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NPI 1285746263 · Peabody, MA · Ambulatory Surgical Clinic/Center
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Orthopedics Surgical Center Of The North Shore LLC is a ambulatory surgical clinic/center provider located in Peabody, Massachusetts. This profile covers 33 Medicare and 9 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 | Orthopedics Surgical Center Of The North Shore LLC |
| Address | One Orthopedics Drive |
| City | Peabody |
| State | MA |
| ZIP | 01960 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $285.4K |
The provider’s procedure mix shows a dual focus on spine pain interventions and outpatient musculoskeletal surgery: high-volume, image-guided spinal procedures (codes 64635, 64493, 64483, 62323) dominate the billing mix alongside orthopaedic joint and soft-tissue procedures such as 27447 (knee replacement) and shoulder arthroscopies 29828 and 29827. This combination of codes is consistent with an ambulatory surgical clinic that performs both interventional pain procedures and same-day orthopaedic surgery.
Revenue concentration on Medicare is meaningful: the precomputed top 3 Medicare codes (including 27447, 64635, and 64493) account for 38.1% of the provider’s total Medicare revenue. That level of concentration signals reliance on a handful of high-revenue services to drive roughly two-fifths of Medicare receipts.
Medicaid activity is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes (64493, 62323, 64483) account for 92.9% of the provider’s total Medicaid revenue. In particular, 64493 alone is 51.3% of Medicaid revenue, indicating Medicaid billing is overwhelmingly for lumbar/sacral facet-level injections.
The provider’s Medicare revenue scale ($1.6M) substantially exceeds its Medicaid revenue ($285.4K), indicating Medicare is the primary payer relationship by dollars. Both payers are represented in the dataset, but the facility’s overall commercial exposure and self-pay mix are not shown here.
On competitive standing for Medicare-coded services, the practice is a national outlier for specific interventional pain codes: 64635 ranks #46 of 5957 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 64493 ranks #70 of 7519 (99th percentile; extreme outlier, far above typical national volume for this code). These ranks imply the center is a major national-volume provider for certain image-guided neurolytic and facet procedures, even while other high-dollar orthopaedic codes like 27447 sit in a more typical national position (58th percentile).
Within the state Medicaid market, the provider is a leading deliverer of one key service: 64493 ranks #4 of 52 providers in-state (94th percentile; notably above typical state volume for this code), showing a prominent in-state role for facet injection services for Medicaid beneficiaries. Other Medicaid spine injection codes (62323, 64483) show moderate in-state standing (71st and 64th percentiles respectively), supporting that dominance is concentrated in a single procedure.
The billing mix includes some implantable-device or more complex procedures at modest volumes: 63650 (epidural electrode placement) generated $75.6K in Medicare revenue but ranks #1343 of 1371 providers nationally (1th percentile; typical, unremarkable volume for this code), suggesting limited volume and national footprint for device-based spinal interventions despite notable revenue per claim. At the same time, several shoulder and hand surgery codes (29828, 29827, 64721) appear at high national percentiles, indicating stronger relative volume for arthroscopic and peripheral nerve procedures.
The provider’s NPI enumeration date is 2006-08-31 (~20 years ago), indicating long-tenure operation as an ambulatory surgical clinic/center. Combined with the concentrated payer-code mix and national outlier status on specific pain procedures, the tenure supports a picture of an established outpatient surgical center that has developed a repeatable procedural portfolio focused on interventional spine care and outpatient orthopaedics.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
33 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… | 40 | $7,550 | $279.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 340 | $520 | $179.4K |
| 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… | 480 | $270 | $130.7K |
| 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… | 50 | $2,490 | $111.9K |
| 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… | 70 | $1,610 | $107.7K |
| 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). | 300 | $310 | $93.9K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 20 | $3,980 | $75.6K |
| 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… | 20 | $3,580 | $64.4K |
| 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… | 100 | $630 | $61.3K |
| 26145 | The provider surgically removes the synovial membrane from the finger or palm flexor tendon sheath in a procedure called tenosynovectomy. He commonly performs this procedure in patients with finger… | 150 | $380 | $58.1K |
Showing 1–10 of 33
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
33 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63650 | 13 | 10 | 40 | $1,690 | $74.5K |
| 27447 | 115 | 280 | 30 | $810 | $35.7K |
| 25609 | 7 | 10 | 20 | $1,410 | $26.7K |
| 45385 | 297 | 460 | 60 | $260 | $23.8K |
| G0260 | 2 | 10 | 50 | $220 | $23.3K |
| 26145 | 2 | 10 | 40 | $330 | $23K |
| 29827 | 2 | 80 | 20 | $930 | $21.4K |
| 64721 | 5 | 80 | 30 | $400 | $18K |
| 29848 | 20 | 40 | 30 | $430 | $17.3K |
| 64635 | 1 | 110 | 30 | $350 | $16.5K |
Showing 1–10 of 33
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,300 | $110 | $146.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 570 | $130 | $76.1K |
| 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). | 370 | $120 | $42.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 40 | $280 | $12.3K |
| 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… | 10 | $350 | $4.5K |
| 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… | 10 | $260 | $3.4K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 1,300 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 40 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1,050 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 87 | 100 | 260 | $550 | $524.4K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 26 | 90 | 170 | $260 | $193.6K |
| 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… | 9 | 10 | 100 | $550 | $107.4K |
| 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). | 17 | 50 | 100 | $230 | $106.5K |
| 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… | 4 | 50 | 240 | $260 | $105.9K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 13 | 20 | 60 | $180 | $26.5K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 9 | 40 | 350 | $1 | $560 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 6 | 20 | 390 | $1 | $160 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 2 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Orthopedics Surgical Center Of The North Shore LLC, ranked by combined Medicare and Medicaid revenue.
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