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

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

Osi, LLC (NPI 1255746087)

Key Findings

Field	Value
Entity Type	Organization
Organization	Osi, LLC
Address	1349 S Rochester Rd
City	Rochester Hills
State	MI
ZIP	48307
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 1, 2014

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

OSI, LLC reports $1.8M in lifetime Medicare revenue with no Medicaid billing on file, making it effectively a single-payer (Medicare) outpatient surgical operator rather than a mixed Medicaid/Medicare facility. The absence of Medicaid activity means payer exposure and growth risk are concentrated in Medicare reimbursement and patient flow.

Revenue is highly concentrated in three arthroplasty codes: 27447 ($688.6K, 39.0%), 27446 ($448.2K, 25.4%) and 27130 ($411K, 23.3%), and the precomputed metric confirms these top three codes account for 87.6% of the provider's total Medicare revenue. This level of concentration indicates that a small set of major joint procedures drive the vast majority of billed Medicare dollars.

The provider’s code mix and highest-revenue procedures (27447, 27446, 27130) indicate a core service line of major lower-extremity orthopedics—specifically knee and hip arthroplasty—performed in an ambulatory surgical clinic/center setting. Supporting services visible in the Medicare portfolio, including shoulder arthroscopy (29827, 29823, 29881) and hand procedures (64721, 26055, 26040), show an adjunct upper-extremity and outpatient procedure capability rather than a broad multi-specialty mix.

Competitive standing varies by procedure: OSI ranks notably high on partial knee reconstruction with 27446 at rank #18 of 450 (96th percentile; notably above typical national volume), while its total knee replacement 27447 sits at rank #872 of 12089 (93th percentile; typical, unremarkable volume) and hip replacement 27130 is #1067 of 8062 (86th percentile; typical, unremarkable volume). This pattern suggests the clinic is a national-level outlier for select knee procedures but otherwise a modest participant for major joint codes.

Operational throughput for the top revenue drivers is moderate in claim count but high in per-claim reimbursement: 27447 shows 102 claims at $6751 avg paid/claim, 27446 has 68 claims at $6591 avg paid/claim, and 27130 has 59 claims at $6966 avg paid/claim. These unit economics are consistent with high-acuity, implant-based procedures that generate substantial revenue per case even at modest claim volumes.

Upper-extremity and outpatient hand/nerve procedures contribute a small share of Medicare revenue but display pockets of elevated relative volume: 64721 generated $57.1K (3.2%) across 90 claims and ranks #200 of 3206 (94th percentile; notably above typical national volume), while other hand and shoulder codes (26055, 29827, 29881) appear at lower revenue shares consistent with adjunct service lines. This suggests the facility supplements its arthroplasty-focused business with specialty hand and arthroscopic services that may capture additional referral streams.

The NPI was enumerated on 2014-07-01 (~12 years ago), indicating an established presence in the market with multiple years of Medicare billing history to evaluate trends and stability. Longevity combined with concentrated arthroplasty revenue implies an entrenched, specialized ambulatory surgical operation rather than a newly emergent clinic.

Because 87.6% of Medicare revenue is tied to three major joint codes, the provider is exposed to demand or policy shifts affecting arthroplasty reimbursements and referrals; any decline in those specific procedure volumes or changes in coverage/pricing could materially affect total facility revenue. Analysts and payers should prioritize monitoring volumes and authorization patterns for 27447, 27446, and 27130 when assessing financial risk and contracting leverage.

Medicare: Complete Services Breakdown

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

10 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…	100	$6,750	$688.6K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	70	$6,590	$448.2K
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	$6,970	$411K
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…	40	$2,040	$79.7K
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…	90	$630	$57.1K
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…	30	$960	$27K
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…	60	$430	$26K
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…	20	$540	$11.3K
26040	The provider incises the palmar fascia, which is connective tissue under the skin in the palm of the hand. The procedure treats Dupuytren's contracture, a condition which causes the tissues of the…	20	$560	$10K
26160	In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.	20	$510	$8.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Rochester Hospital	MI	General Acute Care Hospital	$0	$12M
Pediatric Consultants Of Troy, P.C.	MI	Pediatrics Physician	$0	$6.1M
Rochester Endoscopy & Surgery Center, L.L.C.	MI	Ambulatory Surgical Clinic/Center	$1.2M	$1.4K
Ayad Abrou	MI	MOHS-Micrographic Surgery Physician	$1.1M	$0
David Byrd	MI	MOHS-Micrographic Surgery Physician	$829.3K	$0
Delfin Santos	MI	Rheumatology Physician	$743K	$0
Zakwan Mahjoub	MI	Interventional Cardiology Physician	$687K	$0
Mukesh Shah	MI	Hematology & Oncology Physician	$619.3K	$0
Farah Dawood-farah	MI	Endocrinology, Diabetes & Metabolism Physician	$533.3K	$0
Julie Byrd	MI	Dermatology Physician	$485.5K	$0

Osi, 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
27446	2	20	20	$2,460	$61.4K
27447	9	360	30	$1,470	$50.1K
27130	20	240	20	$1,410	$40.8K
29827	6	80	20	$1,040	$24.9K
29881	5	20	20	$920	$16.5K
64721	3	100	20	$410	$12.4K
26055	6	80	20	$310	$9.4K
26040	1	10	20	$400	$7.3K
26160	3	10	20	$340	$5.5K
29823	17	40	20	$210	$5K