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

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

E-asc LLC (NPI 1346988870)

Key Findings

Field	Value
Entity Type	Organization
Organization	E-asc LLC
Address	3155 Glendale Milford Rd
City	Cincinnati
State	OH
ZIP	45241
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 24, 2022

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Payer mix is effectively single-payer Medicare: the facility reports Total Medicare revenue of $2M and has no Medicaid billing on file. This makes Medicare the sole documented public payer exposure and indicates the provider does not appear in Medicaid claims datasets for Ohio.

Revenue is highly concentrated in a small set of procedures — the precomputed top 3 Medicare codes by revenue account for 74.2% of this provider's total Medicare revenue. Those top codes are 27447 ($1M, 51.2% of Medicare revenue), 27130 ($337.5K, 17.0%), and 64721 ($119.2K, 6.0%), so a majority of dollars flow from knee and hip arthroplasty plus median nerve surgery.

The code mix and descriptions identify E-ASC LLC as a focused orthopedic/hand ambulatory surgical center: 27447 and 27130 are major joint arthroplasty procedures (total knee and total hip replacement), while 64721 and 26055 reflect high-volume hand surgery (carpal tunnel release and trigger finger release). This combination suggests the ASC performs both higher-acuity joint replacements and a high throughput of soft-tissue hand procedures.

E-ASC is a national high-volume provider for total knee replacement: 27447 generated $1M in revenue with 149 claims and an average paid/claim of $6825, and the provider ranks #269 of 12089 nationally (98th percentile) — described in the source as "notably above typical national volume for this code." This ranking positions the site as a major Medicare participant for ambulatory knee arthroplasty relative to peers.

The practice is an extreme outlier for common hand procedures: 64721 has 207 claims and $119.2K revenue ($576 avg paid/claim) and ranks #12 of 3206 providers nationally (100th percentile, "extreme outlier"), while 26055 has 208 claims and $93.6K revenue and ranks #14 of 2946 providers nationally (100th percentile, "extreme outlier"). Those ranks indicate unusually high procedural volume in carpal tunnel and trigger finger care compared with national peers.

Beyond the top arthroplasty and hand codes, the provider bills a range of shoulder and knee arthroscopy and fracture-repair codes (examples: 29827 $86.5K, 29881 $49.7K, 25609 $70.1K). Several of these codes show elevated positions versus peers (29881 ranks #31 of 1125, 97th percentile) which supports that the ASC’s operations include a broader orthopedic service line beyond arthroplasty and hand surgery.

Operational tenure is relatively short but shows rapid revenue generation: NPI enumerated on 2022-05-24 (~4 years ago) and the provider has already reported $2M in Medicare revenue with concentrated, high-volume code activity. That combination suggests a recently established ASC that has quickly scaled specific orthopedic procedures.

Concentration of revenue and lack of Medicaid activity create both market leverage and payer-concentration exposure: heavy reliance on the three codes that make up 74.2% of Medicare revenue means changes in Medicare orthopedics policy or reimbursement for 27447/27130/64721 would materially affect this site. At the same time, the facility’s high national ranks for several codes could strengthen referral positioning and payer negotiation for those specific service lines.

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
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…	150	$6,830	$1M
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	$7,180	$337.5K
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…	210	$580	$119.2K
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…	210	$450	$93.6K
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…	50	$1,840	$86.5K
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	$3,340	$70.1K
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…	50	$1,040	$49.7K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	20	$2,570	$46.3K
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	$1,070	$36.3K
26480	In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…	30	$930	$28.9K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Decoach Team LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$73.5K	$48.2M
Pediatric Products, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$30.2M
Rehab Medical Of Cincinnati, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$9M
Queen City Med Mart LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$7.8M
Cornerstone Medical Services- Midwest, LLC	OH	Oxygen Equipment & Supplies (DME)	$0	$7.3M
Mlk Associates, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Amadyss Healthcare And Training Services	OH	Home Health Agency	$0	$6.9M
Beacon Orthopaedics Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$4.5M	$0
Harold Pretorius	OH	Nuclear Medicine Physician	$162.4K	$260.3K
Michael Swank	OH	Orthopaedic Surgery Physician	$343.1K	$0

E-asc LLC — Billing Profile & Reimbursement Data

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E-asc 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
27447	9	540	30	$1,280	$52.4K
27130	65	340	20	$1,250	$38.8K
25609	3	10	10	$1,930	$32.9K
29827	5	120	20	$950	$19K
23430	11	20	20	$670	$14.8K
64721	1	130	30	$400	$13.9K
29881	3	40	20	$680	$13.5K
26123	1	10	10	$960	$13.5K
29880	2	30	20	$770	$13.1K
26480	1	20	20	$690	$11K