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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Fm Endoscopy Center LLC (NPI 1326144221)

Field	Value
Entity Type	Organization
Organization	Fm Endoscopy Center LLC
Address	350 23rd Ave East, Suite 201
City	West Fargo
State	ND
ZIP	58078
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

FM ENDOSCOPY CENTER LLC’s Medicare billing is narrowly concentrated in high-revenue surgical procedures, with the top 3 Medicare codes accounting for 63.8% of the provider’s total Medicare revenue. The highest single code is 66984 (cataract extraction with IOL insertion), which contributes $702.7K and represents 28.2% of Medicare revenue, indicating a strong focus on ophthalmic surgery within the practice mix.

The second and third largest Medicare revenue drivers are orthopedic joint replacement codes 27447 (knee replacement) at $529.9K (21.3% of Medicare revenue) and 27130 (hip replacement) at $353.9K (14.2% of Medicare revenue), suggesting the center performs a substantial volume of major joint arthroplasty in addition to eye procedures. This blend of high-revenue ophthalmic and orthopedic procedures points to a multi-specialty ambulatory surgical center model rather than a single-specialty clinic.

Medicare constitutes the provider’s only reported public payer activity: total Medicare revenue is $2.5M and there is no Medicaid billing on file. This effectively makes the provider a single-payer (Medicare) operation in public programs, which could concentrate payer risk and reimbursement exposure to Medicare policy and fee schedules.

Competitive standing by code is generally in the mid-to-high national percentiles but not dominant. For example, 66984 ranks #2054 of 15965 providers (87th percentile) and 27447 ranks #1422 of 12089 providers (88th percentile), characterizing the center as a well-above-average but not market-leading volume performer for those procedures nationally. Several other codes (e.g., J1097 rank #72 of 443, V2785 rank #45 of 231) place the provider solidly in higher percentiles for specific ancillary items and eye-tissue processing.

Tenure: the provider’s NPI was enumerated on 2006-09-16 (approximately 20 years ago), indicating long-standing Medicare enrollment. This longevity supports the interpretation that the observed specialty mix and revenue concentrations are established programmatic patterns rather than recent shifts.

Most reported codes are described as “typical, unremarkable volume” for their national peer groups despite occupying relatively high percentiles, which implies FM ENDOSCOPY CENTER LLC operates at expected case mixes for an ambulatory surgical center performing cataract, joint replacement, and related procedures. A few shoulder arthroscopy codes (e.g., 29827 ranks in the 62nd percentile) and certain glaucoma procedures (e.g., 66174 at the 30th percentile) show more modest activity relative to peers, consistent with a primary focus on cataract and joint arthroplasty.

Procedure-ancillary mix: substantial revenue from J1097 ($277.9K, 11.2% of Medicare revenue) and V2785 ($161.6K, 6.5%) indicates meaningful billing for ophthalmic irrigation/medication and corneal tissue processing alongside surgical cases, reinforcing that the center supports both the consumables and tissue services needed for eye surgery workflows. These ancillary revenue streams are concentrated and rank in the higher percentiles among peers, highlighting operational specialization in ophthalmology support services.

There are no Medicaid codes or revenue to assess competitive standing in-state, which means the provider’s market influence and financial profile within Medicaid cannot be evaluated from these records. The absence of Medicaid activity should be interpreted as either nonparticipation in Medicaid or a lack of reported Medicaid billing, leaving Medicare as the primary public dataset for payer/provider analysts to evaluate this entity.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	930	$760	$702.7K
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…	80	$6,460	$529.9K
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…	50	$6,550	$353.9K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	3,660	$80	$277.9K
V2785	Processing, preserving and transporting corneal tissue	40	$4,040	$161.6K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	60	$2,290	$144.3K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	110	$760	$82.8K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	40	$1,360	$53K
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…	20	$2,200	$46.1K
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…	30	$980	$28.3K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Fm Endoscopy Center LLC — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	3	10	3,660	$80	$272.3K
V2785	1	10	30	$3,860	$100.4K
66984	4	100	50	$350	$61.2K
66991	1	10	30	$1,320	$50.1K
27447	6	60	40	$1,110	$47.9K
27130	7	40	30	$970	$35K
65756	2	10	30	$1,130	$34K
65820	5	10	20	$1,020	$30.7K
66982	3	20	40	$590	$29.4K
15823	7	10	30	$480	$27.2K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fm Endoscopy Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Johnson	ND	Orthopaedic Surgery Physician	$71.3K	$0

Nearby Providers

Other providers in the same ZIP code as Fm Endoscopy Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
North Dakota Autism Center, Inc	ND	Community/Behavioral Health Agency	$0	$5.7M
West Fargo Public School District 6	ND	Home Health Registered Nurse	$0	$2.6M
Michael Greenwood	ND	Ophthalmology Physician	$530.7K	$0
Innovis Health, LLC	ND	Multi-Specialty Clinic/Center	$0	$235K
Alex Wohl	ND	Physical Therapist	$222.1K	$0
Optimal Chiropractic PLLC	ND	Chiropractor	$0	$221K
Kci Usa, Inc.	ND	Durable Medical Equipment & Medical Supplies	$0	$185.9K
Innovis Health LLC	ND	Family Medicine Physician	$0	$157.3K
Matthew Friederichs	ND	Sports Medicine (Orthopaedic Surgery) Physician	$126K	$0

Fm Endoscopy Center LLC — Billing Profile & Reimbursement Data

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Fm Endoscopy Center 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

Related Providers

Nearby Providers

Frequently Asked Questions

References