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NPI 1487655627 · Tulsa, OK · Ambulatory Surgical Clinic/Center
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Union Pines Surgery Center,llc is a ambulatory surgical clinic/center provider located in Tulsa, Oklahoma. This profile covers 26 Medicare and 2 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 | Union Pines Surgery Center,llc |
| Address | 4808 S 109th East Ave |
| City | Tulsa |
| State | OK |
| ZIP | 74146 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 10, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $112.4K |
This ambulatory surgical clinic’s billing mix is heavily orthopedic and interventional-pain oriented: high-revenue joint replacement and arthroscopy codes such as 27447 (knee replacement) and 27130 (hip replacement) appear alongside large volumes of epidural/nerve injection codes like 64483, indicating the center performs both major joint arthroplasty and high-volume image-guided pain procedures. The presence of hand and wrist procedures (for example 26055, 29848, 64721) further supports a multi-disciplinary orthopedic/surgical scope rather than a single-procedure specialty focus.
Medicare revenue is the dominant payer stream for this entity, with lifetime Medicare revenue reported at $1.9M versus $112.4K in lifetime Medicaid revenue, so Medicare accounts for the vast majority of billed dollars. The provider is effectively Medicare-first in scale and commercial or other payers would be expected to matter more to overall volume than Medicaid based on these totals.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 67.3% of this provider’s total Medicare revenue, led by 27447 which alone represents 36.8% of Medicare revenue. This concentration around knee and hip arthroplasty plus a single high-volume injection code suggests that a small set of procedural lines drive most Medicare dollars at this facility.
On Medicaid the precomputed top-3 codes account for 100.0% of Medicaid revenue, with 64483 producing $90.5K (80.4% of Medicaid revenue) and 64415 producing $22.1K (19.6% of Medicaid revenue). That pattern implies Medicaid billing at this location is almost entirely for image-guided injection procedures rather than joint arthroplasties.
This provider shows national-level strength on certain Medicare codes and modest-to-typical participation on others: 27447 ranks #712 of 12089 providers nationally (94th percentile; notably above typical national volume for this code), and 27130 ranks at the 78th percentile (typical, unremarkable volume). In contrast, 64483 on Medicare is an extreme outlier, ranking #19 of 8202 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), indicating unusually high Medicare utilization of transforaminal epidural injections at this site.
State-level Medicaid standing is mixed and should be interpreted in context of small comparison pools: for Medicaid 64483 ranks #6 of 20 providers in-state (74th percentile; typical, unremarkable volume for this code), while 64415 ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code), but the in-state provider counts are small which limits how definitive those percentile placements are for competitive dominance.
Operationally, the 1.1K Medicare claims reported for 64483 and 469 Medicaid claims for the same code show this center delivers very high procedural volume for transforaminal epidural injections across both payers, reinforcing an interventional pain service-line alongside its surgical arthroplasty practice. High claim counts for 64483 combined with sizable average payments on arthroplasty codes (for example $6474 avg paid/claim for 27447 and $6668 avg paid/claim for 27130) imply the facility captures revenue from both high-volume, lower-price injection work and higher-priced surgical cases.
The provider has long tenure in the NPI registry, enumerated on 2005-08-10 (~21 years ago), which supports interpreting these patterns as the output of an established ambulatory surgical clinic rather than a newly opened site; longevity combined with concentrated Medicare revenues suggests established referral pathways for arthroplasty and interventional pain services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 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… | 110 | $6,470 | $712.1K |
| 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 | $6,670 | $306.7K |
| 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). | 1,110 | $260 | $284.5K |
| 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… | 70 | $1,680 | $117.3K |
| 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.… | 30 | $2,850 | $71.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 130 | $490 | $64K |
| 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… | 20 | $2,230 | $44.6K |
| 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… | 170 | $250 | $43.7K |
| 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… | 90 | $430 | $40.1K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 70 | $500 | $35.6K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
2 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). | 470 | $190 | $90.5K |
| 64415 | The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more… | 130 | $170 | $22.1K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
2 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). | 6 | 20 | 140 | $170 | $113K |
| 64415 | The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more… | 1 | 10 | 60 | $130 | $8.5K |
Other providers in the same ZIP code as Union Pines Surgery Center,llc, ranked by combined Medicare and Medicaid revenue.
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