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.

Northridge Surgical Suites, LLC (NPI 1548822620)

Field	Value
Entity Type	Organization
Organization	Northridge Surgical Suites, LLC
Address	41 Innovative Way
City	Nashua
State	NH
ZIP	03062
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 28, 2019

Payer Source	Total Paid
Medicare	$436.6K
Medicaid	$0

Key Findings

This provider reports $436.6K in lifetime Medicare revenue and has no Medicaid billing on file, making it effectively a single‑payer (Medicare) operation in the available data. The absence of any Medicaid revenue suggests the entity either does not contract with Medicaid plans or has not billed Medicaid in the observed period, which materially narrows payer diversification and risk exposure to Medicare reimbursement changes.

Revenue is highly concentrated in a very small set of services: the top three Medicare codes account for 100.0% of the provider's Medicare revenue. Specifically, 27447 drives 65.5% of Medicare dollars, 27130 drives 33.4%, and C9290 contributes 1.1%, indicating nearly all revenue is tied to these named procedures.

Procedure mix and taxonomy align with an orthopedic ambulatory surgical focus: 27447 and 27130 are major joint arthroplasty procedures (knee and hip replacement). The provider billed 40 claims for 27447 with $7137 avg paid/claim generating $285.5K, and 20 claims for 27130 with $7279 avg paid/claim generating $145.6K, which is consistent with an ambulatory surgical clinic performing higher‑unit‑cost joint replacements.

Despite the high per‑claim payments, the provider is a modest national participant on its top Medicare codes rather than a dominant player. 27447 ranks #4474 of 12089 (62th percentile; typical, unremarkable volume for this code) and 27130 ranks #4976 of 8062 (35th percentile; typical, unremarkable volume for this code), indicating routine volume relative to national peers.

Use of C9290 (bupivacaine liposome) shows a different operational pattern: the record lists 4.9K claims at $1 avg paid/claim for $4.9K revenue, and this code represents 1.1% of Medicare revenue. C9290 ranks #289 of 451 (36th percentile; typical, unremarkable volume for this code), suggesting routine but low‑revenue administration or supply billing alongside higher‑revenue surgical services.

The provider’s financial profile is concentrated into a small number of high‑dollar surgical claims, which creates revenue sensitivity to utilization shifts or reimbursement changes for arthroplasty codes. Given that 65.5% and 33.4% of Medicare revenue come from two procedures, any policy, clinical, or competitive change affecting those codes could materially alter total revenue.

Operational implications for payers and network planners: the combination of ambulatory surgical center taxonomy and concentrated arthroplasty billing suggests this site is appropriate for strategies focused on outpatient joint replacement networks, bundled payments, or episode‑based agreements. Its modest national ranks imply it is a typical regional provider rather than a high‑volume referral center, so negotiation leverage and case volumes should be assessed accordingly.

Provider tenure is relatively recent but established: NPI enumerated 2019-06-28 (~7 years ago). The registration window is long enough to generate a clear Medicare billing pattern but not indicative of decades‑long market presence, which may affect historical trend analysis and expected future growth trajectories.

Medicare: Complete Services Breakdown

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

3 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…	40	$7,140	$285.5K
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…	20	$7,280	$145.6K
C9290	Injection, bupivacaine liposome, 1 mg	4,920	$1	$4.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Northridge Surgical Suites, LLC — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	44	90	40	$1,310	$57.7K
27130	43	70	30	$1,580	$55.3K
C9290	5	10	6,720	$1	$12.9K

Nearby Providers

Other providers in the same ZIP code as Northridge Surgical Suites, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nashua School District	NH	Local Education Agency (LEA)	$0	$6.8M
Healthy At Home, Inc	NH	Home Health Agency	$0	$5.2M
Making Waves Speech, Language And Feeding Therapy Inc	NH	Speech-Language Pathologist	$0	$2M
Sterling Smiles	NH	Dentist	$0	$1.5M
Kids In Motion LLC	NH	Pediatric Occupational Therapist	$0	$1.4M
Step By Step Physical Therapy, LLC	NH	Pediatric Physical Therapist	$0	$1.1M
Helfman Lasky & Associates P A	NH	Optometrist	$0	$432.7K
Spidaliere Psychological Associates, LLC	NH	Mental Health Counselor	$0	$428K
Tiffany Remy	NH	Behavior Analyst	$0	$390.6K
Dinakar Murthi	NH	Orthopaedic Surgery Physician	$322.7K	$0

Northridge Surgical Suites, LLC — Billing Profile & Reimbursement Data

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Northridge Surgical Suites, 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