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NPI 1083785398 · Olympia, WA · Ambulatory Surgical Clinic/Center
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Olympia Orthopaedic Associates PLLC is a ambulatory surgical clinic/center provider located in Olympia, Washington. This profile covers 44 Medicare and 72 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 | Olympia Orthopaedic Associates PLLC |
| Address | 3901 Capital Mall Dr Sw Ste B |
| City | Olympia |
| State | WA |
| ZIP | 98502 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.8M |
| Medicare | $6M |
OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC operates as an ambulatory surgical clinic with a surgical-heavy Medicare mix dominated by major joint and spine procedures; its top Medicare revenue drivers are procedural codes for knee replacement (27447), hip replacement (27130), and spinal neurostimulator insertion (63685), and the Medicaid mix shows strong volume in prosthetic implants (L8699), office E/M (99213/99214), and image/diagnostic-support services. The code mix indicates a blended operation that delivers elective orthopaedic surgery, interventional spine/pain services, and on-site prosthetics and rehabilitation support rather than a narrow outpatient clinic focused only on minor procedures.
Revenue concentration on Medicare is high: the provider’s top 3 Medicare codes account for 57.0% of its Medicare revenue, led by 27447 ($1.8M, 32.2% of Medicare revenue), 27130 ($710.7K, 12.5%), and 63685 ($701.1K, 12.3%). These three codes make up the clear revenue backbone for its Medicare business and point to a dependence on arthroplasty and implantable spine device procedures for a majority of its Medicare receipts.
On Medicaid the provider also concentrates revenue: the top 3 Medicaid codes account for 46.8% of Medicaid revenue, driven by 99213 ($1.4M, 21.0%), 99214 ($973.9K, 15.0%), and L8699 ($703.3K, 10.8%). This pattern shows Medicaid revenue is pulled both by high-volume evaluation-and-management visits and by a large prosthetic-implant line item, reflecting substantial non‑hospital prosthetics billing to the state program.
Payer mix is roughly balanced but Medicaid is slightly larger: lifetime Medicaid revenue is $6.8M versus Medicare $6M, so the practice is not single-payer reliant and draws comparable scale from both programs. That parity suggests payer diversification where commercial or other payers could be similarly relevant but both federal and state programs are material to overall volume.
Nationally for Medicare the practice is a high-volume outlier on multiple orthopaedic procedural codes: 27447 ranks #49 of 12089 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), while several arthroscopy codes such as 29828 (#11, 99th percentile; extreme outlier) and 29827 (#13, 100th percentile; extreme outlier) also sit at the top of national distributions. At the same time, some high-revenue Medicare spine codes like 63685 are within typical national ranges (86th percentile; typical, unremarkable volume for this code), indicating exceptional strength on joint and arthroscopic procedures with solid but less exceptional spine device activity.
In-state competitive standing on Medicaid shows dominance in a few specific lines: L8699 is ranked #1 of 11 providers in-state (100th percentile; notably above typical state volume for this code), 64483 is ranked #1 of 40 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and 95910 is ranked #1 of 21 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). These rankings indicate the provider is a primary in-state supplier of prosthetic implants, lumbar/sacral transforaminal injections, and higher-complexity nerve-conduction testing.
Service-line mix evidence in the Medicaid claims further supports an integrated clinic model: high counts for rehab and therapy codes (97530, 97110, 97140) plus diagnostic/EMG codes (95886, 95908/95910) and numerous radiology/MRI entries (72148, 73221) point to on-site physical therapy, electrodiagnostic testing, and imaging resources that feed both surgical and non‑operative care pathways. Together with high-volume procedural codes, this suggests the provider manages patient care from diagnosis and conservative care through advanced interventions and prosthetic delivery.
The practice has operational longevity with NPI enumeration dated 2006-11-10 (~20 years ago), and its lifetime revenues of Medicare $6M and Medicaid $6.8M indicate a sustained presence in both federal and state programs. Tenure plus the concentrated high-volume code patterns imply an established regional specialty center rather than a newly formed practice still scaling volume.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
44 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… | 240 | $7,530 | $1.8M |
| 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… | 90 | $7,560 | $710.7K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 30 | $20,620 | $701.1K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 130 | $4,090 | $539.5K |
| 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… | 30 | $6,960 | $208.7K |
| 29828 | The 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… | 80 | $2,490 | $192K |
| 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… | 130 | $1,450 | $180.8K |
| 22551 | A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae. | 20 | $7,310 | $153.6K |
| 23430 | In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.… | 40 | $3,220 | $128.6K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 200 | $590 | $117K |
Showing 1–10 of 44
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
44 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 3 | 30 | 20 | $8,250 | $148.4K |
| 63650 | 2 | 40 | 50 | $1,960 | $109.9K |
| 27447 | 1 | 320 | 30 | $1,190 | $46.3K |
| 25609 | 4 | 10 | 20 | $2,720 | $46.2K |
| 25608 | 1 | 10 | 20 | $2,490 | $44.9K |
| 27446 | 5 | 20 | 20 | $2,200 | $44K |
| 27130 | 2 | 230 | 30 | $1,060 | $37.1K |
| 27654 | 1 | 10 | 10 | $3,150 | $34.6K |
| 22551 | 4 | 30 | 10 | $1,900 | $30.4K |
| 29828 | 2 | 30 | 20 | $1,240 | $28.4K |
Showing 1–10 of 44
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
72 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 28,980 | $50 | $1.4M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 15,220 | $60 | $973.9K |
| L8699 | Prosthetic implant, not otherwise specified | 2,840 | $250 | $703.3K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 7,200 | $80 | $561.7K |
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 14,370 | $30 | $416.7K |
| 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). | 2,680 | $130 | $348.7K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 3,390 | $100 | $338.8K |
| 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… | 13,600 | $20 | $272.1K |
| 95886 | The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more… | 3,810 | $60 | $213.6K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 360 | $540 | $197.7K |
Showing 1–10 of 72
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
72 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 125 | 1,820 | 480 | $60 | $379.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 98 | 1,860 | 610 | $40 | $295.5K |
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 53 | 590 | 1,280 | $50 | $244.5K |
| 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… | 55 | 480 | 1,160 | $30 | $180.9K |
| L8699 | Prosthetic implant, not otherwise specified | 1 | 10 | 250 | $250 | $138.2K |
| 29075 | The provider applies a cast encasing the lower arm. A short arm cast treats fractures of the bones in the lower arm and corrects deformities of the hand and wrist. | 3 | 10 | 120 | $280 | $129.5K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 359 | 540 | 130 | $90 | $128.6K |
| 97140 | Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy… | 49 | 340 | 1,240 | $20 | $96.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 22 | 560 | 140 | $70 | $88.9K |
| 97112 | Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or… | 66 | 280 | 570 | $30 | $87.5K |
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Other providers in the same ZIP code as Olympia Orthopaedic Associates PLLC, ranked by combined Medicare and Medicaid revenue.
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