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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Wentworth Surgery Center, LLC (NPI 1235567264)

Key Findings

Field	Value
Entity Type	Organization
Organization	Wentworth Surgery Center, LLC
Address	6 Works Way
City	Somersworth
State	NH
ZIP	03878
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 30, 2013

Payer Source	Total Paid
Medicare	$406.2K
Medicaid	$0

WENTWORTH SURGERY CENTER, LLC is registered as an Ambulatory Surgical Clinic/Center and has recorded Total Medicare revenue of $406.2K while having no Medicaid billing on file; its NPI was enumerated on 2013-10-30 (about 13 years ago), indicating an established presence in the Medicare billing landscape. This combination of taxonomy and tenure points to a small, focused ASC operation rather than a recent startup.

Revenue concentration is high: the precomputed top 3 Medicare codes (27447, 29827, 45385) account for 53.4% of this provider's total Medicare revenue. Individually those codes account for $138.4K (27447, 34.1%), $41.7K (29827, 10.3%), and $37K (45385, 9.1%), showing a reliance on a small set of relatively high-value procedures within the Medicare book.

The code mix indicates a dual clinical focus on orthopedic and gastrointestinal procedures consistent with an ambulatory surgery center model: major joint replacement and arthroscopy codes such as 27447 and 29827 sit alongside endoscopy/colonoscopy codes including 45385, 45380, G0105, and G0121. This suggests the center schedules both musculoskeletal surgeries (knee and shoulder procedures) and screening/therapeutic GI cases, implying operating-room and endoscopy suite capabilities.

Competitive standing varies by procedure: 27447 ranks #8916 of 12089 (24th percentile; typical, unremarkable volume for this code), indicating a modest national presence in knee arthroplasty, while 29827 ranks #832 of 3445 (74th percentile; typical, unremarkable volume for this code), reflecting relatively stronger shoulder arthroscopy volume versus peers. Colon polypectomy 45385 ranks #5623 of 16310 (65th percentile; typical, unremarkable volume for this code), placing its GI work at a roughly average-to-above-average level nationally.

Several procedure-level signals are notable as low-volume or low-revenue outliers: codes such as 26055 (rank #2891 of 2946, 1th percentile) and 29824 (rank #1173 of 1304, 0th percentile; typical, unremarkable volume for this code) are at very low national ranks, indicating minimal activity in those specific procedures. Conversely, C9290 shows a high claim count (2.4K claims) but only $2.4K revenue (average $1 paid/claim) and ranks #397 of 451 (12th percentile; typical, unremarkable volume for this code), which points to many low-dollar HCPCS claims that contribute little to overall revenue.

Payer mix is effectively single-payer Medicare: with $406.2K in lifetime Medicare revenue and explicitly none in Medicaid, the provider’s revenue and utilization patterns are driven entirely by Medicare patients. For payers and network managers, this means Medicaid alignment or capacity is not evidenced on file and Medicare rates and referral relationships will dominate commercial/Medicare-managed contracting considerations.

Colorectal screening and therapeutic endoscopy are a material part of the practice: G0105 (67 claims, $28.1K revenue) ranks #1345 of 8773 (84th percentile; typical, unremarkable volume for this code) and diagnostic/therapeutic colonoscopy codes such as 45385 (80 claims, $37K) and 45380 (80 claims, $29.4K) together represent a meaningful share of case volume. This concentration supports the interpretation that the center provides a steady stream of screening and polypectomy cases in addition to its orthopedic caseload.

Overall, the provider presents as an established, specialized ASC with Medicare-centered revenue of $406.2K and concentrated dependence on a few high-value procedures (top 3 codes = 53.4% of Medicare revenue). The mix of orthopedic joint and arthroscopic procedures alongside substantial colonoscopy volume defines its service lines and competitive posture: modest-to-strong in selected specialties but limited in payer diversity due to no Medicaid billing on file.

Medicare: Complete Services Breakdown

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

14 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…	20	$7,280	$138.4K
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	$1,600	$41.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	80	$460	$37K
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	$2,450	$36.8K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	80	$370	$29.4K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	70	$420	$28.1K
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…	20	$1,110	$25.4K
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…	30	$630	$19K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	60	$260	$14.5K
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…	10	$1,010	$11.1K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$21.2M
Strafford Nutrition & Meals On Wheels	NH	Home Health Agency	$0	$1.8M
Sau 56	NH	Local Education Agency (LEA)	$0	$728.1K
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Roger Epstein	NH	Gastroenterology Physician	$347.8K	$0
Sean Lynch	NH	Gastroenterology Physician	$320.2K	$0
Ira Parsons	NH	Orthopaedic Surgery Physician	$318.8K	$0
Atlantic Digestive Specialists, PLLC	NH	Gastroenterology Physician	$0	$312.2K
Aristotle Damianos	NH	Gastroenterology Physician	$273.2K	$0
Robert Ruben	NH	Specialist	$201.4K	$0

Wentworth Surgery Center, LLC — Billing Profile & Reimbursement Data

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Wentworth 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	71	90	40	$1,310	$57.7K
45385	48	100	80	$250	$26.5K
29827	6	20	20	$1,160	$24.4K
64721	16	30	40	$450	$19.3K
29828	2	10	20	$1,000	$18K
29881	2	10	20	$790	$13.5K
C9290	7	10	6,720	$1	$12.9K
26055	25	30	30	$300	$12.3K
29880	8	10	10	$840	$11.7K
45380	35	90	50	$150	$10.7K