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

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

Bethesda Chevy Chase Surgery Center, LLC (NPI 1134431323)

Field	Value
Entity Type	Organization
Organization	Bethesda Chevy Chase Surgery Center, LLC
Address	6931 Arlington Rd
City	Bethesda
State	MD
ZIP	20814
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 5, 2010

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This entity is an Ambulatory Surgical Clinic/Center whose Medicare billing mix is dominated by major joint arthroplasty and upper‑extremity procedures — the top two revenue drivers are 27447 (knee arthroplasty) and 27130 (hip arthroplasty), with avg paid/claim figures of $7419 and $7538 respectively and claim counts of 147 and 96 reported on file. The presence of high-volume hand surgery codes such as 64721 (140 claims, $651 avg paid/claim) and 26055 (139 claims, $497 avg paid/claim) indicates a mixed orthopedics practice that pairs large-joint replacement work with frequent peripheral nerve and hand procedures.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 73.6% of this provider’s total Medicare revenue, with 27447 alone representing 42.1% and 27130 representing 28.0% of Medicare revenue. This degree of concentration signals that a small number of high-dollar arthroplasty codes are the primary financial drivers for the site.

Payer mix is effectively single-payer on file: Total Medicare revenue is $2.6M while Total Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid billing suggests limited exposure to that payer segment and a revenue base skewed toward the Medicare population and associated reimbursement dynamics.

On competitive standing, the provider reports national-scale volumes for its primary arthroplasty services: 27447 ranks #278 of 12089 providers nationally (98th percentile; notably above typical national volume) and 27130 ranks #251 of 8062 providers nationally (97th percentile; notably above typical national volume). These rankings position the center as a major national performer for ambulatory knee and hip replacement relative to peers.

Several CPTs are statistical outliers versus national peers: 64721 ranks #47 of 3206 providers (99th percentile; extreme outlier, far above typical national volume) indicating an unusually high volume of carpal tunnel/neuroplasty activity, and 26055 ranks #55 of 2946 (98th percentile; extreme outlier) for trigger finger releases. Together these outlier ranks suggest a specialty mix that includes high-volume hand surgery in addition to arthroplasty.

The financial profile is driven both by high average payments and concentrated claim volume: 27447 and 27130 carry the largest avg paid/claim values ($7419 and $7538) and, together with their reported claim counts, make up the majority of reported Medicare dollars. Code 64721 contributes materially through volume (140 claims) despite a much lower avg paid/claim ($651), underscoring a dual revenue pattern of high-value arthroplasty plus high-volume hand procedures.

The provider has an established tenure in the dataset, with NPI enumeration on 2010-07-05 (~16 years ago), indicating a sustained operating history that could explain accumulated volume and the development of specialty referral streams for both arthroplasty and hand surgery. Longevity combined with high percentile ranks for key codes suggests an entrenched service line rather than a recent, anomalous billing spike.

Concentration risk and strategic implications: reliance on a small set of high-revenue Medicare arthroplasty codes (top-3 = 73.6% of Medicare revenue) paired with no Medicaid activity implies sensitivity to Medicare policy, reimbursement changes, or site-of-service shifts. The lack of Medicaid billing also means limited diversification of payer mix, which could constrain access to non-Medicare patient flows or necessitate targeted contracting to broaden commercial or state-payor participation.

Medicare: Complete Services Breakdown

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

25 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…	150	$7,420	$1.1M
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…	100	$7,540	$723.6K
64721	Neuroplasty 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…	140	$650	$91.1K
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	$3,450	$79.3K
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…	10	$6,840	$75.2K
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…	140	$500	$69.1K
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…	30	$1,780	$55.2K
25608	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 two…	20	$3,530	$52.9K
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…	20	$2,510	$47.7K
24685	The provider treats a fracture of the ulna, one of the bones in the forearm, at its proximal end, through an incision at the elbow. He may apply screws or wires to hold the fracture in place.	10	$3,170	$41.1K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Bethesda Chevy Chase Surgery Center, LLC — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27446	15	20	30	$3,330	$103.2K
27447	9	270	30	$1,500	$72K
27130	9	180	30	$1,430	$56K
25609	7	10	20	$2,270	$47.6K
24685	1	10	10	$3,160	$41.1K
25608	2	10	20	$1,960	$33.3K
29827	20	80	20	$1,210	$30.3K
29848	17	50	40	$460	$27K
64721	4	60	30	$490	$22.1K
26123	4	10	20	$900	$21.7K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Bethesda Chevy Chase Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Health Connection, Inc.	MD	Home Health Agency	$0	$46.3M
Cornerstone Montgomery, Inc.	MD	Community/Behavioral Health Agency	$0	$24.4M
Rockville Eye Surgery Center, LLC	MD	Ambulatory Surgical Clinic/Center	$4M	$1.1M
Cornerstone Montgomery, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.2M
Nirjaleshwar Nikhar	MD	Neurology Physician	$493.3K	$0
Monica Watkins	MD	Diagnostic Radiology Physician	$342.2K	$0
Naveen Gupta	MD	Gastroenterology Physician	$255.6K	$0
Paul Ross	MD	Foot & Ankle Surgery Podiatrist	$239.7K	$0
Ajay Bakhshi	MD	Gastroenterology Physician	$238.7K	$0
Maryland Cvs Pharmacy, L.L.C.	MD	Pharmacy	$212.7K	$0

Bethesda Chevy Chase Surgery Center, LLC — Billing Profile & Reimbursement Data

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Bethesda Chevy Chase Surgery Center, 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