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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Crossings Surgery Center, LLC (NPI 1154034429)

Field	Value
Entity Type	Organization
Organization	Crossings Surgery Center, LLC
Address	300 Crossings Blvd
City	Warwick
State	RI
ZIP	02886
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 3, 2023

Payer Source	Total Paid
Medicare	$939.1K
Medicaid	$0

Key Findings

This entity reports $939.1K in lifetime Medicare revenue and has no Medicaid billing on file, making its public claims footprint effectively single-payer and heavily reliant on Medicare reimbursements for observed activity. The absence of Medicaid activity means analyses of Medicaid mix or state-level Medicaid competitiveness are not applicable for this provider.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 74.2% of the provider's total Medicare revenue, with a single code, 27447, representing 49.0% of Medicare revenue on its own. That level of concentration indicates the facility's financial performance is closely tied to a small set of high-value procedures.

The code mix and the provider taxonomy (Ambulatory Surgical Clinic/Center) point to an orthopedic-focused ambulatory surgery operation: major joint arthroplasty codes 27447 (knee replacement) and 27130 (hip replacement) are the two largest revenue drivers, supplemented by shoulder arthroscopy 29827 and multiple regional injection codes. This pattern is consistent with an ASC that specializes in elective musculoskeletal surgeries and procedural pain interventions rather than broad multi-specialty outpatient services.

Competitive standing varies by procedure: for the dominant knee arthroplasty code 27447 the provider ranks #2400 of 12089 (80th percentile), which the source labels as typical, unremarkable volume, placing the facility in the upper quintile nationally but not as an extreme outlier. By contrast hip replacement 27130 ranks #4583 of 8062 (41th percentile), indicating more modest national participation for that procedure despite being the second-largest revenue contributor.

Procedures where the provider shows above-typical national activity include rotator cuff repair 29827 (34 claims, $2055 avg paid/claim, $69.9K revenue; ranks #465 of 3445, 86th percentile) and lumbar/sacral epidural injections 62323 (170 claims, $267 avg paid/claim, $45.4K revenue; ranks #853 of 7397, 88th percentile). These ranks suggest the center performs a meaningful volume of arthroscopic shoulder procedures and interventional pain services relative to peers.

A specific service-level outlier is genicular nerve block 64454 (68 claims, $67 avg paid/claim, $4.6K revenue), which ranks #30 of 890 (97th percentile) and is marked as notably above typical national volume; this indicates a specialized focus on knee pain interventions that complements the large knee arthroplasty volume. Other injection and peripheral nerve procedure codes such as 64483 and 64493 appear at mid-to-high percentiles, reinforcing a mixed profile of surgical and pain-management offerings.

Lower-ranked or smaller contributors confirm a concentrated specialty profile rather than broad case mix: for example, 23430 (biceps tenodesis) generated $36K and ranks #727 of 811 (0th percentile) while C9290 (bupivacaine liposome injections) shows $9K revenue across many small-dollar claims (9K claims, $1 avg paid/claim) and ranks #179 of 451 (60th percentile). These entries show a mix of niche procedures and small ancillary services that do not materially diversify overall revenue.

The provider's NPI was enumerated on 2023-01-03 (~3 years ago), indicating relatively recent enrollment during which it has established a pronounced orthopedic surgical and interventional pain profile; this short tenure combined with concentrated high-revenue procedures suggests the center has quickly built a specialized case mix focused on joint replacement and related interventions.

Medicare: Complete Services Breakdown

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

19 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…	60	$7,420	$459.7K
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…	20	$7,560	$166.4K
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…	30	$2,060	$69.9K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	170	$270	$45.4K
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.…	10	$3,280	$36K
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).	70	$340	$22.8K
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.	40	$510	$21.4K
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…	30	$630	$20.8K
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	$1,130	$16.9K
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…	10	$1,130	$14.6K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Crossings Surgery Center, LLC — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	4	50	30	$1,230	$43K
27130	17	30	20	$1,250	$33.8K
29827	2	10	20	$1,120	$21.3K
29881	2	10	10	$1,080	$15.2K
62323	4	20	50	$140	$13.2K
23430	4	10	20	$700	$13.2K
64493	16	20	50	$170	$12.8K
29848	2	10	30	$420	$12.7K
64483	9	20	50	$190	$12.2K
G0260	2	10	50	$230	$11.4K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Crossings Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orthopedics Rhode Island, Inc.	RI	Ambulatory Surgical Clinic/Center	$565.9K	$0
Robert Marchand	RI	Orthopaedic Surgery Physician	$314.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Bay Residential Services Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$145.8M
Kent County Memorial Hospital	RI	General Acute Care Hospital	$0	$90.8M
Avatar Residential, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$72.9M
Thrive Behavioral Health, Inc.	RI	Community/Behavioral Health Agency	$0	$71.9M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Community Living Of Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$65.7M
J.arthur Trudeau Memorial Center Conversion Waivers	RI	Developmentally Disabled Services Day Training Agency	$0	$57.1M
Gateways To Change, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$54.5M
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
J, Arthur Trudeau Memorial Center	RI	Developmentally Disabled Services Day Training Agency	$0	$33.9M

Crossings 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

Related Providers

Nearby Providers

Frequently Asked Questions

References