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

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

Css Jv, LLC (NPI 1609887413)

Field	Value
Entity Type	Organization
Organization	Css Jv, LLC
Address	11782 Sw Barnes Rd
City	Portland
State	OR
ZIP	97225
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

CSS JV, LLC’s Medicare billing is dominated by large-joint arthroplasty and interventional pain procedures: the top Medicare codes are 27447 (knee arthroplasty), 27130 (hip arthroplasty), and 64493 (lumbar/sacral facet injection). These three codes together account for 64.6% of the provider’s total Medicare revenue, reflecting a mix of high-revenue surgical cases and recurrent interventional pain services consistent with an orthopedic ambulatory surgical clinic/center.

Revenue concentration is high on a small set of services: the single largest line, 27447, represents $350.1K (32.7% of Medicare revenue) and 27130 represents $251.8K (23.5%), while 64493 contributes $91.1K (8.5%). Reliance on these top codes (precomputed top-3 = 64.6% of Medicare revenue) means the provider’s Medicare financial performance is sensitive to volume and reimbursement changes in arthroplasty and facet injection services.

Payer mix is effectively single-payer: Total Medicare revenue is $1.1M and there is no Medicaid billing on file. This provider operates without documented Medicaid activity, so commercial or Medicare Advantage exposure (not shown here) would determine non-Medicare diversification but is not present in the Medicaid data.

Competitive standing for major joint replacement is modest rather than dominant: 27447 ranks #4072 of 12089 providers nationally (65th percentile; typical, unremarkable volume for this code) and 27130 ranks #3147 of 8062 providers nationally (59th percentile; typical, unremarkable volume for this code). Those percentiles indicate the practice performs a normal, mid-range volume of hip and knee arthroplasty compared with national peers rather than being a regional or national center of excellence based on Medicare volume alone.

Interventional pain services show a mixed competitive profile with one notable outlier: 64493 (lumbar/sacral facet injection) is a clear high-volume outlier, with 293 claims, $311 avg paid/claim, $91.1K revenue and ranking #221 of 7519 providers nationally (97th percentile; notably above typical national volume). Other injection codes such as 64483 (252 claims, $330 avg paid/claim, $83.2K revenue) and 64635 (106 claims, $657 avg paid/claim, $69.6K revenue) are described as typical, unremarkable volume despite relatively high percentiles, indicating a substantial but not uniquely dominant interventional pain practice beyond the single 64493 outlier.

Procedure mix extends beyond arthroplasty and spine injections into ambulatory orthopedics and hand/shoulder procedures: notable entries include 29827 (arthroscopic rotator cuff repair, $59.1K revenue), 29828 (biceps tenodesis, $30.2K), and 64721 (carpal tunnel release, $27.2K). This range of shoulder, wrist, and hand procedure codes supports the interpretation that CSS JV, LLC functions as a full-service ambulatory surgical clinic offering both major joint replacement and outpatient orthopedic specialty procedures.

Operational tenure is substantial: the NPI was enumerated on 2006-08-10 (~20 years ago), indicating the entity has been credentialed and operating in the Medicare program for around two decades. That longevity, combined with a focused code mix, suggests an established ambulatory orthopedic center rather than a newly formed practice.

Claims distribution shows reliance on both higher-reimbursement, lower-frequency surgeries and many lower-reimbursement, higher-frequency injection procedures: for example, 27447 has 43 claims at $8142 avg paid/claim generating $350.1K, whereas 64493 has 293 claims at $311 avg paid/claim generating $91.1K (8.5% of Medicare revenue). The combination of these revenue streams is characteristic of an ASC-style operation where episodic high-dollar procedures are complemented by recurring outpatient injections and minor procedures to sustain overall revenue.

Medicare: Complete Services Breakdown

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

17 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…	40	$8,140	$350.1K
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	$8,120	$251.8K
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…	290	$310	$91.1K
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).	250	$330	$83.2K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	110	$660	$69.6K
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…	30	$1,910	$59.1K
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	$2,740	$30.2K
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…	40	$700	$27.2K
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).	60	$360	$22.6K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	20	$1,240	$19.8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Css Jv, LLC — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	50	170	30	$1,590	$60.3K
27130	46	110	30	$1,610	$53.1K
64635	13	80	40	$430	$24K
G0260	11	20	60	$220	$23.9K
29827	7	40	20	$1,060	$22.3K
29828	18	20	20	$1,100	$20.9K
64483	8	100	50	$220	$19K
64493	6	90	50	$210	$16.9K
64721	9	40	30	$470	$16.5K
25447	11	20	20	$610	$16.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philipp Kupfer	OR	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Henry Zegzula	OR	Plastic Surgery Physician	$4.2K	$0

Nearby Providers

Other providers in the same ZIP code as Css Jv, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$36.9M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$11.4M
Columbia Medical Alarm, Inc.	OR	Home Health Agency	$0	$6.1M
Childrens Clinic PC	OR	Pediatrics Physician	$0	$4.7M
West Hills Gastroenterology Equipment Corp	OR	Endoscopy Clinic/Center	$861.3K	$3.2M
Chiropractic Art & Science LLC	OR	Health Service Clinic/Center	$0	$2.7M
Hd Industries, LLC	OR	In Home Supportive Care Agency	$0	$2.7M
Trg, LLC	OR	Diagnostic Radiology Physician	$0	$2.4M
Westside Pediatric Clinic PC	OR	Pediatrics Physician	$0	$2.3M
Carlos Ugalde	OR	Oral and Maxillofacial Surgery (Dentist)	$0	$2.3M

Css Jv, 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