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

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

Surgi-care Inc (NPI 1306836465)

Field	Value
Entity Type	Organization
Organization	Surgi-care Inc
Address	3 Federal St Ste 110
City	Billerica
State	MA
ZIP	01821
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	October 28, 2005

Payer Source	Total Paid
Medicaid	$18.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	34,660	$200	$7M
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	3,620	$420	$1.5M
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	20,160	$70	$1.5M
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	34,230	$40	$1.5M
L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	22,900	$60	$1.5M
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	12,740	$90	$1.1M
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	41,320	$30	$1.1M
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific…	9,250	$80	$749.6K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	12,680	$50	$595.8K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	7,810	$50	$390.4K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

Claims Volume vs. Massachusetts Distribution

Surgi-care Inc — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	1	10	3,620	$420	$1.5M
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	1	10	120	$200	$683.4K
L3660	Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf	1	10	2,050	$70	$440.9K
L3984	Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment	1	10	1,140	$230	$256.3K
L4350	Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf	1	10	500	$60	$220.3K
L1852	Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus…	1	10	450	$420	$186K
L3809	Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type	1	10	50	$80	$171.1K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	1	10	340	$30	$127.6K
L2112	Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment	1	10	550	$220	$119.1K
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	1	10	380	$50	$116.7K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Surgi-care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Surgi-care, Inc	ME	Prosthetic/Orthotic Supplier	$0	$5.6M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Surgicare Inc	ME	Prosthetic/Orthotic Supplier	$0	$3.5M
Surgi-care Inc	VT	Prosthetic/Orthotic Supplier	$0	$1.7M
Surgi-care Inc	NH	Prosthetic/Orthotic Supplier	$0	$397.4K

Nearby Providers

Other providers in the same ZIP code as Surgi-care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Town Of Billerica	MA	Land Ambulance	$482.8K	$916.3K

Surgi-care Inc — Billing Profile & Reimbursement Data

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Surgi-care Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References