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

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

Portsmouth Surgicenter, LLC (NPI 1477140796)

Field	Value
Entity Type	Organization
Organization	Portsmouth Surgicenter, LLC
Address	1900 Lafayette Rd Bldg 2
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 22, 2020

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This facility’s Medicare footprint is small but focused: lifetime Medicare revenue on file is $1.3M while Medicaid shows none (no Medicaid billing on file), making the provider effectively a single-payer (Medicare) operation in the available dataset. The NPI was enumerated 2020-12-22 (~6 years ago), indicating a relatively recent public billing history that concentrates quickly on a narrow set of procedures.

Revenue concentration is high and narrowly focused: the precomputed top 3 Medicare codes account for 74.0% of this provider's total Medicare revenue, signaling dependence on a few high-revenue surgical procedures for the majority of billings. Those top three codes—27130 ($352.3K, 26.2%), 27447 ($342.2K, 25.4%), and 27446 ($301.5K, 22.4%)—dominate the practice’s Medicare mix.

Business and service-line implications from the top codes point to an orthopedic ambulatory surgery profile specializing in major joint arthroplasty: 27130 (hip replacement) and 27447/27446 (knee arthroplasty procedures) together suggest the center primarily performs lower-extremity joint replacement and reconstruction rather than a broad multispecialty surgical mix. Additional billed codes (arthroscopy codes such as 29881 and 29880, plus hand/foot procedures like 64721 and 28750) indicate complementary outpatient orthopedics and soft-tissue procedures typical of an ASC that supports both primary arthroplasty and ancillary orthopedic case types.

Competitive standing across codes is mixed: for hip replacement 27130 the provider ranks #1630 of 8062 (79th percentile) and for primary knee replacement 27447 ranks #3511 of 12089 (70th percentile), both characterized as "typical, unremarkable volume" relative to national peers. By contrast, code 27446 ranks #50 of 450 (89th percentile), indicating a stronger, above-average presence nationally for that specific knee compartment reconstruction procedure, while most other billed codes fall in typical percentile ranges.

Statistical outliers and noteworthy deviations: code C9290 (Injection, bupivacaine liposome) shows 36.8K claims, $1 avg paid/claim, $36.8K revenue (2.7% of Medicare revenue) and ranks #27 of 451 (94th percentile), described in the source as "notably above typical national volume." This suggests unusually frequent use of this specific injectable product relative to peers despite its modest absolute revenue contribution.

Procedure-level volume signals: the top single-code counts show 48 claims each for 27130 and 27447 and 42 claims for 27446, matching the revenue concentration noted above and reinforcing that a relatively small number of medium-to-high-value outpatient arthroplasty cases generate most Medicare dollars for this ASC. Several ancillary procedures have smaller claim counts (for example, 29827 with 24 claims and 29881 with 29 claims), consistent with an ASC model that schedules ancillary arthroscopic and hand/foot procedures around core joint arthroplasty cases.

Payer mix and strategic implications: because Medicaid billing is absent in the file, any strategy to broaden payer diversity would require initiating or capturing Medicaid referrals in-state; currently the center’s financial and case-volume profile should be evaluated primarily through the Medicare lens. The lack of Medicaid activity also limits comparative in-state benchmarking for Medicaid-specific service lines and revenue streams.

Given an NPI enumeration date of 2020-12-22 (~6 years ago) combined with the concentrated Medicare case mix and a few codes at high national percentiles, the provider appears to have quickly established a niche in outpatient lower-extremity arthroplasty and associated orthopedic procedures; analysts should watch for whether this concentration persists or diversifies over subsequent reporting periods.

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
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	$7,340	$352.3K
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	$7,130	$342.2K
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…	40	$7,180	$301.5K
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…	20	$3,440	$65.3K
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	$1,930	$46.3K
C9290	Injection, bupivacaine liposome, 1 mg	36,760	$1	$36.8K
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.…	10	$3,210	$35.3K
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…	30	$1,060	$30.8K
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…	40	$660	$27K
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…	20	$1,000	$19.9K

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 Hampshire Distribution

Portsmouth Surgicenter, LLC — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27446	2	10	20	$3,100	$83.6K
27447	36	90	40	$1,310	$57.7K
27130	15	70	30	$1,580	$55.3K
28750	2	10	20	$1,390	$27.9K
29827	7	20	20	$1,160	$24.4K
64721	9	30	40	$450	$19.3K
23430	7	10	20	$940	$16.9K
29881	1	10	20	$790	$13.5K
26480	2	10	20	$680	$12.9K
C9290	1	10	6,720	$1	$12.9K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Portsmouth Surgicenter, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

Portsmouth Surgicenter, LLC — Billing Profile & Reimbursement Data

Sign up for Portsmouth Surgicenter, LLC — Billing Profile & Reimbursement Data policy alerts

Portsmouth Surgicenter, LLC — Billing Profile & Reimbursement Data

Sign up for Portsmouth Surgicenter, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References