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NPI 1437110293 · Little Rock, AR · Ambulatory Surgical Clinic/Center
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St. Vincent-arkansas Orthopaedic Surgery Center LLC is a ambulatory surgical clinic/center provider located in Little Rock, Arkansas. This profile covers 29 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | St. Vincent-arkansas Orthopaedic Surgery Center LLC |
| Address | 6119 Midtown Ave |
| City | Little Rock |
| State | AR |
| ZIP | 72205 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $54.1K |
Business profile and service lines: The provider is an ambulatory surgical clinic/center whose Medicare code mix is dominated by major joint arthroplasty and high-volume hand/upper-extremity surgery. The two largest Medicare revenue drivers are hip replacement 27130 (49 claims, $6883 avg paid/claim) and knee replacement 27447 (48 claims, $6624 avg paid/claim), while hand procedures such as carpal tunnel release 64721 (187 claims, $536 avg paid/claim) and multiple tendon/wrist codes (26480, 25210, 25447) appear repeatedly in the top CPT list, indicating a dual focus on large-joint arthroplasty and concentrated hand/wrist surgical services.
Medicare revenue concentration: This provider’s Medicare revenue is heavily concentrated in a very small set of procedures — the top 3 Medicare codes account for 53.2% of total Medicare revenue. Those top three codes are 27130 (23.7%), 27447 (22.4%), and 64721 (7.1%), showing that hip, knee, and carpal tunnel procedures together drive more than half of Medicare receipts.
Medicaid revenue concentration: Medicaid billing is almost entirely concentrated in two pain-management/injection codes: transforaminal epidural injection 64483 and paravertebral facet injection 64493. The top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with 64483 alone representing $50.2K (92.9% of Medicaid revenue) and 64493 $3.8K (7.1%).
Payer mix and scale: The provider’s Medicare business is far larger than its Medicaid footprint, with total Medicare revenue of $1.4M versus total Medicaid revenue of $54.1K. Medicare is the dominant payer by scale for this entity, while Medicaid represents a small share of lifetime public-payer revenue.
Competitive standing — Medicare: The practice shows a mixed competitive position across procedure groups. For major arthroplasty the provider posts typical, unremarkable national volumes (27130 at the 80th percentile and 27447 at the 70th percentile), but for several hand/wrist procedures it is a national outlier (64721 at the 99th percentile labeled “extreme outlier,” 26480 and 25447 also at the 99th percentile and described as “extreme outlier”), indicating outsized national volume in hand surgery relative to peers.
Competitive standing — Medicaid and in-state: On Medicaid, 64483 ranks #3 of 19 in-state (89th percentile) and is the dominant Medicaid revenue source, so the facility is a notable state-level provider of transforaminal epidural injections but shows limited Medicaid procedure diversity beyond that code. The companion facet code 64493 ranks much lower in-state (39 of 43, 10th percentile), indicating modest in-state competition or low volume for that specific service.
Tenure and likely referral network: The provider’s NPI was enumerated on 2006-03-31 (~20 years ago), indicating an established practice presence. That longevity, combined with concentrated high-volume hand/wrist and arthroplasty billing patterns, suggests an established referral base and a specialized procedural mix developed over a long operating history.
Billing and coding notes from Medicaid entries: Several Medicaid line items in the file show $0 avg paid/claim (for example 99152, G8907, L8699, G8918), while the revenue-driving Medicaid entries are focused on injection procedures. This pattern suggests some billed codes represent administrative or non-paid items in the state dataset, whereas paid Medicaid activity is tightly focused on procedure codes 64483 and 64493.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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 | $6,880 | $337.3K |
| 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… | 50 | $6,620 | $318K |
| 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… | 190 | $540 | $100.2K |
| 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… | 40 | $1,510 | $58.8K |
| 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… | 70 | $860 | $58.1K |
| 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 | $2,900 | $49.2K |
| 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 | $3,200 | $48K |
| 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… | 120 | $370 | $44.8K |
| 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 | $970 | $43.4K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 10 | $3,050 | $42.7K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 350 | $150 | $50.2K |
| 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… | 30 | $150 | $3.8K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 290 | $0 | $0 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 150 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
| L8699 | Prosthetic implant, not otherwise specified | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 39 | 40 | 190 | $120 | $138.6K |
| 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). | 3 | 20 | 80 | $120 | $29.1K |
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 29 | 70 | 230 | $10 | $7.6K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 26 | 30 | 40 | $1 | $30 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 11 | 30 | 50 | $1 | $20 |
| L8699 | Prosthetic implant, not otherwise specified | 1 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as St. Vincent-arkansas Orthopaedic Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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