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

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

Orange Asc, Ltd (NPI 1619333010)

Key Findings

Field	Value
Entity Type	Organization
Organization	Orange Asc, Ltd
Address	3600 Stelzer Rd
City	Columbus
State	OH
ZIP	43219
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 14, 2016

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

ORANGE ASC, LTD is an ambulatory surgical clinic/center enumerated on 2016-01-14 (~10 years ago) with $3.4M in reported Medicare revenue and no Medicaid billing on file. The absence of any Medicaid activity means this facility operates effectively as a Medicare-focused provider in the data set.

Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 74.7% of the provider's Medicare take. Those top three codes are 27447 ($1.4M revenue, 41.7% of Medicare revenue), 27130 ($786.1K revenue, 22.9%), and 64483 ($346.3K revenue, 10.1%).

The billing mix and dominant codes point to a specialty orthopedic and procedural focus: 27447 and 27130 indicate high-volume knee and hip arthroplasty work, while 64483 plus other facet/epidural injection codes reflect substantial spine/pain-management services. High counts for shoulder and hand procedure codes (see 29828, 29827, 64721) further suggest the ASC performs a broad range of orthopedics from major joint replacement to arthroscopic and peripheral nerve/hand procedures.

Competitive standing for core procedures is national-scale and unusually high: 27447 ranks #84 of 12089 providers (99th percentile; extreme outlier), 64483 ranks #10 of 8202 (100th percentile; extreme outlier), and 27130 ranks #151 of 8062 (98th percentile; notably above typical national volume). These rank/percentile labels imply this ASC is far above typical national volume for its principal hip, knee, and epidural injection services.

Beyond the top three, the provider shows additional concentrated strengths in arthroscopic shoulder and hand surgery: 29828 (biceps tenodesis) is #15 of 1007 providers (98th percentile; extreme outlier), 29827 (rotator cuff repair) is #47 of 3445 (99th percentile; extreme outlier), and 64721 (carpal tunnel) is #36 of 3206 (99th percentile; extreme outlier). This pattern indicates both high throughput for major joint replacement and a robust pipeline of ancillary orthopedic procedures that commonly co-occur in specialty ASCs.

The facility's payer mix is effectively single-payer within the available data: all reported revenue comes from Medicare ($3.4M) and there is no Medicaid billing on file. That concentration creates operational exposure to Medicare policy and reimbursement changes and limits insight into commercial or Medicaid-driven volumes from this dataset.

While several codes are extreme outliers, release of the full code list shows many services at more typical volume levels — for example, 25609 is ranked in the 66th percentile and labeled typical/unremarkable, and 64493 is described as typical/unremarkable despite a 94th-percentile rank. This suggests the provider is selective in which procedures it performs at very high volume rather than uniformly billing at extreme levels across all procedure types.

For network or contracting analysts, the profile signals a high-volume, Medicare-centric orthopedic ASC with outsized national presence on knee and hip arthroplasty and certain pain-management injections; these strengths should be weighed against the lack of Medicaid activity and the heavy revenue concentration (top 3 codes = 74.7%) when assessing revenue stability and strategic fit.

Medicare: Complete Services Breakdown

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

28 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…	210	$6,930	$1.4M
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…	110	$7,210	$786.1K
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).	1,300	$270	$346.3K
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…	60	$2,350	$138.9K
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…	80	$1,360	$104.8K
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…	160	$630	$99.4K
25609	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…	20	$3,370	$60.7K
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…	200	$270	$55.7K
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…	130	$430	$54.4K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	80	$600	$49.7K

Showing 1–10 of 28

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	3	540	30	$1,280	$52.4K
27130	2	340	20	$1,250	$38.8K
25609	4	10	10	$1,930	$32.9K
29827	2	120	20	$950	$19K
64483	2	270	50	$170	$17.7K
64635	29	210	30	$310	$14.8K
29828	1	30	20	$800	$14.4K
64721	2	130	30	$400	$13.9K
29881	9	40	20	$680	$13.5K
63047	131	170	20	$540	$13.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Casleo LLC	OH	Home Delivered Meals	$0	$117.3M
American Oncology Partners PA	OH	Hematology & Oncology Physician	$0	$11.8M
Vistacare Usa, LLC	OH	Community Based Hospice Care Agency	$0	$11.7M
Critical Care Transport Inc.	OH	Land Ambulance	$908.6K	$1.9M
Emily Whitman-purves	OH	Hematology & Oncology Physician	$809.5K	$0
Vincent Guinn	OH	Clinical Cardiac Electrophysiology Physician	$381.8K	$80
Taral Patel	OH	Hematology & Oncology Physician	$307K	$0
Mark Knapp	OH	Hematology & Oncology Physician	$223K	$0
Jeanna Knoble	OH	Hematology & Oncology Physician	$201.9K	$0
Lindsey Swan	OH	Family Nurse Practitioner	$181.3K	$0

Orange Asc, Ltd — Billing Profile & Reimbursement Data

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Orange Asc, Ltd — 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