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    OpenPayerNPI Medicare & MedicaidSummit Orthopedics Ltd
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    Summit Orthopedics Ltd — Billing Profile & Reimbursement Data

    NPI 1164870895 · Eagan, MN · Ambulatory Surgical Clinic/Center

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    Summit Orthopedics Ltd is a ambulatory surgical clinic/center provider located in Eagan, Minnesota. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSummit Orthopedics Ltd
    Address2620 Eagan Woods Drive Ste 300
    CityEagan
    StateMN
    ZIP55121
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJune 3, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    Service mix centers on high-volume lower-extremity arthroplasty and interventional spine/pain care: the largest Medicare revenue drivers are joint replacement procedures 27447 ($621.9K revenue, 41.3% of Medicare revenue) and 27130 ($386.6K revenue, 25.7% of Medicare revenue), supplemented by substantial billing for transforaminal epidural injection 64483 ($125.5K revenue, 8.3%). This combination of high-dollar arthroplasty claims and frequent spinal injection codes is consistent with an ambulatory surgical clinic that performs operative joint replacements while maintaining an active interventional pain management practice.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes by revenue account for 75.4% of this provider's total Medicare revenue. That concentration indicates financial dependence on a small set of procedures—primarily 27447, 27130, and 64483—so changes in reimbursement or referral patterns for those codes would materially affect overall Medicare revenue.

    The provider is effectively single-payer in the public programs shown: lifetime Medicare revenue is $1.5M while Medicaid shows none on file. This absence of Medicaid billing means the entity’s public-payer exposure and contract leverage are dominated by Medicare, which may affect network negotiations and risk if the practice seeks broader state-level payer participation.

    Competitive standing for major arthroplasty is modest and characterized as typical: 27447 ranks #1379 of 12089 providers nationally (88th percentile; typical, unremarkable volume) and 27130 ranks #1509 of 8062 (81th percentile; typical, unremarkable volume). Those percentiles place SUMMIT ORTHOPEDICS LTD as a routine national participant in joint replacement volumes rather than an outlier leader in arthroplasty.

    Several interventional pain codes show above-typical national volume, signaling a comparatively strong footprint in nonoperative spine care: 64483 ranks #333 of 8202 providers (96th percentile; notably above typical national volume) and 64493 ranks #332 of 7519 providers (96th percentile; notably above typical national volume). Additional related codes (64635 at the 94th percentile and 64490 at the 84th percentile) reinforce that this ASC treats a high volume of spine and facet procedures relative to peers.

    C9290 (Injection, bupivacaine liposome) stands out for frequency relative to peers despite low per-claim reimbursement: 35.6K claims, $1 avg paid/claim, $35.6K revenue (2.4%) and rank #29 of 451 providers nationally (94th percentile; notably above typical national volume). The profile suggests routine use of this analgesic product as part of perioperative or injection-based pain management despite its small contribution to revenue.

    Case-level economics reflect high-value surgical procedures performed in an ASC setting: average paid/claim for 27447 is $7493 and for 27130 is $7732, indicating that a disproportionate share of revenue comes from a relatively small number of higher-priced arthroplasty claims. Meanwhile, many claims for injection codes (for example, 64483 at $317 avg paid/claim and 64493 at $278 avg paid/claim) supply volume and patient throughput rather than single-procedure revenue parity with arthroplasty.

    The provider has an established Medicare presence with NPI enumerated 2016-06-03 (~10 years ago), which suggests operational stability over the past decade. Combined with $1.5M lifetime Medicare revenue and no Medicaid billing, the practice appears to be a mature, Medicare-focused ambulatory surgical clinic whose financial health is tied closely to joint replacement and interventional spine volumes.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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…80$7,490$621.9K
    27130In 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…50$7,730$386.6K
    64483This 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).400$320$125.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.150$550$79.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…240$280$67K
    29827The 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$2,040$51K
    C9290Injection, bupivacaine liposome, 1 mg35,640$1$35.6K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$2,540$30.4K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography110$230$26.2K
    64490The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…70$310$20.9K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    27447627020$1,340$41.5K
    271301919020$1,260$30.3K
    2982743020$1,320$25.1K
    G026082080$210$24.2K
    C92903106,650$1$18.5K
    2988161020$1,030$18.5K
    64635310030$370$16.2K
    64483417040$200$14.1K
    64633185020$400$11.9K
    63047657020$520$11.9K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Summit Orthopedics Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Orthopedics, LtdMNOrthopaedic Surgery Physician$0$6.7M
    Vadnais Heights Surgery Center LLCMNAmbulatory Surgical Clinic/Center$1.7M$0
    Summit Orthopedics LtdMNAmbulatory Surgical Clinic/Center$1.1M$20.1K
    Summit Orthopedics, LtdMNAmbulatory Surgical Clinic/Center$489.7K$41.6K
    Kristoffer BreienMNOrthopaedic Surgery Physician$143.6K$0
    Catherine ChoiMNPain Medicine (Physical Medicine & Rehabilitation) Physician$108.4K$0
    David StrothmanMNOrthopaedic Surgery Physician$93.2K$0
    Steven SabersMNPain Medicine (Physical Medicine & Rehabilitation) Physician$92.7K$0
    Jose Ramil SantosMNPhysical Medicine & Rehabilitation Physician$78.4K$0
    Steven StulcMNPain Medicine (Physical Medicine & Rehabilitation) Physician$73.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Summit Orthopedics Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Respiratory Services, LLCMNOxygen Equipment & Supplies (DME)$0$43.4M
    People IncorporatedMNCase Management Agency$0$22.2M
    David RidleyMNRheumatology Physician$2.2M$0
    Eagan Orthopedic Surgery Center LLCMNAmbulatory Surgical Clinic/Center$1M$0
    Elvia Moreta FreireMNRheumatology Physician$638.6K$0
    Costco Wholesale CorporationMNCommunity/Retail Pharmacy$92.1K$0
    Makenna PechumerMNGerontology Nurse Practitioner$49.8K$0
    Sandra KirkseyMNNurse Practitioner$40.1K$0
    Bruce ThordalMNCognitive & Behavioral Psychologist$29.4K$0
    Robalee WandermanMNPain Medicine (Anesthesiology) Physician$25.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Minnesota Distribution
    Summit Orthopedics Ltd — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota