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

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

Munster Specialty Surgery Center, LLC (NPI 1649520057)

Field	Value
Entity Type	Organization
Organization	Munster Specialty Surgery Center, LLC
Address	9200 Calumet Ave
City	Munster
State	IN
ZIP	46321
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 12, 2012

Payer Source	Total Paid
Medicare	$368.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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	$7,000	$217.1K
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…	20	$7,150	$135.8K
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…	20	$410	$8.2K
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.	10	$560	$7.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Munster Specialty Surgery Center, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	192	340	40	$1,130	$51.1K
27130	149	220	30	$1,280	$40.9K
29848	21	20	40	$420	$16.3K
26055	60	90	30	$280	$10.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Munster Medical Research Foundation Inc	IN	General Acute Care Hospital	$0	$23.6M
Munster Radiology Group PC	IN	Diagnostic Radiology Physician	$0	$6.4M
Preference Health Services Inc.	IN	Home Health Agency	$0	$6.1M
Nwi Urgent Care, LLC	IN	Urgent Care Clinic/Center	$0	$4.4M
Childrens & Family Medicine Clinic PC	IN	Primary Care Clinic/Center	$0	$4.2M
Urgentdent	IN	Dental Clinic/Center	$0	$4M
Chest Physician Consultants, Ltd	IN	Multi-Specialty Clinic/Center	$0	$3.9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$3.5M
Midwest Emergency Associates-munster, LLC	IN	Emergency Medicine Physician	$0	$3.2M
Jeffrey T. Meister, Dds, LLC	IN	General Practice Dentistry	$0	$3M

Munster Specialty Surgery Center, LLC — Billing Profile & Reimbursement Data

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Munster Specialty Surgery Center, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References