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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

Surgery Center Of Chattanooga LP (NPI 1255386348)

Key Findings

Field	Value
Entity Type	Organization
Organization	Surgery Center Of Chattanooga LP
Address	7450 Tyner Rd
City	Chattanooga
State	TN
ZIP	37421
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

This provider reports Total Medicare revenue: $2.3M and has no Medicaid billing on file, making it effectively a single-payer (Medicare) practice in the available claims data. That concentration means the facility’s financial performance and payer negotiation leverage will be driven almost entirely by Medicare reimbursement patterns rather than a mixed Medicare/Medicaid payer mix.

Revenue concentration is high: the top 3 Medicare codes by revenue account for 57.8% of this provider's total Medicare revenue, driven by 27447 (31.8%), 27130 (17.7%), and 29827 (8.3%). Those three codes dominate the revenue profile and indicate a small number of procedures produce the majority of billed Medicare dollars.

The code mix and top-dollar codes point to an orthopedic-focused ambulatory surgical center with a strong emphasis on major joint arthroplasty and shoulder arthroscopy. High-dollar arthroplasty codes such as 27447 ($6622 avg paid/claim) and 27130 ($6763 avg paid/claim) are the largest revenue contributors, while shoulder arthroscopy/rotator cuff repair (29827, $1527 avg paid/claim) contributes meaningfully to volume.

On competitive standing for shoulder procedures, 29827 ranks #15 of 3445 providers nationally (100th percentile; extreme outlier) and 29828 ranks #12 of 1007 providers nationally (99th percentile; extreme outlier), indicating this center is an unusually high-volume national outlier for arthroscopic shoulder surgery. Those percentiles imply entrenched referral patterns or a specialized regional role in shoulder care relative to peers.

For lower-extremity joint replacement this provider is also above typical national volumes: 27447 ranks #758 of 12089 providers nationally (94th percentile; notably above typical national volume for this code), while 27130 ranks #1067 of 8062 providers nationally (86th percentile; typical, unremarkable volume for this code). This suggests stronger relative market share in knee arthroplasty than in hip arthroplasty.

Beyond arthroplasty and shoulder arthroscopy, the practice performs substantial spine/pain and peripheral nerve procedures. Examples include 64635 (218 claims, $465 avg paid/claim) which ranks #135 of 5957 providers nationally (98th percentile; notably above typical national volume for this code), plus frequent facet and epidural injection codes (64493, 64490, 64483) and carpal tunnel surgery 64721, signaling a mixed procedural portfolio of interventional spine, pain management, and hand surgery.

The heavy dependence on a few high-revenue orthopedic codes (top 3 = 57.8%) combined with no Medicaid billing on file implies revenue and payer concentration risk: changes in Medicare policy, reimbursement rates, or referral patterns for these specific procedures would disproportionately affect the provider’s topline. From an analytics perspective, payers and partners should prioritize monitoring utilization trends and authorization patterns for 27447, 27130, and 29827 to understand near-term revenue sensitivity.

This NPI has been enumerated/registered since 2006-05-24 (~20 years ago), reflecting long tenure in the market; when combined with the provider’s extreme outlier status on several codes, the data are consistent with an established specialty ASC that has built sustained procedure-level volume and referral relationships over time.

Medicare: Complete Services Breakdown

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

29 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…	110	$6,620	$715.2K
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…	60	$6,760	$399K
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…	120	$1,530	$187.8K
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…	70	$2,220	$164.2K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	220	$470	$101.4K
64628	The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.	10	$7,140	$85.7K
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…	100	$580	$55.5K
64493	The 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…	190	$240	$46.3K
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…	100	$420	$42.3K
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…	80	$550	$41.1K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkridge Medical Center, Inc.	TN	Psychiatric Hospital Unit	$0	$52.8M
Dx Mso, PLLC	TN	Urgent Care Clinic/Center	$0	$13.3M
Independent Physical Therapy, LLC	TN	Physical Therapist	$0	$12.3M
Comprehensive Medical Care, P.C.	TN	Pediatrics Physician	$0	$12M
Chattanooga Allergy Clinic , PLLC	TN	Allergy & Immunology Physician	$0	$9M
Hospice Of Chattanooga Holdings, LLC	TN	Community Based Hospice Care Agency	$0	$5.3M
Advanced Respiratory, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Allied Pediatrics PLLC	TN	Pediatrics Physician	$0	$4.2M
Restoration Recovery, PLLC	TN	Addiction Medicine (Preventive Medicine) Physician	$0	$4.1M
Southeast Eye Specialists PLLC	TN	Ophthalmology Physician	$0	$3.8M

Surgery Center Of Chattanooga LP — Billing Profile & Reimbursement Data

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Surgery Center Of Chattanooga LP — 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
64628	1	10	10	$7,140	$85.7K
27447	23	280	30	$1,440	$67.8K
27130	26	170	30	$1,480	$53.1K
25608	1	10	10	$3,190	$38.3K
29827	2	90	20	$1,110	$26.7K
64483	63	150	70	$190	$25.8K
64635	6	150	40	$360	$25.6K
29828	1	30	20	$1,130	$24.9K
28750	10	10	10	$1,540	$24.6K
29881	3	40	20	$770	$17K