Red River Surgery Center LLC — Billing Profile & Reimbursement Data

RED RIVER SURGERY CENTER LLC reports $1.2M in lifetime Medicare revenue and $0 in Medicaid revenue, indicating an effectively single-payer footprint concentrated in Medicare. The absence of Medicaid billing suggests the center either does not participate in Medicaid, does not serve a Medicaid patient population, or bills those services outside the scope captured here, making Medicare the primary commercial/payer relationship to evaluate for competitive and service-line analysis.

Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 48.1% of total Medicare revenue. This indicates that roughly half of the center’s Medicare income depends on a small set of procedures, which increases sensitivity to changes in reimbursement, referral patterns, or competition for those specific services.

Procedure mix and service-line implications point to a mixed ambulatory surgical practice with strong ophthalmology, orthopedics, and arthroscopy volumes. The single largest revenue code is 66984 (cataract extraction with intraocular lens insertion) generating $289.5K (24.0% of Medicare revenue), complemented by high-revenue joint replacement and arthroscopic shoulder procedures (27447 at $206.5K and 29827 at $83.7K). Together these codes suggest the center operates as a multi-specialty ambulatory surgical center handling ophthalmic cataract surgery, orthopedic joint procedures, and arthroscopic repairs.

Competitive standing by code is nuanced: for cataract surgery 66984 the center ranks #3501 of 15965 (78th percentile), which places it above typical national volume but not among the largest cataract centers; for total knee replacement 27447 it sits near the median nationally (#5948 of 12089, 49th percentile), indicating unremarkable knee replacement volume; and for arthroscopic rotator cuff repair 29827 it ranks #176 of 3445 (95th percentile), a notably above-typical national volume that marks a relative specialty strength in shoulder arthroscopy.

Several other injection and pain-management codes show sizable claim counts but modest per-claim payments, e.g., 64483 (185 claims, $54.2K revenue) and 62323 (163 claims, $38.6K revenue). Those procedures rank in the higher national percentiles (85th and 87th respectively), indicating the center also performs a substantial number of epidural/transforaminal and spinal injection services relative to peers, pointing to a meaningful interventional pain or spine-focused service line alongside surgical specialties.

Service-level concentration carries operational implications: with nearly half of Medicare revenue driven by the top three codes and the largest single code (66984) representing 24.0% of Medicare revenue, referral relationships for ophthalmology and orthopedics are likely critical to the center’s throughput and financial stability. Any local changes in ophthalmology or orthopedic surgeon affiliations, or shifts in Medicare reimbursement for those codes, would disproportionately affect overall revenue.

Tenure and market presence are established: the NPI was enumerated on 2009-10-19 (~17 years ago), indicating long-standing participation in Medicare and likely sustained relationships with referring clinicians and payers. This longevity supports the idea that observed code mix reflects stabilized service lines rather than a transient or newly pivoted practice.

Code-level statistical notes: several codes are characterized as notably above typical national volume (29827 at the 95th percentile) or in high percentiles for frequency (66821, 64483, 62323, 64493 all around the 80–91st percentiles), which confirms pockets of above-average activity relative to national peers. Conversely, certain high-revenue codes such as 27130 (hip replacement) rank in the 4th percentile nationally, indicating the center performs very few of those procedures compared with most providers, so the presence of some high-paid but low-volume joint replacement codes appears selective rather than programmatic.