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NPI 1255345229 · Cincinnati, OH · Ambulatory Surgical Clinic/Center
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Beacon Orthopaedics Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Cincinnati, Ohio. This profile covers 27 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 | Beacon Orthopaedics Surgery Center, LLC |
| Address | 501 E-business Way |
| City | Cincinnati |
| State | OH |
| ZIP | 45241 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.5M |
| Medicaid | $0 |
BEACON ORTHOPAEDICS SURGERY CENTER presents as a high-volume orthopedic ambulatory surgical clinic centered on major joint procedures: 27447 (knee arthroplasty) generated $2.6M (58.0% of Medicare revenue), 27130 (hip arthroplasty) generated $997.6K (22.3%), and 29827 (arthroscopic rotator cuff repair) generated $203.3K (4.5%). The mix of large-joint arthroplasty and shoulder arthroscopy codes indicates a service line focused on elective orthopedic surgery rather than primary care or broad outpatient medicine.
Revenue concentration is heavily skewed to a small set of procedures: the precomputed top-3 Medicare codes account for 84.7% of this provider's total Medicare revenue. This dependence on a narrow set of high-value orthopaedic procedures heightens sensitivity of the practice revenue to volume changes in knee and hip arthroplasty.
Payer mix is effectively single-payer Medicare at scale: total Medicare revenue is $4.5M while there is no Medicaid billing on file. The absence of Medicaid activity means the provider operates with little to no Medicaid diversification and is financially concentrated in Medicare reimbursement.
Competitive standing for the top arthroplasty codes is unusually strong nationally: 27447 ranks #8 of 12089 providers nationally (100th percentile; extreme outlier) and 27130 ranks #60 of 8062 (99th percentile; extreme outlier), while 29827 ranks #22 of 3445 (99th percentile; extreme outlier). Those rank/percentile positions indicate the center is a national outlier in volume for major joint replacement and rotator cuff repair, more akin to a regional referral hub than a typical ambulatory center.
The provider also reports elevated volumes in several arthroscopic and injection procedures that complement the core arthroplasty business: 29823 ranks #28 of 1675 (98th percentile; extreme outlier) and 29881 ranks #23 of 1125 (98th percentile; notably above typical national volume), and 64483 reports 427 claims for $126K (2.8% of Medicare revenue) and ranks #284 of 8202 (97th percentile; notably above typical national volume). This procedural breadth—arthroscopy, pain injections, and minor hand/wrist procedures—supports a full-spectrum orthopedic surgical practice with ancillary, revenue-generating services.
The single largest code concentration is notable at the procedure level: 27447 alone accounts for $2.6M and 58.0% of this provider's Medicare revenue, with 27130 contributing $997.6K (22.3%). Such dominance by knee and hip arthroplasty suggests operational resource allocation, scheduling, and capital investments are likely optimized around joint replacement workflows and implants.
The provider has long tenure on file, with NPI enumeration dated 2006-07-27 (~20 years ago), consistent with an established surgical practice. Sustained high volumes alongside long-term enumeration strengthen the interpretation that this center has built durable referral relationships and operational capacity for high-throughput orthopedic procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 380 | $6,930 | $2.6M |
| 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… | 140 | $7,180 | $997.6K |
| 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… | 100 | $1,960 | $203.3K |
| 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). | 430 | $300 | $126K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 100 | $630 | $63.4K |
| 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… | 50 | $1,070 | $55.4K |
| 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 | $2,370 | $45K |
| 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… | 10 | $3,220 | $45K |
| 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… | 40 | $1,060 | $44.3K |
| 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.… | 20 | $2,370 | $40.3K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 1 | 540 | 30 | $1,280 | $52.4K |
| 27130 | 1 | 340 | 20 | $1,250 | $38.8K |
| 25609 | 5 | 10 | 10 | $1,930 | $32.9K |
| 29827 | 1 | 120 | 20 | $950 | $19K |
| 64483 | 10 | 270 | 50 | $170 | $17.7K |
| G0260 | 13 | 30 | 40 | $200 | $17.5K |
| 23430 | 15 | 20 | 20 | $670 | $14.8K |
| 64635 | 19 | 210 | 30 | $310 | $14.8K |
| 29828 | 8 | 30 | 20 | $800 | $14.4K |
| 64721 | 84 | 130 | 30 | $400 | $13.9K |
Showing 1–10 of 27
Other providers in the same ZIP code as Beacon Orthopaedics Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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