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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Aaa Surgery Center, LLC (NPI 1437442985)

Field	Value
Entity Type	Organization
Organization	Aaa Surgery Center, LLC
Address	1100 Route 70 West
City	Whiting
State	NJ
ZIP	08759
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 17, 2011

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

This facility reports Total Medicare revenue of $3M and has no Medicaid billing on file, making its billing effectively single‑payer Medicare at present. The absence of any Medicaid line items means state Medicaid exposure and revenue are minimal or nil for analysts evaluating payer mix and contracting risk in New Jersey.

Revenue is highly concentrated: the precomputed top 3 Medicare codes (63685, 63650, 27279) together account for 75.0% of this provider's total Medicare revenue. Individually those codes represent 30.6% (63685), 26.5% (63650), and 17.9% (27279) of Medicare revenue, so a small set of high‑value services drive the majority of reported receipts.

The CPT mix points to a spine‑ and interventional pain–oriented ambulatory surgical operation: 63685 and 63650 reflect spinal neurostimulator implantation/electrode placement services, 27279 indicates sacroiliac (SI) joint fusion procedures, and multiple injection and neurolytic codes (for example, 64635, 64483, 64633) show a robust interventional pain portfolio. This combination of implantable device work and image‑guided injections is consistent with an ASC focused on device‑driven spine interventions and advanced pain management.

Competitive standing is mixed by code: 27279 ranks #4 of 161 providers nationally (98th percentile) and is described as notably above typical national volume, marking this provider as a major national performer for SI joint fusion. 63650 ranks #25 of 1371 (98th percentile) and is also labeled notably above typical national volume, indicating unusually high national activity for epidural electrode placement; by contrast, 63685 ranks #77 of 1281 (94th percentile) but is described as typical, unremarkable volume for that code, so leadership is concentrated in select procedures rather than across the board.

Several additional codes reinforce the interventional pain/surgical profile and contribute meaningful secondary revenue: 0275T accounts for $236.6K (8.0% of Medicare revenue) and 64635 contributes $114.1K (3.8% of Medicare revenue) where 64635 is ranked #137 of 5957 providers nationally (98th percentile) and labeled notably above typical national volume. These secondary high‑percentile codes suggest sustained throughput for image‑guided ablation and related services beyond the top three implants/fusions.

From an operational and contracting perspective, dependence on a few high‑value implant and fusion codes (notably 63685, 63650, 27279) means payer negotiations and device reimbursement policies will disproportionately affect this provider's revenue. Because the top three codes represent 75.0% of Medicare revenue, payers or competitors targeting reimbursement or utilization review for these categories could materially shift the center's revenue profile.

The provider has an established tenure in the Medicare program, with NPI enumeration dated 2011-05-17 (~15 years ago), indicating a long operational history that supports observed sustained volumes in its specialty services. Longevity combined with high national ranks on specific codes suggests this ASC has developed concentrated clinical capability and referral patterns in spine and pain procedures.

Given the complete absence of Medicaid billing on file, analysts should treat this entity as effectively single‑payer Medicare for current utilization modeling and consider limited Medicaid access when assessing network adequacy or community coverage; any future expansion into Medicaid would represent a structural shift in payer mix rather than an extension of an existing billing relationship.

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
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…	50	$19,790	$910.2K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	200	$3,970	$789K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	40	$14,000	$532K
0275T	N/A	60	$3,940	$236.6K
22869	Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous…	20	$8,970	$134.5K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	220	$530	$114.1K
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).	170	$290	$49.1K
64633	In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	90	$560	$47.8K
63688	The provider revises or removes a spinal neurostimulator pulse generator or receiver. The system is one that has a detachable connection between the electrode array and the pulse generator or…	20	$1,400	$32.2K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	110	$220	$23.4K

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. New Jersey Distribution

Aaa Surgery Center, LLC — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	1	20	20	$9,070	$190.6K
27279	1	10	20	$7,710	$185K
63650	1	30	40	$2,210	$125.7K
0275T	4	40	20	$2,600	$75.5K
22869	1	10	10	$4,950	$69.4K
64483	50	330	60	$230	$20.3K
64635	1	180	30	$440	$18.2K
63688	1	10	20	$990	$17.8K
64493	77	270	50	$210	$12.6K
64633	2	40	20	$450	$11.7K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
21 Plus, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$48.1M
Manchester Pediatric Medical Day Care	NJ	Medically Fragile Infants and Children Day Care	$0	$8M
Manchester Township	NJ	Land Ambulance	$1.7M	$388K
Karambir Dalal	NJ	Geriatric Medicine (Internal Medicine) Physician	$2.1M	$0
Dharam Mann	NJ	Specialist	$1M	$0
Samir Jani	NJ	Pain Medicine (Anesthesiology) Physician	$819.5K	$0
Monette Tresvalles	NJ	Internal Medicine Physician	$491.2K	$0
Scott Amoss	NJ	Podiatrist	$409.9K	$0
Kimberly Griffiths	NJ	Physical Therapist	$363.7K	$0
Manjula Singh	NJ	Pain Medicine (Anesthesiology) Physician	$272.7K	$0

Aaa Surgery Center, LLC — Billing Profile & Reimbursement Data

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Aaa 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