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

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

Joint Replacement Center Of Louisiana (NPI 1649921065)

Field	Value
Entity Type	Organization
Organization	Joint Replacement Center Of Louisiana
Address	5150 Robotics Lane
City	Lake Charles
State	LA
ZIP	70605
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 18, 2022

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

The provider’s Medicare activity is overwhelmingly centered on major lower‑extremity arthroplasty: code 27447 (total knee arthroplasty) dominates the ledger with 132 claims, $6502 avg paid/claim and $858.3K revenue, representing 72.1% of the provider’s Medicare receipts. This code mix is consistent with the listed Taxonomy (Ambulatory Surgical Clinic/Center) and identifies knee replacement as the operation’s primary service line rather than a general multispecialty surgical mix.

Revenue concentration is acute: the precomputed top‑3 Medicare codes account for 93.4% of total Medicare revenue, with 27447 at 72.1%, 27130 (hip replacement) at 17.0%, and 29827 (arthroscopic rotator cuff repair) at 4.3%. That level of concentration implies that payer or policy changes affecting a single code group—especially knee arthroplasty—would have outsized impact on the facility’s topline.

Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $1.2M while Medicaid revenue is recorded as none. The absence of Medicaid billing on file indicates the center either does not participate in Medicaid or treats a patient population and case mix that generates minimal Medicaid billings, concentrating reimbursement risk and referral dependency on Medicare.

Competitive standing for knee arthroplasty is strong: 27447 ranks #404 of 12089 providers nationally (97th percentile) and is described as "notably above typical national volume." This places the center among high‑volume national performers for TKA, suggesting a regional draw or specialization advantage for that procedure.

By contrast, hip replacement (27130) and shoulder arthroscopy with rotator cuff repair (29827) are mid‑tier in national context: 27130 ranks #3270 of 8062 (58th percentile; typical, unremarkable volume) and 29827 ranks #664 of 3445 (79th percentile; typical, unremarkable volume). These positions indicate the provider is a modest participant outside its dominant knee program, with hip and shoulder work contributing meaningfully but not driving market leadership.

C9088 (instillation, bupivacaine and meloxicam) is an outlier in provider behavior relative to peers: it generated $46K revenue from 46K claims at $1 avg paid/claim and ranks #3 of 52 providers nationally (96th percentile), described as "notably above typical national volume." That unusually high billing frequency for a small‑unit medication code suggests a consistent perioperative analgesia practice pattern that is unusually concentrated compared with other centers.

The NPI was enumerated on 2022-01-18 (~4 years ago), indicating the center has been active under this registration for a relatively short period. Coupled with the heavy reliance on a few high‑revenue arthroplasty codes, this tenure profile is consistent with a focused or recently scaled specialty center and highlights sensitivity to referral patterns, contract terms with Medicare, and reimbursement shifts for its top codes.

Medicare: Complete Services Breakdown

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

6 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…	130	$6,500	$858.3K
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	$6,730	$202K
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	$1,760	$51.1K
C9088	Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg	45,950	$1	$46K
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	$2,220	$24.4K
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…	20	$590	$8.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Joint Replacement Center Of Louisiana — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	4	160	30	$890	$35.5K
C9088	1	10	45,950	$1	$26.2K
27130	23	100	20	$770	$20K
29827	9	60	20	$790	$15K
64721	31	40	20	$380	$12.9K
29828	19	20	20	$660	$10.5K

Nearby Providers

Other providers in the same ZIP code as Joint Replacement Center Of Louisiana, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Calcasieu Urgent Care LLC	LA	Urgent Care Clinic/Center	$0	$39.5M
Resource Management Services, Inc. Of Southwest Louisiana	LA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$20.7M
Southwest Louisiana Independence Center, Inc	LA	In Home Supportive Care Agency	$0	$14.4M
Christus Health Southwestern Louisiana	LA	General Acute Care Hospital	$0	$11.8M
Medical Resources & Guidance, Inc.	LA	Case Management Agency	$0	$10.3M
Direct Care, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$10.1M
Calcasieu Emergency Group LLC	LA	Emergency Medicine Physician	$0	$7.4M
Vcphcs Vi, LLC	LA	Substance Use Disorder Rehabilitation Clinic/Center	$110.8K	$6.7M
Pediatric Cardiology Of Southwest Louisiana, LLC	LA	Pediatric Cardiology Physician	$0	$6.1M
1st Abundant Home Care, LLC	LA	Developmentally Disabled Services Day Training Agency	$0	$5.1M

Joint Replacement Center Of Louisiana — Billing Profile & Reimbursement Data

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Joint Replacement Center Of Louisiana — 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