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

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

Baptist Germantown Surgery Center, LLC (NPI 1396719563)

Field	Value
Entity Type	Organization
Organization	Baptist Germantown Surgery Center, LLC
Address	2100 Exeter Rd
City	Germantown
State	TN
ZIP	38138
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

BAPTIST GERMANTOWN SURGERY CENTER, LLC is primarily Medicare-facing with Total Medicare revenue of $3.4M and no Medicaid billing on file, making it effectively a single-payer (Medicare) operation in the available data. This concentration implies payer-mix risk is heavily weighted to Medicare reimbursement and utilization trends.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 62.3% of the provider’s total Medicare revenue, indicating that a few high-value procedures drive the majority of earnings. This dependence on a narrow set of services suggests the facility’s financial performance will be sensitive to volume or payment changes for those specific CPT codes.

The procedural mix points to a surgical specialty center with a strong orthopedics and spine pain practice: the top revenue-driving codes are 27447 (knee replacement), 27130 (hip replacement), and 64483 (lumbar transforaminal epidural injection). High average paid/claim values for 27447 ($6555) and 27130 ($6563) combined with large claim counts for 64483 (1.3K claims) indicate the center performs both high-acuity joint replacement surgery and high-volume spine injection services.

Competitive standing for major joint replacement codes is unusually strong nationally: 27447 ranks #128 of 12089 providers (99th percentile) and 27130 ranks #324 of 8062 providers (96th percentile), meaning the center is a meaningful national outlier and performs far above typical national volume for those arthroplasty procedures. These rankings imply the center is a regional destination for joint replacement within the ambulatory surgical clinic taxonomy.

For spine and pain procedures the center is also an outlier on volume: 64483 (transforaminal epidural injection) ranks #11 of 8202 providers (100th percentile) and 62321 ranks #23 of 4493 providers (100th percentile), described as extreme outliers or far above typical national volume. This combination of extreme-volume injection services alongside high-volume arthroplasty suggests a hybrid operational model—high-throughput pain interventions plus complex surgical cases.

Other high-cost implantable device procedures are present but at more typical volumes: 63650 (epidural electrode placement) and 63685 (spinal neurostimulator generator placement) together contribute materially ($225.3K and $194.8K respectively) but rank in mid-to-lower percentiles (#369/1371 and #1135/1281). These codes indicate the center provides advanced spine device therapy, but not at the same dominant scale as its joint arthroplasty and epidural injection services.

Tenure is long enough to establish market presence: the NPI was enumerated on 2006-02-15 (~20 years ago), supporting the interpretation that current high-volume patterns reflect an established service footprint rather than a new entrant. Longevity combined with high national ranks for several codes suggests sustained capacity and referral channels for both joint and spine care.

Service breadth beyond major drivers shows a diverse orthopedics and hand surgery mix—codes such as 64721 (carpal tunnel release), 29827 (arthroscopic rotator cuff repair), and several arthroscopic knee procedures (29881, 29880) all appear in the top 25 with notable percentiles. This indicates the center’s case mix includes upper-extremity and minimally invasive joint procedures in addition to arthroplasty and spine interventions, which could support bundled care arrangements or multi-specialty referral integration.

Medicare: Complete Services Breakdown

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…	180	$6,560	$1.2M
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…	90	$6,560	$584.1K
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).	1,300	$270	$348.6K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	70	$3,410	$225.3K
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	10	$17,710	$194.8K
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…	20	$6,580	$105.3K
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	$1,920	$101.8K
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…	280	$250	$69.8K
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…	120	$580	$68.3K
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)…	270	$230	$63.6K

Showing 1–10 of 33

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Baptist Germantown Surgery Center, LLC — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

33 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	33	40	20	$6,810	$170.2K
63650	13	40	50	$1,650	$123.8K
27447	5	280	30	$1,440	$67.8K
27446	9	10	30	$1,990	$55.8K
27130	11	170	30	$1,480	$53.1K
25609	3	10	10	$2,220	$33.3K
29827	9	90	20	$1,110	$26.7K
64483	1	150	70	$190	$25.8K
64635	16	150	40	$360	$25.6K
C9290	1	10	29,260	$1	$25.3K

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Baptist Germantown Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$44.3M
Campbell Clinic, PC	TN	Orthopaedic Surgery Physician	$0	$28M
The West Clinic P.C.	TN	Specialist	$0	$16M
Poplar Avenue Clinic PLLC	TN	Gynecologic Oncology Physician	$0	$9.7M
Diagnostic Ultrasound Consultants	TN	Diagnostic Radiology Physician	$0	$8.5M
Mid-south Imaging & Therapeutics, P.A.	TN	Diagnostic Radiology Physician	$0	$8.2M
David Portnoy	TN	Hematology & Oncology Physician	$6.5M	$0
Stephen Huddleston	TN	Retina Specialist (Ophthalmology) Physician	$5.7M	$0
Stern Cardiovascular Foundation, Inc	TN	Cardiovascular Disease Physician	$0	$4.7M
G I Diagnostic And Therapeutic Center LLC	TN	Endoscopy Clinic/Center	$4.2M	$8.6K

Baptist Germantown Surgery Center, LLC — Billing Profile & Reimbursement Data

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Baptist Germantown Surgery 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

Nearby Providers

Frequently Asked Questions

References