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    OpenPayerNPI Medicare & MedicaidSouthern Bone & Joint Ambulatory Surgical Center, …
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    Southern Bone & Joint Ambulatory Surgical Center, LLC — Billing Profile & Reimbursement Data

    NPI 1528166113 · Newnan, GA · Ambulatory Surgical Clinic/Center

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    Southern Bone & Joint Ambulatory Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Newnan, Georgia. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSouthern Bone & Joint Ambulatory Surgical Center, LLC
    Address1755 Highway 34 E
    CityNewnan
    StateGA
    ZIP30265
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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$6,990$636K
    27130In 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…40$7,120$256.4K
    29827The 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…30$2,010$60.1K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$3,380$40.5K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…120$250$30.1K
    26055Trigger 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…50$480$22K
    29881The 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$1,080$21.6K
    64493The 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…70$330$21.5K
    20680Skeletal 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$820$15.6K
    29848The 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$490$15.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    274472236030$1,500$61.5K
    271305521030$1,450$49.4K
    2560971020$1,970$31.5K
    298271711020$1,100$22.1K
    6449314932060$190$16.8K
    29848215030$380$16.1K
    29881134020$820$15.6K
    29880213020$720$13K
    647216010020$440$12.7K
    26055219030$300$11.3K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Southern Bone & Joint Ambulatory Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    George BallantyneGAOrthopaedic Surgery Physician$85.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Southern Bone & Joint Ambulatory Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellstreet Of Georgia PCGAUrgent Care Clinic/Center$0$42.5M
    Adonness BellGAFamily Nurse Practitioner$53.9K$5.6M
    My Kidz Dentist, PCGAPediatric Dentistry$0$3.9M
    Vasileios AssikisGAHematology & Oncology Physician$3M$0
    Minesh PatelGAHematology & Oncology Physician$2.4M$0
    Oghenerukevwe OdieteGAInterventional Cardiology Physician$1.2M$0
    Center For Pain And Spine, LLCGAAmbulatory Surgical Clinic/Center$827.2K$0
    Derek ScottGAPhysical Medicine & Rehabilitation Physician$593.9K$0
    James SmithGAPhysician Assistant$576.9K$0
    Ayesha FaruqiGAInternal Medicine Physician$262.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Southern Bone & Joint Ambulatory Surgical Center, LLC — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia