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

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

Specialty Surgical Center, LLC (NPI 1588152920)

Field	Value
Entity Type	Organization
Organization	Specialty Surgical Center, LLC
Address	104 Burney Dr
City	Flowood
State	MS
ZIP	39232
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 1, 2018

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

SPECIALTY SURGICAL CENTER, LLC is a focused ambulatory surgical center primarily performing joint replacement and arthroscopic procedures, as reflected by its top Medicare codes: 27447 (knee arthroplasty), 27130 (hip arthroplasty), and multiple shoulder/knee arthroscopy codes such as 29827, 29828, 29881. The presence of high-volume joint replacement and arthroscopy codes indicates the center operates as an orthopedic specialty ASC with a mix of major joint replacements and soft-tissue arthroscopic repairs.

Medicare revenue is concentrated heavily in a very small set of procedures: the precomputed top 3 Medicare codes account for 75.0% of this provider's total Medicare revenue. That concentration signals that a few high-value procedures—led by knee arthroplasty—drive the bulk of the business and reimbursement risk for the practice.

The provider’s Medicare scale is $1.9M in lifetime revenue while there is no Medicaid billing on file, making the entity effectively single-payer in the dataset (Medicare-only). This payer mix suggests the center either does not participate in Medicaid, does not treat a meaningful Medicaid population, or does not bill Medicaid under the listed NPI. Analysts should treat Medicaid as absent when modeling payor mix or access metrics.

Knee replacement (27447) is the dominant revenue generator: it accounts for $1M and 55.1% of this provider’s Medicare revenue and ranks #240 of 12089 providers nationally (98th percentile). That national ranking positions the center well above typical national volume for this procedure and indicates a regional or specialty concentration in knee arthroplasty relative to peers.

Several arthroscopic shoulder and knee codes show unusually high relative volumes: 29827 (rotator cuff repair) is listed as an extreme outlier, ranking #33 of 3445 providers nationally (99th percentile), and 29881 (knee meniscectomy) ranks #22 of 1125 providers nationally (98th percentile). These percentile rankings and the plain-English labels (“extreme outlier,” “notably above typical national volume”) together suggest the center performs arthroscopic procedures at a rate far above most peers, reinforcing an orthopedic surgical specialization beyond joint replacement.

Other codes such as 27130 (hip arthroplasty) and 29828 (biceps tenodesis) show more typical volumes: 27130 ranks #3270 of 8062 providers nationally (58th percentile) and 29828 ranks #37 of 1007 providers nationally (96th percentile). This mix of dominant (knee arthroplasty) and variable (hip arthroplasty, specific shoulder procedures) competitive standings suggests the ASC is a local leader for knee replacement and a high-volume provider for certain arthroscopic shoulder procedures, while remaining a middling participant for hip replacement.

Procedure-level details show a procedural breadth that includes both complex implant surgery and high-volume outpatient arthroscopy—codes like 27447, 27130, 29827, and 29881 cover major joint arthroplasty and common arthroscopic repairs. For operations planning and capacity modeling, expect resource needs that span implant logistics, overnight/short-stay care pathways for arthroplasty, and high throughput same-day arthroscopy workflows.

The provider has been enumerated since 2018-05-01 (~8 years ago), giving it multi-year tenure under the current NPI. That length of active enrollment combined with concentrated Medicare revenue and high percentiles on key orthopedics codes supports the interpretation of an established specialty surgical operation rather than a newly created practice still building volume.

Medicare: Complete Services Breakdown

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

18 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…	160	$6,580	$1M
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	$6,860	$205.9K
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…	90	$1,730	$162.6K
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	$2,200	$90K
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	$3,130	$65.7K
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…	50	$990	$52.4K
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…	90	$550	$47.3K
25607	The 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 the…	10	$3,060	$36.8K
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…	70	$440	$29.1K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	50	$600	$28.2K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Specialty Surgical Center, LLC — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	6	90	50	$2,160	$164.5K
27130	34	70	30	$2,070	$87.1K
29827	4	50	20	$1,020	$33.6K
28750	4	10	20	$1,560	$32.7K
29828	3	30	20	$1,070	$27.7K
25607	2	10	10	$1,680	$21.9K
29881	3	20	20	$720	$19.4K
64721	3	30	40	$420	$18.2K
29880	6	10	20	$700	$16.7K
26055	6	30	50	$280	$15.5K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Smitherman	MS	Orthopaedic Surgery Physician	$157.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem East LLC	MS	Community/Behavioral Health Agency	$0	$97M
Love And Faith Personal Care And Respite Services	MS	Home Health Agency	$0	$24.3M
M-d Medical Services, Inc.	MS	Parenteral & Enteral Nutrition Supplies (DME)	$0	$18M
River Oaks Hospital LLC	MS	General Acute Care Hospital	$0	$16.6M
National Seating & Mobility, Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$12.5M
Madison Physician Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$12.3M	$30.3K
Mobility Medical Inc	MS	Oxygen Equipment & Supplies (DME)	$0	$10.4M
Prescribed Pediatric Extended Care, Inc	MS	Medically Fragile Infants and Children Day Care	$0	$9.5M
Women's Health Associates, PLLC	MS	Obstetrics & Gynecology Physician	$0	$9.4M
Rem East LLC	MS	Developmentally Disabled Services Day Training Agency	$0	$7.8M

Specialty Surgical Center, LLC — Billing Profile & Reimbursement Data

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Specialty Surgical Center, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References