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

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

Musculoskeletal Ambulatory Surgery Center Inc (NPI 1639237092)

Field	Value
Entity Type	Organization
Organization	Musculoskeletal Ambulatory Surgery Center Inc
Address	8000 Sr 64 East
City	Bradenton
State	FL
ZIP	34212
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicare	$5.6M
Medicaid	$0

Key Findings

This ambulatory surgical center’s top Medicare procedures indicate a specialty mix dominated by major joint arthroplasty and implantable spine devices: 27447 (total knee arthroplasty), 27130 (total hip arthroplasty), and 63685 (spinal neurostimulator pulse generator) are the largest single-procedure revenue drivers. The average paid per claim on these high-ticket items is substantial ($7026 for 27447, $7200 for 27130, and $18723 for 63685), confirming the center performs complex, device-driven surgeries rather than only minor ambulatory procedures.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 66.3% of this provider’s total Medicare revenue, with 27447 representing $2.1M (39.0%), 27130 $1.1M (20.5%), and 63685 $374.5K (6.8%). This concentration indicates the business’s financial performance is closely tied to volume for a very small set of high-revenue procedures.

The provider is effectively single-payer: total Medicare revenue is $5.6M and there is no Medicaid billing on file. The absence of Medicaid activity suggests limited exposure to that payer class and potential vulnerability to shifts in Medicare policy or utilization trends affecting fee-for-service older adults.

For several core codes the center is a national outlier: 27447 ranks #25 of 12089 providers nationally (100th percentile; extreme outlier) and 27130 ranks #35 of 8062 providers nationally (100th percentile; extreme outlier). Those rankings signal the facility operates at an exceptionally high national volume for lower-extremity arthroplasty relative to peers, consistent with a regional referral destination for joint replacement.

Beyond arthroplasty, the practice shows concentrated high-standing in other procedural areas: 29827 (rotator cuff repair) ranks #24 of 3445 (99th percentile; extreme outlier) and 64635 (lower back neurolytic joint procedure) shows 362 claims and $218.3K revenue while ranking #37 of 5957 (99th percentile; extreme outlier). This pattern suggests the center couples major joint replacement with high-volume shoulder and spine injection or ablation services.

Not all implant/spine work is unusually high-volume: 63685 (spinal neurostimulator pulse generator) and 63650 (epidural electrode placement) have more typical national standings, with 63685 at rank #458 of 1281 (61th percentile; typical, unremarkable volume) and 63650 at rank #496 of 1371 (63th percentile; typical, unremarkable volume). Those entries indicate selective adoption of neuromodulation procedures at modest volume compared with the facility’s standout arthroplasty figures.

The procedure mix includes a broad set of orthopedic and pain-management codes beyond arthroplasty—arthroscopy codes (29881, 29880), carpal tunnel surgery (64721), and multiple facet and epidural injection codes (64633, 64490, 64483) are present in the top-25 list. Several of these non-arthroplasty codes also rank high nationally (for example, 64490 ranks #38 of 3759, 99th percentile; extreme outlier), indicating the center supports both surgical and image-guided interventional pain services alongside orthopedics.

The provider’s NPI tenure (enumerated 2006-12-05, ~20 years ago) suggests an established operation in BRADENTON, FL, which aligns with sustained high volumes for major joint procedures. Combined with the heavy Medicare concentration and national outlier standings for key orthopedic codes, the profile is consistent with a mature ASC that has scaled elective joint replacement and selected interventional spine services over a multi-year period.

Medicare: Complete Services Breakdown

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

37 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…	310	$7,030	$2.1M
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…	160	$7,200	$1.1M
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	20	$18,720	$374.5K
0275T	N/A	70	$3,640	$247.6K
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…	100	$2,280	$230.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	360	$600	$218.3K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	60	$3,720	$208.4K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	20	$6,970	$118.5K
C9290	Injection, bupivacaine liposome, 1 mg	87,520	$1	$87.5K
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).	310	$270	$83.2K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Musculoskeletal Ambulatory Surgery Center Inc — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	49	120	20	$7,440	$163.6K
63650	41	120	50	$1,980	$113K
0275T	7	90	20	$2,390	$71.6K
27446	24	40	20	$2,650	$61K
27447	6	790	30	$1,230	$58.9K
27130	7	590	30	$1,150	$43.6K
25609	21	60	20	$1,640	$29.6K
64635	7	560	40	$400	$26.4K
29827	1	260	20	$1,050	$26.2K
29848	40	130	30	$440	$22.2K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Musculoskeletal Ambulatory Surgery Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alan Valadie	FL	Orthopaedic Surgery Physician	$392.2K	$0
Eric Sundberg	FL	Orthopaedic Surgery of the Spine Physician	$359.8K	$0
John Harkess	FL	Orthopaedic Surgery Physician	$338K	$0
Robert Otte	FL	Orthopaedic Surgery Physician	$324.1K	$0
Avinash Kumar	FL	Orthopaedic Surgery Physician	$307.1K	$0
Melissa Boyette	FL	Surgery of the Hand (Plastic Surgery) Physician	$223K	$0
Sara Simmons	FL	Surgery of the Hand (Plastic Surgery) Physician	$211.6K	$0
Camille Dupont	FL	Physician Assistant	$161.5K	$0
Andres O'daly	FL	Orthopaedic Surgery Physician	$161.3K	$0
Marne Salinas	FL	Physical Therapist	$157.3K	$0

Musculoskeletal Ambulatory Surgery Center Inc — Billing Profile & Reimbursement Data

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Musculoskeletal Ambulatory Surgery Center Inc — 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