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

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

Westhealth Surgery Center LLC (NPI 1598165664)

Key Findings

Field	Value
Entity Type	Organization
Organization	Westhealth Surgery Center LLC
Address	2805 Campus Dr
City	Plymouth
State	MN
ZIP	55441
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 26, 2014

Payer Source	Total Paid
Medicare	$969.2K
Medicaid	$0

This facility is effectively a Medicare-centric ambulatory surgical operation: lifetime Medicare revenue is $969.2K and there is none (no Medicaid billing on file), so the provider’s commercial/Medicaid exposure is minimal and payment mix is concentrated in Medicare. The NPI has been enumerated since 2014-08-26 (~12 years ago), indicating an established operation rather than a newly formed clinic.

Revenue is heavily concentrated in three procedure lines: 66984 ($340.1K), 27447 ($318.5K), and 27130 ($116K) together account for 80.0% of this provider’s total Medicare revenue. This concentration means the facility’s financial performance is driven by a small set of high-revenue procedures rather than a broad, even distribution of services.

The code mix points to a dual clinical focus on ophthalmology and orthopedics: 66984 (cataract extraction with intraocular lens) is the single largest revenue driver and 27447/27130 are major joint arthroplasty procedures, suggesting the center performs both high-volume cataract surgery and significant orthopedic joint procedures in the ambulatory setting. Ancillary services such as carpal tunnel release (64721), colonoscopy codes (G0105, G0121, 45380, 45385), and venous procedures (36482, 36471) appear as supplemental lines, indicating a multi-specialty ASC model rather than a single-procedure specialty clinic.

Competitive standing varies by procedure: 66984 ranks #3412 of 15965 providers (79th percentile), which places the center above average nationally for cataract volume though still described as a typical, unremarkable volume profile; 27447 ranks #4198 of 12089 (64th percentile), a modestly above-median position for knee arthroplasty; by contrast 27130 ranks #6312 of 8062 (18th percentile), indicating below-average national volume for hip replacement. Several secondary codes are characterized in the data as 'typical, unremarkable volume for this code,' reinforcing that this provider is not an extreme outlier across most services.

The provider’s per-claim reimbursement profile emphasizes high-dollar orthopedic cases versus high-volume, low-dollar ophthalmology: average paid per claim is $872 for 66984, $7583 for 27447, and $7736 for 27130, so a relatively small number of joint procedures contribute a large share of revenue while cataract procedures contribute via higher claim counts. This mix suggests operational dependence on scheduling and reimbursement for a few high-paying orthopedic procedures to sustain overall revenue.

There are notable billing patterns among secondary codes that affect revenue composition: C9290 shows 11.4K claims at $1 avg paid/claim for $11.4K revenue, indicating a very high claim count that produces only a small portion of total revenue; several diagnostic and minor-procedure codes (G0105, G0121, 45380, 45385) each contribute modestly and are ranked by the dataset as typical volumes. These patterns imply a combination of a few revenue-dominant surgical episodes plus many low-dollar, high-frequency billings.

The heavy reliance on three codes for 80.0% of Medicare revenue exposes the provider to payer- or procedure-specific reimbursement or referral shifts: if volumes or payments for 66984, 27447, or 27130 change materially, overall Medicare revenue would be disproportionately affected. Given the absence of Medicaid billing on file, any adverse Medicare policy change would have limited offset from state-program revenue streams.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	390	$870	$340.1K
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	$7,580	$318.5K
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	$7,740	$116K
36482	In this procedure, the provider inserts a chemical adhesive through a catheter into an incompetent vein in an extremity to ablate the vein. The provider reports this code for treatment of the first…	30	$1,030	$34K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	20	$1,370	$32.9K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$900	$27.8K
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…	30	$690	$20K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	40	$440	$16.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	40	$460	$15.9K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	30	$490	$13.6K

Showing 1–10 of 14

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	127	300	190	$50	$56K
27447	53	270	20	$1,340	$41.5K
36482	3	10	20	$1,360	$40.9K
65820	11	20	30	$1,010	$31.2K
27130	115	190	20	$1,260	$30.3K
66982	27	70	30	$610	$23.2K
C9290	5	10	6,650	$1	$18.5K
45385	231	360	40	$260	$16.1K
64721	18	70	20	$420	$10.4K
19301	17	30	20	$500	$9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intermediate District 287	MN	Local Education Agency (LEA)	$0	$34.2M
Alliance Hhc & Nursing Services, LLC	MN	Home Health Agency	$0	$8.5M
Twin Cities Dermatopathology, LLC	MN	Dermatopathology (Pathology) Physician	$1.2M	$719.8K
Lakeland Health Services, Inc.	MN	Sleep Disorder Diagnostic Clinic/Center	$62.5K	$461K
Mark Wilke	MN	Dermatopathology (Pathology) Physician	$246.9K	$0
Mitchell Crider	MN	Diagnostic Radiology Physician	$203.1K	$0
Chris Bauman	MN	Diagnostic Radiology Physician	$149.9K	$0
Christopher Spoke	MN	Internal Medicine Physician	$127.2K	$0
Ronald Kaufman	MN	Internal Medicine Physician	$104.1K	$0
Peiyi Wang	MN	Internal Medicine Physician	$98.2K	$0

Westhealth Surgery Center LLC — Billing Profile & Reimbursement Data

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Westhealth Surgery 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

Nearby Providers

Frequently Asked Questions

References