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

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

Southern Sports Surgical, LLC. (NPI 1558785683)

Field	Value
Entity Type	Organization
Organization	Southern Sports Surgical, LLC.
Address	127 Saundersville Rd.
City	Hendersonville
State	TN
ZIP	37075
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 10, 2014

Payer Source	Total Paid
Medicare	$993.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	120	$6,820	$817.8K
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…	10	$6,940	$76.4K
C9290	Injection, bupivacaine liposome, 1 mg	29,260	$1	$29.3K
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…	20	$1,460	$23.4K
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…	10	$1,980	$21.8K
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…	10	$1,030	$11.4K
29880	In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…	10	$890	$10.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Southern Sports Surgical, LLC. — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	17	280	30	$1,440	$67.8K
27130	164	170	30	$1,480	$53.1K
29827	48	90	20	$1,110	$26.7K
C9290	4	10	29,260	$1	$25.3K
29828	27	30	20	$1,130	$24.9K
29881	34	40	20	$770	$17K
29880	18	20	20	$730	$14.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hendersonville Hospital Corporation	TN	General Acute Care Hospital	$0	$23.5M
Tennessee Pediatrics P.C.	TN	Pediatrics Physician	$0	$19M
Pediatric Dentistry	TN	Pediatric Dentistry	$0	$5M
Anesthesia Services Associates PLLC	TN	Pain Medicine (Anesthesiology) Physician	$0	$3M
Interventional Pain Center, PLLC	TN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$2.3M
Mohammad Ali	TN	Rheumatology Physician	$1.1M	$0
Northridge Surgery Center, LP	TN	Ambulatory Surgical Clinic/Center	$468K	$284.2K
Stephen D'addario	TN	MOHS-Micrographic Surgery Physician	$566.4K	$0
William Tidwell	TN	MOHS-Micrographic Surgery Physician	$490.1K	$0
Brad Wilson	TN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$483K	$0

Southern Sports Surgical, LLC. — Billing Profile & Reimbursement Data

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Southern Sports Surgical, LLC. — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References