Loading...
NPI 1194813840 · Wisconsin Rapids, WI · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Surgery Center Of Wisconsin Rapids, LLC is a ambulatory surgical clinic/center provider located in Wisconsin Rapids, Wisconsin. This profile covers 7 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Surgery Center Of Wisconsin Rapids, LLC |
| Address | 140 24th St S |
| City | Wisconsin Rapids |
| State | WI |
| ZIP | 54494 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $782.8K |
| Medicaid | $0 |
SURGERY CENTER OF WISCONSIN RAPIDS, LLC is functionally an ambulatory surgical center focused on joint replacement and orthopedic procedures: its top Medicare revenue codes are 27447 (knee replacement) and 27130 (hip replacement), and these two procedures alone account for a very large share of its Medicare business. The top 3 Medicare codes by revenue account for 91.2% of total Medicare revenue, indicating the facility is specialized around a narrow set of surgical services rather than a broad multispecialty case mix.
Medicare revenue totaled $782.8K while there is no Medicaid billing on file, so the provider operates as effectively single-payer from available claims data with Medicare representing 100% of reported public-payer revenue. The absence of Medicaid billing suggests limited engagement with that payer population or billing channel, which materially shapes payer mix and reimbursement exposure.
Revenue concentration is extreme: 27447 alone generates $514.1K (65.7% of the provider's Medicare revenue) and 27130 contributes $173.4K (22.2%), together comprising the majority of Medicare receipts. The precomputed top-3-codes share of 91.2% confirms that a few high-value joint replacement procedures drive nearly all Medicare earnings, leaving other services as minor contributors.
Competitive standing for the facility’s primary codes is modest-to-typical rather than dominant. For 27447 the provider ranks #1645 of 12089 nationally (86th percentile), an above-typical volume but not a market-leading outlier; for 27130 it ranks #4034 of 8062 (48th percentile), which is close to median volume nationally. Lower-revenue codes such as 66984 (rank #12431 of 15965, 21st percentile) and 29827 (rank #2519 of 3445, 19th percentile) show the provider does not have unusually high national standing outside its core joint-replacement services.
Service-line signal from the specific CPT codes: the mix emphasizes major elective orthopedic implant surgery (total knee and hip arthroplasty) with smaller volumes of ophthalmologic cataract procedures (66984), shoulder arthroscopy/rotator cuff repair (29827), and hand/wrist nerve and tendon procedures (64721, 26055, 64718). This combination suggests the center is structured and reimbursed primarily around scheduled, high-reimbursement orthopedic implant cases with ancillary ambulatory surgical services.
Tenure is long-standing: the NPI was enumerated on 2006-10-10 (~20 years ago), indicating the center has been established in the market for approximately two decades, which supports the development of a stable referral base for elective joint arthroplasty.
Given the revenue concentration and national ranks, the provider is operationally vulnerable to volume shifts in a very small number of high-value procedures; payer-contracting or competitive moves that affect joint-replacement referrals could materially impact overall revenue. The data imply limited diversification across payers and procedure types, which increases reliance on sustaining Medicare volumes for the listed high-revenue CPT codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 80 | $6,760 | $514.1K |
| 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… | 30 | $6,940 | $173.4K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 30 | $790 | $26.7K |
| 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… | 10 | $1,850 | $24K |
| 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… | 40 | $560 | $22K |
| 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… | 40 | $450 | $16.6K |
| 64718 | In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the… | 20 | $390 | $5.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Other providers in the same ZIP code as Surgery Center Of Wisconsin Rapids, 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.