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NPI 1457370447 · Rocky Hill, CT · Ambulatory Surgical Clinic/Center
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Orthopedic Associates Surgery Center LLC is a ambulatory surgical clinic/center provider located in Rocky Hill, Connecticut. This profile covers 25 Medicare and 3 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 | Orthopedic Associates Surgery Center LLC |
| Address | 150 Enterprise Dr |
| City | Rocky Hill |
| State | CT |
| ZIP | 06067 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $7.5K |
This facility is effectively Medicare-dominant: lifetime Medicare revenue is $1.3M versus total Medicaid revenue of $7.5K, so Medicaid represents only a token share of reported public-payer receipts for this entity. The billing footprint is therefore concentrated in the Medicare program rather than split across payers.
Revenue concentration on Medicare is high at the procedure level: the precomputed top-3 Medicare codes account for 47.9% of the provider's total Medicare revenue. Those top drivers include joint-replacement codes (27447, 27446) and a high-volume transforaminal epidural injection (64483), indicating a small number of procedure types produce nearly half of Medicare dollars.
The CPT mix points to an ambulatory surgical center that combines operative orthopedics with interventional spine/pain procedures: high-revenue joint replacement codes (27447, 27446) sit alongside large volumes of image-guided injections and neurolytic procedures (64483, 64493, 64635) and common hand procedures (64721, 26055). This suggests the center performs both surgical cases (knee arthroplasty and arthroscopy, hand/wrist surgery) and outpatient pain-management injections.
The practice is a national high-volume participant for several injection and hand-nerve procedures: 64483 ranks #153 of 8202 providers nationally (98th percentile; notably above typical national volume for this code), 64721 ranks #103 of 3206 providers nationally (97th percentile; notably above typical national volume for this code), and 64493 ranks #266 of 7519 providers nationally (96th percentile; notably above typical national volume for this code). Those rank and percentile positions indicate the provider is well above typical national volume in transforaminal epidural, carpal-tunnel/median nerve procedures, and facet injections.
By contrast, the facility's knee arthroplasty volumes are more modest versus national peers: 27447 ranks #4736 of 12089 providers nationally (60th percentile; typical, unremarkable volume for this code) and 27446 ranks #153 of 450 providers nationally (64th percentile; typical, unremarkable volume for this code). These placements imply that while joint replacement contributes materially to revenue, the provider is not an outlier leader in arthroplasty volume.
Medicaid activity is minimal and highly concentrated: the top-3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, and all Medicaid revenue is from 64483 (61 claims, $7.5K revenue). In-state competitive standing on that code is middling—64483 ranks #14 of 25 providers in-state (46th percentile; typical, unremarkable volume for this code)—so the provider does not appear to be a dominant Medicaid spine/pain site locally.
The provider demonstrates operational longevity: the NPI was enumerated 2006-07-19 (~20 years ago), indicating an established ambulatory surgery center likely to have a stable referral and procedural mix that produced the documented Medicare revenue stream. That tenure aligns with the mix of both routine hand/wrist procedures and repeated-image-guided pain interventions.
Beyond the headline drivers, the facility reports notable volumes in hand and soft-tissue procedures that complement its spine and arthroplasty services: codes such as 26055 (95 claims, ranks #172 of 2946 providers nationally; 94th percentile; notably above typical national volume for this code) and 29827/29880 arthroscopies appear across the top-billed services. This pattern reinforces a diversified orthopedic ASC model emphasizing hand surgery and outpatient arthroscopy alongside high-volume injection-based pain care.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 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… | 40 | $7,520 | $285.8K |
| 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). | 540 | $310 | $167.1K |
| 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 | $7,590 | $166.9K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 130 | $630 | $79.9K |
| 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… | 110 | $680 | $74.2K |
| 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… | 260 | $280 | $72.6K |
| 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… | 10 | $3,650 | $51.1K |
| 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… | 100 | $470 | $44.8K |
| 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… | 20 | $2,350 | $37.6K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 160 | $220 | $35.2K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27446 | 1 | 10 | 10 | $4,210 | $63.1K |
| 27447 | 41 | 160 | 20 | $1,320 | $39.6K |
| 29827 | 17 | 30 | 20 | $1,350 | $29.7K |
| 25609 | 1 | 10 | 10 | $2,260 | $27.1K |
| G0260 | 2 | 10 | 50 | $230 | $22.8K |
| 29881 | 3 | 10 | 20 | $1,100 | $22K |
| 29880 | 2 | 10 | 20 | $1,010 | $21.2K |
| 26480 | 1 | 10 | 20 | $1,090 | $19.6K |
| 64635 | 1 | 40 | 30 | $470 | $18.5K |
| 64483 | 1 | 70 | 60 | $220 | $17.7K |
Showing 1–10 of 25
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.
3 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). | 60 | $120 | $7.5K |
| 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… | 100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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). | 14 | 30 | 70 | $350 | $221.6K |
| 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… | 15 | 30 | 110 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 12 | 20 | 90 | $0 | $0 |
Other providers in the same ZIP code as Orthopedic Associates Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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