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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Dearborn Surgery Center, LLC (NPI 1467491407)

Key Findings

Field	Value
Entity Type	Organization
Organization	Dearborn Surgery Center, LLC
Address	18100 Oakwood Blvd
City	Dearborn
State	MI
ZIP	48124
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

This entity is effectively a Medicare-focused ambulatory surgical clinic: Total Medicare revenue is $2.3M and there is no Medicaid billing on file, indicating an essentially single-payer footprint in the public programs. The NPI was enumerated on 2006-06-05 (~20 years ago), so the provider has a long-tenured billing history under this enrollment.

Revenue is highly concentrated in a small set of procedures: the precomputed top-3 Medicare codes account for 60.8% of this provider's Medicare revenue, with 27447 alone representing 35.1% of Medicare revenue. That concentration suggests the financial performance of the center is closely tied to reimbursement and volume for a handful of high-value services.

The code mix shows a dual service-line profile dominated by major joint arthroplasty and high-volume GI endoscopy. High-revenue orthopedic procedures (27447 and 27130) appear alongside large-volume colonoscopy-related codes (45380, 45385, 43239), implying the ASC operates both musculoskeletal surgery (joint replacement/arthroplasty) and gastrointestinal endoscopy at meaningful scale.

27447 (total knee replacement) is a standout revenue driver at $809.4K (35.1% of Medicare revenue) and ranks #545 of 12089 providers nationally (95th percentile; notably above typical national volume for this code), positioning the center as a high-volume national performer for that CPT. Similarly, 27130 brings $336.2K (14.6%) and ranks #1630 of 8062 (79th percentile; typical, unremarkable volume), confirming orthopedics are a significant but variably concentrated part of the business.

GI procedures show extreme relative volume versus national peers: 45380 generated $256.7K (11.1%) and ranks #48 of 16427 (100th percentile; extreme outlier), while 45385 ($185.4K, 8.0%) and 43239 ($119.6K, 5.2%) are also described as extreme outliers or far above typical national volume. These rankings indicate the provider is a dominant outlier in colonoscopy and upper endoscopy activity compared with most Medicare billing peers.

Several other endoscopy and arthroscopy codes (45388 ranks #3 of 329, 99th percentile; 29827 ranks #130 of 3445, 96th percentile) further corroborate a facility-level emphasis on endoscopic GI care and outpatient orthopedic procedures. The presence of multiple codes labeled as "extreme outlier" or "notably above typical national volume" across these modalities suggests the center concentrates high procedural throughput in a few service lines.

The payer mix and concentration create potential exposure: with $2.3M in Medicare revenue and no Medicaid claims, changes in Medicare policy, reimbursement, or referral patterns affecting the top codes (27447, 27130, 45380) would materially affect overall revenue. Because the top 3 codes account for 60.8% of Medicare revenue, even modest shifts in those service lines could have outsized financial impact.

Not all CPTs show high relative volume—examples include 66984 (cataract surgery) at ranks #10517 of 15965 (34th percentile; typical, unremarkable volume) and several codes listed as "typical, unremarkable volume"—indicating the provider’s specialty concentration is uneven and that some billed services are peripheral rather than core to the facility’s revenue mix. This pattern supports a strategic reading that the center’s competitive standing is strongest in joint arthroplasty and GI endoscopy, while other procedural lines remain modest contributors.

Medicare: Complete Services Breakdown

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…	120	$6,690	$809.4K
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	$7,000	$336.2K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	840	$310	$256.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	500	$370	$185.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	600	$200	$119.6K
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…	60	$1,940	$112.6K
45388	In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating…	230	$420	$97.3K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	30	$2,230	$62.5K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	120	$400	$47.9K
43450	The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.	190	$260	$47.4K

Showing 1–10 of 25

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	273	480	70	$470	$69.5K
27447	5	360	30	$1,470	$50.1K
27130	30	240	20	$1,410	$40.8K
45388	2	10	20	$370	$33.2K
29827	5	80	20	$1,040	$24.9K
45385	7	530	40	$270	$18.3K
29828	2	20	10	$1,070	$18.2K
29881	2	20	20	$920	$16.5K
29880	7	20	20	$750	$15.1K
19301	10	50	30	$510	$12.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
Services To Enhance Potential	MI	Developmentally Disabled Services Day Training Agency	$0	$72.8M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
Chitter Chatter P.C.	MI	Behavior Analyst	$0	$59.5M
Emergency Professionals Of Michigan, P.C.	MI	Emergency Medicine Physician	$0	$35.2M
Drs Harris Birkhill Wang Songe & Assoc PC	MI	Diagnostic Radiology Physician	$0	$27.8M
Futures Healthcore, LLC	MI	Community Health Clinic/Center	$0	$15.6M
First Choice Urgent Care PC	MI	Urgent Care Clinic/Center	$0	$13.5M
David K. Vazquez D.d.s. Plc	MI	Pediatric Dentistry	$0	$8M
Asheesh Tewari	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0

Dearborn Surgery Center, LLC — Billing Profile & Reimbursement Data

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Dearborn 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