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    OpenPayerNPI Medicare & MedicaidColumbus Orthopedic Outpatient
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    Columbus Orthopedic Outpatient — Billing Profile & Reimbursement Data

    NPI 1447271713 · Columbus, MS · Ambulatory Surgical Clinic/Center

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    Columbus Orthopedic Outpatient is a ambulatory surgical clinic/center provider located in Columbus, Mississippi. This profile covers 30 Medicare and 10 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)

    FieldValue
    Entity TypeOrganization
    OrganizationColumbus Orthopedic Outpatient
    Address640 Leigh Dr
    CityColumbus
    StateMS
    ZIP39705
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 22, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$158K

    Key Findings

    COLUMBUS ORTHOPEDIC OUTPATIENT presents as an ambulatory surgical clinic that bills a mix of major implant procedures and high-volume interventional pain services. Its top Medicare revenue drivers are surgical and implant codes — 27447 ($496.6K), 63685 ($350.1K) and 27279 ($288.5K) — and the provider’s precomputed top-3 Medicare codes account for 45.2% of its total Medicare revenue, indicating the business is anchored by a relatively small set of high-revenue procedures.

    The facility’s Medicare revenue ($2.5M) dwarfs its Medicaid revenue ($158K), so the provider is effectively Medicare-dominant in scale; analysts should treat Medicaid as a much smaller share of overall volume while recognizing it still covers some of the same service mix.

    While major joint and implant procedures drive the largest dollars on Medicare, the clinic also reports very high volumes of image-guided injections and pain interventions: 64483 (778 claims, $192.9K) and 64493 (411 claims, $93.7K) both rank at the 99th percentile nationally, labeled as extreme outliers or notably above typical volume, which signals a substantial interventional pain practice alongside surgical work.

    Competitive standing is mixed by service line: for large reconstructive and implant codes the provider is a modest national participant (for example 27447 ranks #1453 of 12089, 88th percentile; 63685 ranks #422 of 1281, 64th percentile), but for multiple injection and pain codes it is a clear high-volume outlier (64483 rank #61 of 8202, 99th percentile; 64479 rank #8 of 710, 99th percentile), suggesting local strength in pain management services.

    Medicaid billing is highly concentrated: the top three Medicaid codes (62323, 64483, 64493) account for 95.3% of the provider’s total Medicaid revenue, with 62323 alone representing $107.2K and 68.0% of Medicaid revenue. This indicates the provider’s state-facing business largely replicates its Medicare pattern on injections and spine-related injections rather than high-dollar implants.

    Several Medicaid-listed codes appear with high claim counts but $0 reported payments (for example G8917, G8916, G8918 and 64494 show $0 revenue despite being reported), so reviewers should be aware that some submitted items in the Medicaid feed are administrative/quality or non–paid line items and not contributors to revenue.

    The mix of codes — high-revenue implants and neurostimulator procedures (63685, 63655, 63650) together with many percutaneous injections and ablation codes (64483, 64493, 64624, 64625) — implies the facility operates as a hybrid orthopedic and interventional-spine center, providing both surgical implant cases and frequent outpatient pain interventions.

    The provider has an established presence: its NPI was enumerated on 2006-07-22 (~20 years ago), indicating long tenure in the market; combined with the concentrated Medicare revenue base and extreme local volumes in injection codes, this suggests a sustained, specialty-oriented outpatient surgery and pain practice rather than a new entrant.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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…80$6,130$496.6K
    63685The 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…20$16,670$350.1K
    27279The 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…30$11,540$288.5K
    63655In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…20$12,110$205.9K
    27130In 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…30$6,350$203.2K
    64483This 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).780$250$192.9K
    64493The 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…410$230$93.7K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.30$3,200$80K
    23430In 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.…30$2,780$75K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography330$190$61.8K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685122030$7,940$277.9K
    6365551030$4,740$170.6K
    27447289050$2,160$164.5K
    63650172080$1,890$160.4K
    2727921030$5,110$153.3K
    27130317030$2,070$87.1K
    64483670110$180$36.7K
    29827155020$1,020$33.6K
    64635267060$340$31.3K
    2343051020$990$28.6K

    Showing 1–10 of 30

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    62323The 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)…1,190$90$107.2K
    64483This 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).300$110$31.8K
    64493The 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…160$70$11.1K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…30$100$3.2K
    G8907Patient 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…2,920$1$2.9K
    64451The provider injects an anesthetic and/or a steroid under imaging guidance into the nerves supplying the sacroiliac joint to diagnose and/or treat sacroiliac joint pain.10$100$1.4K
    64494In this add–on procedure, 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…80$0$0
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time70$0$0
    G8917Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time100$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis2,320$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64493The 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…1940160$170$90.1K
    64483This 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).1130110$120$55.7K
    62323The 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)…640280$110$46.9K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…122040$90$7.2K
    64494In this add–on procedure, 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…1930120$10$2.7K
    64451The provider injects an anesthetic and/or a steroid under imaging guidance into the nerves supplying the sacroiliac joint to diagnose and/or treat sacroiliac joint pain.31020$50$1K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis440140$1$590
    G8907Patient 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…460520$1$200
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time31070$0$0
    G8917Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic not initiated on time110100$0$0

    Nearby Providers

    Other providers in the same ZIP code as Columbus Orthopedic Outpatient, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital - Golden Triangle Inc.MSGeneral Acute Care Hospital$0$55.8M
    Pediatrust Columbus, LLCMSPediatric Skilled Nursing Facility$0$12M
    United Emergency Services Of MississippiMSEmergency Medicine Physician$0$7.8M
    David CurtisMSPediatric Dentistry$0$2.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.1M
    Katie Curtis Windham Dmd PLLCMSPediatric Dentistry$0$2M
    Eye Laser & Surgery Center Of Columbus, LLCMSAmbulatory Surgical Clinic/Center$1.5M$293.8K
    Oral & Facial Surgical CenterMSOral and Maxillofacial Surgery (Dentist)$0$1.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    John KingMSInterventional Cardiology Physician$1.5M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Columbus Orthopedic Outpatient — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi
    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Columbus Orthopedic Outpatient — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi