Loading...
NPI 1093088999 · Richmond, VA · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Chippenham Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Richmond, Virginia. This profile covers 28 Medicare and 2 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 | Chippenham Ambulatory Surgery Center, LLC |
| Address | 1115 Boulders Parkway |
| City | Richmond |
| State | VA |
| ZIP | 23225 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 23, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $224.5K |
CHIPPENHAM AMBULATORY SURGERY CENTER, LLC is an Ambulatory Surgical Clinic/Center in RICHMOND, VA with an NPI enumerated on 2012-02-23 (~14 years ago). Its lifetime reported Medicare revenue is $2.5M and Medicaid revenue is $224.5K, indicating Medicare is the dominant payer by scale in this dataset.
The provider’s Medicare top revenue drivers are surgical orthopedics: 27447, 27130 and 29827, which point to a mix of major joint arthroplasty (knee and hip) and high-volume shoulder arthroscopy. The broader CPT mix also includes many hand and wrist procedures (for example 29848, 26055, 26123), signaling an ASC that performs both implant-based lower-extremity arthroplasty and high-throughput upper-extremity outpatient surgeries.
Revenue concentration on Medicare is significant: the precomputed top-3 Medicare codes (27447, 27130, 29827) account for 54.1% of this provider’s total Medicare revenue, which implies that a small set of procedures drives the majority of Medicare reimbursement. This concentration suggests operational and payer-risk exposure tied to volume and pricing for those specific orthopedic procedures.
Medicaid billing is almost entirely concentrated in two codes: 29848 (56.3% of this provider’s total Medicaid revenue) and C1713 (43.7%), and the precomputed top-3 Medicaid codes together account for 100.0% of Medicaid revenue. This indicates Medicaid activity is narrowly focused on carpal tunnel/endoscopic wrist release and implantable anchors in the available dataset.
Competitive standing varies by procedure: for Medicare the provider is an extreme national outlier on rotator cuff repair 29827 (ranks #9 of 3445, 100th percentile; extreme outlier), and also shows exceptional national volume on wrist endoscopy 29848 (ranks #3 of 1333, 100th percentile; extreme outlier). By contrast, its knee arthroplasty 27447 (ranks #1100 of 12089, 91th percentile; typical, unremarkable volume) and hip arthroplasty 27130 (ranks #1029 of 8062, 87th percentile; typical, unremarkable volume) are within more common national volume ranges.
State-level Medicaid context is limited but notable: 29848 is listed as rank #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), so this dataset contains no in-state peer volume comparator for that code while C1713 ranks #22 of 49 in-state (56th percentile; typical, unremarkable volume). Given 29848 represents 56.3% of the provider’s Medicaid revenue, the center appears to be a primary source of Medicaid-funded carpal tunnel/wrist endoscopic procedures in the available state dataset.
Operational implications from the code mix include both high-throughput arthroscopy services and implant-intensive procedures: high average paid/claim values for 27447 and 27130 and the presence of implant code C1713 on the Medicaid side indicate implant utilization and inventory/implant cost considerations, while high claim counts on codes like 29827 and 29848 imply throughput optimization for shorter procedures. Payers and contracting teams should note this dual profile when assessing reimbursement adequacy and case-mix.
Multiple Medicare CPTs are labeled as “extreme outlier” or “notably above typical” in national rank (examples include 29827, 29848, 25609, 26055, 29881, 26123, 25447), which collectively signal a specialization in both arthroscopic and hand/wrist procedures at volumes well above typical peers for those codes. These statistical outlier labels support the interpretation that the center operates with focused clinical strengths in specific orthopedic and hand surgery procedures rather than a broadly distributed low-volume case mix.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
28 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… | 90 | $7,020 | $645.4K |
| 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… | 60 | $7,020 | $421.4K |
| 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… | 130 | $2,230 | $294.1K |
| 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 | $6,790 | $230.8K |
| 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. | 280 | $520 | $145.4K |
| 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… | 40 | $3,350 | $134.1K |
| 26055 | Trigger 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… | 230 | $460 | $103.5K |
| 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… | 60 | $1,040 | $60.6K |
| 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… | 60 | $1,050 | $57.9K |
| 26480 | In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with… | 60 | $1,040 | $57.3K |
Showing 1–10 of 28
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
28 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 54 | 310 | 40 | $1,150 | $64.4K |
| 27130 | 48 | 210 | 40 | $1,040 | $45.9K |
| 27446 | 5 | 20 | 20 | $1,340 | $37.6K |
| 25609 | 1 | 10 | 20 | $1,780 | $32K |
| 29827 | 2 | 120 | 20 | $1,010 | $29.2K |
| 25607 | 1 | 10 | 20 | $1,820 | $27.3K |
| 29848 | 1 | 40 | 40 | $430 | $21.5K |
| 23430 | 18 | 20 | 20 | $890 | $21.5K |
| 26123 | 1 | 20 | 20 | $830 | $16.5K |
| 29880 | 3 | 20 | 20 | $790 | $15.8K |
Showing 1–10 of 28
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 160 | $780 | $126.4K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 330 | $300 | $98.1K |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 1 | 10 | 160 | $780 | $126.4K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 22 | 50 | 280 | $60 | $50.8K |
Other providers in the same ZIP code as Chippenham Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.