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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Uoi East Bay Surgery Center LLC (NPI 1598419509)

Field	Value
Entity Type	Organization
Organization	Uoi East Bay Surgery Center LLC
Address	1 Kettle Point Ave Ste 200
City	East Providence
State	RI
ZIP	02914
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 8, 2022

Payer Source	Total Paid
Medicare	$552.9K
Medicaid	$0

Key Findings

This facility is effectively single‑payer in the public programs: total Medicare revenue is $552.9K and there is no Medicaid billing on file. The absence of Medicaid activity means the provider’s public‑program exposure is concentrated entirely in Medicare, which shapes case mix and reimbursement dynamics.

Revenue is highly concentrated in a few surgical codes: the precomputed top 3 Medicare codes account for 65.2% of this provider’s total Medicare revenue. That concentration indicates a small set of procedures (primarily joint arthroplasty and a major pain procedure) drive most of the center’s Medicare dollars, creating both efficiency and revenue risk if volumes shift.

Orthopedic joint replacements dominate dollar volume: 27447 accounts for $185.4K (33.5% of Medicare revenue) from 25 claims at $7415 avg paid/claim, and 27130 contributes $122.3K (22.1%) from 17 claims at $7197 avg paid/claim. These figures are consistent with an ambulatory surgery center model that performs high‑reimbursement hip and knee arthroplasty procedures.

The provider also reports substantial interventional pain and hand procedure activity: 64635 generated $52.9K (9.6%) from 98 claims ($540 avg), 64721 generated $50.8K (9.2%) from 78 claims ($651 avg), and 64483 generated $45.7K (8.3%) from 149 claims ($307 avg). This mix—high‑value joint replacement plus frequent injections and carpal tunnel releases—suggests a blended service line of orthopedics/surgery and ambulatory pain management.

National competitive standing is modest for arthroplasty but stronger for some pain procedures: 27447 ranks #7283 of 12089 (38th percentile; typical, unremarkable volume) and 27130 ranks #5739 of 8062 (25th percentile; typical, unremarkable volume), indicating the center is a modest national participant for joint replacement. By contrast, 64635 ranks #785 of 5957 (86th percentile; typical, unremarkable volume), positioning the provider well above average nationally for that lower‑back neurolytic procedure.

Several additional codes show relatively high procedural frequency but typical national volumes, reinforcing the hybrid case mix: 64493 (114 claims, $32.9K, 6.0% of revenue) ranks #1342 of 7519 (82nd percentile; typical, unremarkable volume) and 64721 (78 claims, $50.8K, 9.2%) ranks in the high‑percentile range (listed as 91st percentile; typical, unremarkable volume). Together these data indicate the center runs a mix of recurring injection procedures alongside episodic surgeries.

The provider’s NPI was enumerated on 2022-02-08 (~4 years ago), indicating relatively recent Medicare enrollment. Given that tenure, current volume and revenue patterns could reflect early‑stage growth or an established niche in outpatient arthroplasty and interventional pain within its local market.

Operational and payer risk/opportunity: with $552.9K in Medicare revenue and no Medicaid billing on file, the center lacks Medicaid diversification and is dependent on Medicare case flow and reimbursement. That concentration simplifies payer management but increases sensitivity to Medicare volume fluctuations or policy changes affecting ambulatory joint procedures and interventional pain services.

Medicare: Complete Services Breakdown

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

12 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…	30	$7,420	$185.4K
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	$7,200	$122.3K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	100	$540	$52.9K
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…	80	$650	$50.8K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	150	$310	$45.7K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	110	$290	$32.9K
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…	60	$500	$31.6K
64624	The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it…	20	$680	$11.5K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	30	$310	$9.5K
64479	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either cervical or thoracic).	10	$330	$4.6K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Uoi East Bay Surgery Center LLC — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	28	50	30	$1,230	$43K
27130	23	30	20	$1,250	$33.8K
64721	2	10	40	$440	$17.8K
64635	1	10	30	$370	$15.4K
62323	18	20	50	$140	$13.2K
64493	4	20	50	$170	$12.8K
64483	2	20	50	$190	$12.2K
26055	2	10	30	$340	$11.2K
64624	2	10	20	$210	$7.7K
64490	4	10	30	$200	$5.3K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Uoi East Bay Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Orthopedics, Inc.	RI	Orthopaedic Surgery Physician	$0	$5.3M
University Orthopedics, Inc.	RI	Ambulatory Surgical Clinic/Center	$727.3K	$7.8K
Jeffrey Feden	RI	Emergency Medicine Physician	$35.2K	$674.7K
Zachary Bohart	MA	Physical Medicine & Rehabilitation Physician	$645.1K	$5.9K
Adam Starr	NC	Orthopaedic Hand Surgery Physician	$579.7K	$430
Stephanie Wheeler	RI	Physical Therapist	$19.9K	$441.7K
Anand Patel	NJ	Orthopaedic Surgery Physician	$442.7K	$0
Christopher Glezos	CA	Orthopaedic Surgery Physician	$422.2K	$0
Alan Daniels	RI	Orthopaedic Surgery Physician	$361.4K	$0
Jason Fanuele	MA	Orthopaedic Surgery Physician	$349.6K	$0

Nearby Providers

Other providers in the same ZIP code as Uoi East Bay Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Side Clinical Laboratory, Inc.	RI	Clinical Medical Laboratory	$4.1M	$48.6M
Beacon Hospice, LLC	RI	Community Based Hospice Care Agency	$0	$47.2M
The Summit Management Group, LLC	RI	Home Health Agency	$0	$10.6M
Independence, LLC	RI	Durable Medical Equipment & Medical Supplies	$0	$8.1M
Access Healthcare, Inc.	RI	Home Health Agency	$0	$7.1M
Winslow Gardens	RI	Assisted Living Facility	$0	$4.9M
Prestige Aba Therapy Services, Inc	RI	Behavior Analyst	$0	$3.8M
Coastline Emergency Medical Services, Inc	RI	Land Ambulance	$1.5M	$1.9M
Primary Medical Center And Walk-in LLC	RI	Family Medicine Physician	$0	$2.9M
Rhode Island Hospital	RI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M

Uoi East Bay Surgery Center LLC — Billing Profile & Reimbursement Data

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Uoi East Bay 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

Related Providers

Nearby Providers

Frequently Asked Questions

References