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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Specialty Asc LLC (NPI 1083669196)

Key Findings

Field	Value
Entity Type	Organization
Organization	Specialty Asc LLC
Address	9499 W Charleston Blvd
City	Las Vegas
State	NV
ZIP	89117
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

SPECIALTY ASC LLC’s procedure mix is strongly consistent with an orthopedic ambulatory surgical center that also offers image-guided spine and pain procedures: high-revenue arthroscopy codes such as 29827 ($239.5K), 29880 ($191.2K), 29879 ($94.2K), and 29823 ($89.8K) dominate the top CPTs, while multiple epidural and facet injection codes (for example 64483 at $124.5K and 64493 at $44.8K) show a substantive interventional pain component to its services. This combination of shoulder/knee arthroscopy and injection-based spine care suggests the center routinely handles both operative joint repairs and non-operative pain management in an outpatient setting.

Revenue concentration is pronounced: the provider reports Total Medicare revenue of $1.4M and the precomputed top-3 Medicare codes (29827, 29880, 63650) account for 41.0% of that Medicare revenue. That level of concentration indicates a reliance on a small set of high-revenue procedures to drive a large share of topline Medicare billings.

The payer mix is effectively single-payer from a billing perspective: Medicare revenue is $1.4M while Medicaid revenue is none, so this entity has no Medicaid billing on file and operates with negligible to zero Medicaid exposure. Analysts should treat the provider as Medicare-dependent for the claims data available.

SPECIALTY ASC shows national-scale dominance for multiple arthroscopy codes: 29880 ranks #1 of 878 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) and 29879 ranks #1 of 128 providers nationally (100th percentile; extreme outlier). 29827 also ranks very high at #32 of 3445 providers nationally (99th percentile; extreme outlier), indicating unusually high national volume and competitive standing in specific arthroscopic procedures.

Competitive standing is more mixed across its spine/pain portfolio: 63650 (spinal cord stimulator lead placement) generated $138.9K but ranks #987 of 1371 providers nationally (26th percentile; typical, unremarkable volume for this code), whereas 64483 (transforaminal epidural injection) produced $124.5K and ranks #338 of 8202 providers nationally (96th percentile; notably above typical national volume for this code). This suggests strong performance in certain image-guided injection services but only typical participation in neurostimulation procedures.

The provider’s national rank profile contains multiple extreme outliers and high-percentile positions across different codes (for example 29823 ranks #3 of 1675 providers nationally, 29876 ranks #2 of 117 providers nationally), reinforcing that volume leadership is concentrated in a set of arthroscopic procedures rather than spread evenly across many service lines. For payers and competitors, these concentrated outlier positions mark SPECIALTY ASC as a specialty volume leader in specific joint arthroscopy interventions.

The NPI enumeration date of 2006-05-24 (~20 years ago) signals long-tenure operation in the market, which supports interpretation of sustained specialty activity rather than a short-term volume spike. Longevity combined with repeated high-ranking positions on multiple CPTs points to an established specialty ASC rather than a transient billing pattern.

From a risk and business-analysis standpoint, the combination of Medicare dependence (Total Medicare revenue $1.4M and Medicaid none), high concentration in a few codes (top-3 = 41.0%), and multiple national outlier ranks suggests both competitive strength in targeted arthroscopic procedures and exposure to volume or reimbursement shifts affecting those procedures. Analysts should consider how changes in arthroscopy or injection reimbursement or referral patterns could materially affect this provider’s revenue base.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	100	$2,500	$239.5K
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…	160	$1,170	$191.2K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	30	$4,210	$138.9K
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).	390	$320	$124.5K
29879	The 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…	160	$590	$94.2K
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	150	$620	$89.8K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	110	$680	$72.2K
23412	In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the…	30	$2,370	$59.1K
29873	The provider examines the inside of the knee joint with an arthroscope to assess the fibrous tissues that hold the patella, or kneecap, in place. She incises the lateral retinaculum, the tight band…	100	$590	$58.2K
29876	The 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…	80	$620	$48.5K

Showing 1–10 of 24

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63650	18	30	40	$2,380	$109.4K
29827	2	40	20	$1,110	$31K
29879	1	10	40	$430	$27.8K
64635	15	80	40	$440	$25.2K
29880	1	30	30	$570	$23.3K
29873	1	10	70	$350	$22.9K
64483	4	100	60	$230	$20.3K
29828	7	10	20	$1,120	$20.2K
23412	2	10	20	$870	$17.4K
64493	9	80	50	$210	$17.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Personal Care Solutions, Inc.	NV	Home Health Agency	$0	$22.3M
Golden Cross Home Care, LLC.	NV	In Home Supportive Care Agency	$0	$19.4M
Nevada Best Pca, LLC	NV	Personal Care Attendant	$0	$11M
Jay Selznick	NV	Oral and Maxillofacial Surgery (Dentist)	$0	$8.7M
Tufail & Associates	NV	Internal Medicine Physician	$0	$7.5M
Leanne Wright	NV	Speech-Language Pathologist	$0	$6.8M
A Novo Care LLC	NV	In Home Supportive Care Agency	$0	$6.6M
Community Medicine Inc.	NV	Internal Medicine Physician	$0	$6M
Amy Lapres	NV	Pediatric Occupational Therapist	$0	$5.7M
Infectious Disease Specialists, LLC	NV	Infectious Disease Physician	$0	$5.4M

Specialty Asc LLC — Billing Profile & Reimbursement Data

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Specialty Asc 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