
    Genesis Primary Care Physicians LLCOHFamily Medicine Physician$0$7.1M
    Coler Hospice, LtdOHCommunity Based Hospice Care Agency$0$6.7M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Northpointe Surgical Suites, LLC — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio