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NPI 1497942460 · Asheville, NC · Ambulatory Surgical Clinic/Center
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Orthopaedic Surgery Center Of Asheville, LP is a ambulatory surgical clinic/center provider located in Asheville, North Carolina. This profile covers 47 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 | Orthopaedic Surgery Center Of Asheville, LP |
| Address | 29 Nettlewood Drive |
| City | Asheville |
| State | NC |
| ZIP | 28803 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 3, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.1M |
| Medicaid | $11.7K |
This entity is overwhelmingly Medicare‑facing: lifetime Medicare revenue is $5.1M versus Medicaid revenue of $11.7K, so Medicare accounts for essentially all billed dollars and the provider functions for practical purposes as a Medicare‑focused ambulatory surgical center. Medicaid activity is minimal in scale and concentrated in very few codes.
The provider’s procedural mix maps to a specialty ASC that combines spinal and neuromodulation implants with high-volume orthopaedic and hand/shoulder procedures. The single largest Medicare line is 63685 ($1.2M revenue, 25.5% of Medicare revenue) for spinal neurostimulator pulse generator insertion, supplemented by 64590 ($455.2K) and 66984 ($466.3K), indicating a blend of implantable neuromodulation, joint surgery, and cataract cases on its service menu.
Revenue concentration is meaningfully focused at the top of the Medicare schedule: the precomputed top 3 Medicare codes account for 44.8% of this provider’s total Medicare revenue, showing the business depends on a small set of high‑value procedures. On Medicaid the top 3 codes account for 100.0% of Medicaid revenue, underscoring that the tiny Medicaid dollar pool is entirely driven by a couple of services.
Several specific codes identify the provider as a national outlier or high-volume specialist. 63685 ranks #24 of 1281 (98th percentile) and is noted as notably above typical national volume for this code; 29828 ranks #5 of 1007 (100th percentile) and is labeled an extreme outlier, far above typical national volume; and 29827 ranks in the 99th percentile as another extreme outlier, indicating unusually high national throughput in arthroscopic shoulder procedures. These rank signals point to national‑scale specialization in certain surgical procedures rather than a generalist ASC case mix.
Despite those extreme‑outlier procedure volumes, some high‑revenue lines show only typical peer position: 66984 (cataract/IOL insertion) generated $466.3K (9.8% of Medicare revenue) but ranks in a distribution characterized as typical, unremarkable volume nationally and ranks #2616 of 15965 (84th percentile). This suggests the center mixes a few rare/highly concentrated specialties with more common ambulatory surgical work.
Medicaid billing is both small and narrowly distributed: 66984 accounts for $9.9K (84.9% of Medicaid revenue) and 64721 accounts for $1.8K (15.1% of Medicaid revenue), and the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue. In-state rank for Medicaid cataract work is modest (#53 of 74, 29th percentile), so the provider is not a major Medicaid cataract center relative to state peers.
Operational tenure is long-standing: the NPI was enumerated on 2007-10-03 (~19 years ago), indicating nearly two decades of billing history that could support established referral pathways for the high-volume procedures observed. This longevity reinforces that the observed specialty concentration is persistent rather than a short-term fluctuation.
From a business risk/opportunity perspective, reliance on a few high-value Medicare codes exposes the center to outsized revenue impact from utilization or payment changes: the top 3 Medicare codes represent 44.8% of Medicare revenue and the largest single code, 63685, contributes 25.5% of Medicare dollars. Payers and analysts should view reimbursement or utilization shifts in neurostimulation and selected orthopaedic procedures as having material effect on this provider’s financial profile.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
47 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 63685 | The 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… | 70 | $17,390 | $1.2M |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 600 | $780 | $466.3K |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 30 | $13,790 | $455.2K |
| 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 | $6,770 | $304.8K |
| 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 | $6,510 | $293.1K |
| 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… | 120 | $2,200 | $262K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 70 | $3,510 | $259.4K |
| 22612 | The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone… | 20 | $11,340 | $170.2K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 30 | $5,080 | $152.4K |
| 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… | 100 | $1,430 | $144.5K |
Showing 1–10 of 47
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
47 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 1 | 10 | 30 | $5,080 | $152.4K |
| 63685 | 2 | 40 | 20 | $5,660 | $147.2K |
| 0627T | 1 | 10 | 10 | $6,630 | $86.2K |
| 66984 | 209 | 580 | 230 | $70 | $73.7K |
| 0275T | 4 | 10 | 40 | $1,750 | $68.4K |
| 63650 | 5 | 40 | 30 | $1,280 | $56.2K |
| 64590 | 1 | 10 | 10 | $2,830 | $48.1K |
| 63663 | 1 | 10 | 10 | $3,630 | $43.6K |
| 27447 | 146 | 460 | 30 | $1,000 | $41.8K |
| 27446 | 4 | 20 | 10 | $2,290 | $36.6K |
Showing 1–10 of 47
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 |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 60 | $160 | $9.9K |
| 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… | 20 | $80 | $1.8K |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 53 | 70 | 130 | $160 | $107.5K |
| 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… | 2 | 10 | 20 | $190 | $11.5K |
Other providers in the same ZIP code as Orthopaedic Surgery Center Of Asheville, LP, ranked by combined Medicare and Medicaid revenue.
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