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NPI 1639261365 · Syracuse, NY · Ambulatory Surgical Clinic/Center
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Specialists One- Day Surgery LLC is a ambulatory surgical clinic/center provider located in Syracuse, New York. This profile covers 41 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Specialists One- Day Surgery LLC |
| Address | 5801 E Taft Rd |
| City | Syracuse |
| State | NY |
| ZIP | 13212 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.4M |
| Medicaid | $987.3K |
SPECIALISTS ONE- DAY SURGERY LLC is a long-tenured ambulatory surgical center with an NPI enumerated 2006-09-29 (~20 years ago), indicating a stable operational presence in Syracuse, NY. Its billed services and revenue streams are dominated by high-reimbursement orthopedic and spine procedures, consistent with its Ambulatory Surgical Clinic/Center taxonomy.
Medicare revenue for this provider totals $4.4M while Medicaid revenue totals $987.3K, so Medicare comprises the larger share of its publicly reported payer mix by scale; both payers are active but Medicare is the larger revenue source.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 66.3% of the provider's Medicare revenue, driven primarily by 27447 ($1.4M; 33.1% of Medicare revenue) and 27130 ($1.1M; 26.0% of Medicare revenue), with 63685 contributing $308.2K (7.2%). These high-dollar arthroplasty codes show the center’s financial reliance on major joint replacement and select spinal implant procedures.
On Medicare competitive standing, the provider is an extreme outlier for major joint arthroplasty: 27447 ranks #97 of 12089 providers nationally (99th percentile; extreme outlier) and 27130 ranks #38 of 8062 providers nationally (100th percentile; extreme outlier), indicating unusually high national volume in knee and hip replacement relative to peers. By contrast, 63685 (spinal neurostimulator generator) sits at a typical volume level (rank #662 of 1281; 42th percentile).
Medicaid billing is even more concentrated: the top 3 Medicaid codes account for 99.3% of Medicaid revenue, with 29848 representing the overwhelming share ($820.5K; 83.1% of Medicaid revenue) and 62323 contributing $149.4K (15.1%). This pattern signals that Medicaid activity is heavily focused on endoscopic carpal tunnel/wrist release and lumbar therapeutic injections.
In-state competitive position on Medicaid is dominant for 29848: the provider ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume) for that code, indicating it is a leading state-level provider of this procedure. Other Medicaid codes such as 62323 rank more modestly (rank #23 of 98; 77th percentile), reflecting typical in-state participation in interventional spine injections.
Operationally, the code mix across both payers — high-volume arthroplasty and arthroscopic/hand procedures (27447, 27130, 29848) plus multiple image-guided spinal injection codes (62323, 64483, 64635) — suggests a combined service line of orthopedic joint surgery, upper-extremity/hand procedures, and interventional spine/pain services rather than a single-procedure clinic. This breadth implies the center operates as a multi-specialty ambulatory surgical facility with both surgical and interventional pain workloads.
A notable billing pattern in the Medicaid file is L8699 appearing with 494 claims and $0 avg paid/claim ($0 revenue); this is a data point worth flagging for analysts as it represents substantial claim volume with no reported Medicaid revenue. Analysts should consider this alongside the dominant paid codes (29848 and 62323) when assessing contract exposure and reimbursement reporting for Medicaid business.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
41 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… | 200 | $7,160 | $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… | 150 | $7,250 | $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 | $19,260 | $308.2K |
| 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… | 130 | $2,030 | $266.5K |
| 22869 | Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous… | 20 | $8,540 | $170.8K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 260 | $530 | $139.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 210 | $500 | $103.5K |
| 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… | 200 | $440 | $84.8K |
| 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… | 40 | $2,330 | $81.5K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 20 | $3,380 | $74.3K |
Showing 1–10 of 41
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
41 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 9 | 20 | 20 | $5,140 | $87.4K |
| 22869 | 1 | 10 | 10 | $4,670 | $70K |
| 27447 | 2 | 480 | 30 | $1,120 | $43.7K |
| 27130 | 3 | 350 | 30 | $1,120 | $40.3K |
| 25609 | 5 | 20 | 10 | $2,340 | $37.5K |
| 29827 | 1 | 110 | 20 | $1,260 | $27.7K |
| G0260 | 5 | 20 | 60 | $230 | $24.2K |
| 64635 | 5 | 240 | 30 | $430 | $19.9K |
| 29848 | 1 | 80 | 30 | $460 | $19.8K |
| 29828 | 1 | 30 | 20 | $1,020 | $18.4K |
Showing 1–10 of 41
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 810 | $1,020 | $820.5K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 390 | $390 | $149.4K |
| 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). | 30 | $380 | $10.6K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 10 | $410 | $4.9K |
| 64415 | The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more… | 60 | $30 | $2K |
| L8699 | Prosthetic implant, not otherwise specified | 490 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 1 | 10 | 50 | $920 | $141.6K |
| 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). | 84 | 120 | 130 | $230 | $104.1K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 23 | 100 | 80 | $210 | $73.3K |
| L8699 | Prosthetic implant, not otherwise specified | 3 | 10 | 90 | $250 | $51.7K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 24 | 30 | 30 | $260 | $33.3K |
| 64415 | The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more… | 2 | 10 | 40 | $60 | $11.7K |
Other providers in the same ZIP code as Specialists One- Day Surgery LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Heritage One Day Surgery LLC | NY | Ambulatory Surgical Clinic/Center | $1.9M | $2M |
| Syracuse Surgery Center, LLC | NY | Ambulatory Surgical Clinic/Center | $748.1K | $0 |
| Sandra Gibson | NY | Physician Assistant | $707.1K | $0 |
| Pawan Rao | NY | Nephrology Physician | $581.8K | $66.6K |
| Salil Gupta | NY | Nephrology Physician | $567.5K | $52.9K |
| Simardeep Mangat | NY | Nephrology Physician | $347.2K | $21.6K |
| Healthdirect Institutional Pharmacy Services, Inc. | NY | Long Term Care Pharmacy | $298.9K | $2K |
| Raymond Alcuri | NY | Physical Medicine & Rehabilitation Physician | $237.8K | $35.4K |
| Rina Davis | NY | Interventional Pain Medicine Physician | $255.3K | $14.7K |
| Bala Murthy | NY | Nephrology Physician | $212.9K | $25.9K |
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