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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Triad Center For Surgery (NPI 1558983833)

Field	Value
Entity Type	Organization
Organization	Triad Center For Surgery
Address	180 Kimel Park Dr Ste 200
City	Winston Salem
State	NC
ZIP	27103
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 10, 2020

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

TRIAD CENTER FOR SURGERY is effectively a Medicare-focused ambulatory surgical center: the provider shows $3.4M in total Medicare revenue and has no Medicaid billing on file, making its payer mix functionally single-payer (Medicare) for the available data. This concentration means analyses and contracting discussions should treat Medicare rates and utilization as the primary drivers of the center’s financial performance.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 57.2% of the provider’s total Medicare revenue, indicating that a small set of procedures disproportionately drives income and operational throughput. Risk or growth initiatives that target those top codes will disproportionately affect overall revenue.

The single largest Medicare revenue contributor is 63685, accounting for $1.2M (35.7% of Medicare revenue) across 67 claims and ranking the provider at the 98th percentile nationally for that code. This suggests the center is a major national-volume provider for spinal neurostimulator pulse generator/receiver implantation and is likely structured to support complex neuromodulation cases.

Other high-revenue orthopedic and spine procedures—27447 ($389K, 11.5% of Medicare revenue) and 63650 ($338.2K, 10.0% of Medicare revenue)—complete the top three and reinforce a mixed service line of spine and joint replacement/repair. Together these top three codes (precomputed at 57.2%) point to a business model focused on higher-acuity surgical interventions rather than primarily low-complexity ophthalmic or minor procedures.

Competitive standing varies by code: the facility is an extreme outlier or notably above typical volume for several arthroscopic and spine-related codes (for example, 29827 ranks in the 99th percentile and is labeled an "extreme outlier," and 29824 ranks in the 99th percentile), indicating local or regional specialization in arthroscopic shoulder procedures. Conversely, for large joint replacement codes such as 27130 and 27447 the provider ranks in more modest percentiles (67th and 77th respectively), which suggests it is a meaningful but not dominant player nationally for hip and knee replacement services.

Procedure mix shows specialization in both neuromodulation and arthroscopy: high average paid/claim and revenue for neuromodulation codes (63685, 63650, 64555) indicate investment in implantable device procedures, while very high-volume ranks on arthroscopic shoulder and knee codes (29827, 29824, 29880, 29828) indicate volume-driven expertise in minimally invasive joint care. This combination suggests the center treats a mix of chronic pain/spine and orthopedic surgical populations.

Tenure is established but not long-standing: the NPI was enumerated on 2020-05-10 (~6 years ago), which aligns with a relatively recent market entry followed by rapid scaling in select high-revenue procedures; stakeholders should consider that growth may still be ongoing and concentrated.

Given the absence of Medicaid billing on file, payers and network managers should recognize that Medicaid trends and state program impacts are not observable for this entity; contracting, referrals, and utilization management discussions should therefore be driven by Medicare performance and local commercial dynamics that mirror Medicare case mix.

Medicare: Complete Services Breakdown

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

24 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	$17,960	$1.2M
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…	60	$6,830	$389K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	90	$3,720	$338.2K
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…	40	$7,190	$258.9K
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	$1,980	$191.9K
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…	230	$780	$177.1K
0775T	N/A	20	$9,800	$156.7K
64555	A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…	30	$4,230	$126.9K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	20	$6,960	$111.3K
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…	40	$2,370	$92.6K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Triad Center For Surgery — 4 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0775T	1	10	20	$9,790	$156.7K
J1097	11	10	1,240	$80	$151.9K
63685	3	40	20	$5,660	$147.2K
66984	289	580	230	$70	$73.7K
63650	2	40	30	$1,280	$56.2K
27447	96	460	30	$1,000	$41.8K
27446	5	20	10	$2,290	$36.6K
27130	86	320	30	$990	$30.8K
64555	2	10	20	$1,060	$26.6K
29827	5	120	20	$1,000	$25K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Triad Center For Surgery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forsyth Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$40.9M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$39.5M
Bayada Home Health Care, Inc.	NC	Developmental Disabilities Clinic/Center	$0	$35.4M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$34.4M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$22.1M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$21M
A Bridge To Achievement Nc, LLC	NC	Community/Behavioral Health Agency	$0	$15.6M
Nevaeh & Company LLC	NC	Customized Equipment (DME)	$0	$12.1M
Speechcenter LLC, D/b/a Sidekick Therapy Partners	NC	Speech-Language Pathologist	$0	$10.8M
Champion Family Healthcare Services, LLC	NC	Home Health Agency	$0	$9.9M

Triad Center For Surgery — Billing Profile & Reimbursement Data

Sign up for Triad Center For Surgery — Billing Profile & Reimbursement Data policy alerts

Triad Center For Surgery — Billing Profile & Reimbursement Data

Sign up for Triad Center For Surgery — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References