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

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

Genortho, LLC (NPI 1528142726)

Key Findings

Field	Value
Entity Type	Organization
Organization	Genortho, LLC
Address	2300 53rd Ave
City	Bettendorf
State	IA
ZIP	52722
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

GENORTHO, LLC operates as an ambulatory surgical clinic with a clear orthopedic focus: its three top Medicare revenue drivers are 27447 (knee total arthroplasty), 27130 (hip arthroplasty), and 64721 (median nerve neuroplasty/carpal tunnel release), which together make up 80.4% of the provider's Medicare revenue. Individually these codes generated $582.8K (56.4%), $174.5K (16.9%), and $73.5K (7.1%) of Medicare revenue respectively, indicating the business is centered on joint replacement and hand/wrist procedures rather than broad multispecialty outpatient care.

The provider’s Medicare revenue is $1M while its Medicaid billing is none (no Medicaid billing on file), so GENORTHO is effectively a single-payer (Medicare) operation in the available data. This concentration means the practice’s revenue profile and contractual leverage will be driven almost entirely by Medicare volumes and reimbursement, with no Medicaid contribution evident on file.

Despite accounting for the majority of the clinic’s Medicare revenue, 27447 ranks #1100 of 12089 providers nationally (91th percentile; typical, unremarkable volume for this code), which suggests the clinic performs a substantial number of knee arthroplasties for its size but is not an outlier nationally for this service. The volume and $582.8K revenue from 27447 make knee replacement the single largest commercial service-line in this facility’s Medicare mix.

For hip replacement (27130) the provider ranks #3686 of 8062 providers nationally (52th percentile; typical, unremarkable volume for this code), producing $174.5K in Medicare revenue from 27 claims. That rank and share indicate a reasonable, expected presence in hip arthroplasty but not a dominant national position.

In contrast, the clinic is a clear national outlier for carpal tunnel/neuroplasty services: 64721 appears as an extreme outlier, ranking #53 of 3206 providers nationally (98th percentile; extreme outlier, far above typical national volume) with 132 claims and $73.5K in Medicare revenue. This high relative volume for 64721 implies a specialized competency or referral-driven patient flow for hand and wrist surgery that distinguishes GENORTHO from many peers.

The broader CPT mix includes other hand and foot procedures such as 26055 (trigger finger) with 95 claims and $38.6K in revenue and ranked in the 94th percentile (notably above typical national volume), along with toe and metatarsal procedures (28750, 28285, 28308) and arthroscopic knee work (29881). Together these codes indicate the clinic offers a diversified set of orthopedic procedures beyond arthroplasty—particularly hand/wrist and foot procedures—supporting a service-line strategy centered on outpatient musculoskeletal surgery.

GENORTHO’s NPI has been enumerated since 2006-10-24 (~20 years ago), indicating an established presence in the market that aligns with sustained Medicare billing activity. That tenure supports the interpretation that current coding patterns reflect an ongoing, stable clinical focus rather than a transient or newly pivoted practice model.

From an operational and payer-risk perspective, this provider’s revenue is highly concentrated: top three Medicare codes alone account for 80.4% of Medicare revenue and there is no Medicaid revenue on file. The combination of a concentrated code mix and single-payer exposure suggests both a strong specialization (notably in carpal tunnel and joint arthroplasty) and potential vulnerability to shifts in Medicare volume or reimbursement for those specific services.

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
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…	90	$6,340	$582.8K
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…	30	$6,460	$174.5K
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…	130	$560	$73.5K
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	$3,000	$45K
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	$410	$38.6K
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	40	$600	$25.7K
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…	20	$970	$15.5K
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.	30	$500	$14.5K
28308	The provider performs an osteotomy of any metatarsal bone other than the first. He may or may not lengthen, shorten, or correct an angular deformity of the metatarsal. He performs the procedure to…	20	$560	$13K
20680	Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…	20	$750	$12.7K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Choices Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$72.6M
Bettendorf Community School District	IA	Local Education Agency (LEA)	$0	$7.4M
New Choices	IA	Community/Behavioral Health Agency	$0	$6.9M
Trinity Medical Center	IA	General Acute Care Hospital	$0	$5.2M
Helping Hands Transporting Services,llc	IA	Non-emergency Medical Transport (VAN)	$0	$3.5M
Richard Yemm	IA	Ophthalmology Physician	$2.4M	$6.1K
Gengastro LLC	IA	Ambulatory Surgical Clinic/Center	$1.1M	$1M
Martin O'malley	IA	Ophthalmology Physician	$1.9M	$2.7K
New Choices LLC	IA	Home Health Agency	$0	$1.9M
Genesis Health System	IA	Home Health Agency	$0	$1.8M

Genortho, LLC — Billing Profile & Reimbursement Data

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Genortho, 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	19	190	40	$870	$41.7K
28750	8	10	20	$1,790	$37.5K
27130	68	140	30	$790	$25.4K
64635	34	40	40	$340	$21.8K
64721	2	50	30	$430	$20.5K
28285	7	20	30	$430	$17.6K
29881	6	10	20	$790	$14.9K
29848	4	10	20	$410	$13.2K
28308	3	10	20	$530	$13.2K
20680	7	10	20	$600	$12.6K