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NPI 1053314013 · Minneapolis, MN · Ambulatory Surgical Clinic/Center
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Tria Orthopaedic Center LLC is a ambulatory surgical clinic/center provider located in Minneapolis, Minnesota. This profile covers 14 Medicare and 1 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 | Tria Orthopaedic Center LLC |
| Address | 8100 Northland Dr |
| City | Minneapolis |
| State | MN |
| ZIP | 55431 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 24, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $2K |
TRIA ORTHOPAEDIC CENTER LLC operates as an Ambulatory Surgical Clinic/Center and its Medicare billing mix is dominated by major joint procedures: 27447 (total knee arthroplasty) generated $1.3M in Medicare revenue (59.0% of the provider's Medicare total), 27130 (hip replacement) generated $510.4K (22.9%), and 29827 (arthroscopic rotator cuff repair) generated $107.8K (4.8%). This code mix indicates a surgical practice heavily focused on large-joint replacement and complex shoulder arthroscopy rather than nonoperative or primary care services.
Revenue concentration on Medicare is extremely high: the precomputed top 3 Medicare codes by revenue account for 86.8% of the provider's total Medicare revenue. That level of concentration suggests the facility’s financial performance is closely tied to volume for a very small set of procedures, with limited diversification across other Medicare codes.
By payer mix this entity is effectively single-payer dominated: Total Medicare revenue is $2.2M versus Total Medicaid revenue of $2K. Medicaid billing is negligible relative to Medicare, so strategic or reimbursement shifts in Medicare will materially affect the provider while Medicaid trends are unlikely to move overall revenue.
Competitive standing on specific Medicare procedures is mixed. For 27447 the provider ranks #152 of 12089 nationally and is labeled an "extreme outlier," indicating national-scale volume far above typical providers for that knee replacement code. By contrast, 27130 ranks #759 of 8062 (90th percentile) and is a more typical but still high-volume participant for hip replacement, while 29827 ranks #184 of 3445 (95th percentile) and is noted as "notably above typical" for rotator cuff repairs.
The Medicaid footprint is limited and modest within-state: the sole Medicaid-reported code is 97110 (therapeutic exercise) with 49 claims and $2K revenue, and it ranks #280 of 303 providers in-state (8th percentile). This indicates the provider is not a significant Medicaid therapy provider in Minnesota and Medicaid does not meaningfully contribute to its specialty surgical business.
Service-line implications point to an orthopedic specialty surgery center with high throughput of joint arthroplasty and related reconstructive procedures. The presence of high-volume codes such as 27447 and 27130 alongside arthroscopic shoulder codes (29827, 29823) reflects an integrated operative practice that performs both major joint replacements and arthroscopic repairs in an ambulatory surgical setting.
Tenure and establishment are long enough to be relevant: the NPI was enumerated on 2005-05-24 (~21 years ago), indicating an established provider that has built sustained Medicare surgical volume over two decades. That longevity supports the likelihood of stable referral relationships and operational experience in elective orthopedics.
Aside from the top joint-replacement drivers, remaining Medicare codes each represent small shares of revenue (individual codes under ~3.2% each), suggesting limited supplemental revenue streams. The business is therefore high-margin-sensitive to case mix and volume changes in its few dominant procedures rather than broad-based outpatient service diversification.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 180 | $7,530 | $1.3M |
| 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… | 70 | $7,620 | $510.4K |
| 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… | 50 | $2,110 | $107.8K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 20 | $3,590 | $71.8K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 10 | $3,060 | $42.8K |
| 29881 | The 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… | 30 | $1,150 | $37.9K |
| 25447 | The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the… | 30 | $980 | $30.3K |
| 26123 | The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or… | 20 | $1,120 | $23.5K |
| 29880 | In 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 | $1,060 | $23.3K |
| 20680 | Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal… | 30 | $840 | $20.9K |
Showing 1–10 of 14
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 25609 | 1 | 10 | 20 | $3,590 | $61K |
| 27447 | 1 | 270 | 20 | $1,340 | $41.5K |
| 27130 | 8 | 190 | 20 | $1,260 | $30.3K |
| 28750 | 5 | 10 | 20 | $1,750 | $27.9K |
| 29827 | 1 | 30 | 20 | $1,320 | $25.1K |
| C9290 | 8 | 10 | 6,650 | $1 | $18.5K |
| 29881 | 1 | 10 | 20 | $1,030 | $18.5K |
| 28285 | 12 | 10 | 40 | $450 | $18.3K |
| 26123 | 1 | 10 | 10 | $1,100 | $15.5K |
| 29880 | 1 | 10 | 10 | $970 | $14.5K |
Showing 1–10 of 14
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 50 | $40 | $2K |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 280 | 300 | 700 | $30 | $135.4K |
Other providers in the same ZIP code as Tria Orthopaedic Center LLC, ranked by combined Medicare and Medicaid revenue.
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