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NPI 1669437497 · Bend, OR · Ambulatory Surgical Clinic/Center
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Cascade Surgicenter, LLC is a ambulatory surgical clinic/center provider located in Bend, Oregon. This profile covers 31 Medicare and 5 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 | Cascade Surgicenter, LLC |
| Address | 2200 Ne Neff Road, |
| City | Bend |
| State | OR |
| ZIP | 97701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.1M |
| Medicaid | $455.7K |
CASCADE SURGICENTER, LLC is an ambulatory surgical clinic in Bend, OR with an NPI enumerated 2006-04-17 (~20 years ago). Its reported lifetime Medicare revenue is $4.1M and lifetime Medicaid revenue is $455.7K, so Medicare represents the much larger payer relationship on file for this entity. The taxonomy and billing mix are consistent with an outpatient surgical facility that has been active for two decades.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 68.4% of the provider's total Medicare revenue, driven primarily by 27447, 27130, and 63047. Those codes correspond to total knee arthroplasty (27447, $1.7M revenue, $7576 avg paid/claim), total hip arthroplasty (27130, $818.6K revenue, $7796 avg paid/claim), and single-level lumbar decompression (63047, $217K revenue, $2583 avg paid/claim), indicating that major joint replacement and spine decompression procedures are the principal Medicare revenue drivers.
On national competitive standing for Medicare joint and spine procedures, CASCADE SURGICENTER shows markedly above-typical volumes: 27447 ranks #64 of 12089 providers nationally (99th percentile; extreme outlier), 27130 ranks #180 of 8062 providers (98th percentile; notably above typical), and 63047 ranks #53 of 4170 providers (99th percentile; extreme outlier). These ranks indicate the center is a high-volume outlier for knee arthroplasty and lumbar decompression at a national level and a major producer of hip replacements relative to peers.
Beyond arthroplasty and spine codes, the provider posts extreme or near-extreme national volumes on multiple other orthopedic codes, which speaks to broad procedural capability in outpatient orthopedics. Examples include 29848 (wrist carpal tunnel release) at 282 Medicare claims and $149.7K revenue that ranks #2 of 1333 providers nationally (100th percentile; extreme outlier), and 23412 (rotator cuff repair) with $128.6K revenue that ranks #2 of 219 providers nationally (100th percentile; extreme outlier). This spread of high-percentile ranks across hand, shoulder, knee, hip, and spine procedures suggests the center handles a wide spectrum of orthopedic surgical case types rather than a single narrow niche.
Medicaid billing is highly concentrated and payer-limited: the top Medicaid code 29848 accounts for $432.4K and 94.9% of the provider's total Medicaid revenue (926 claims, $467 avg paid/claim), and the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue. The Medicaid mix is therefore almost entirely driven by carpal tunnel release with a small contribution from pediatric tonsil/adenoid procedures (42820, $20.8K). This pattern indicates the facility’s Medicaid activity is effectively specialized around a small set of outpatient procedures.
Comparing the same procedure across payers highlights consistent service lines: 29848 appears as a top code on both Medicare (282 claims, $149.7K revenue; rank #2 of 1333, 100th percentile; extreme outlier) and Medicaid (926 claims, $432.4K revenue; rank #2 of 5 in-state, 75th percentile). That cross-payer consistency shows the center is a reliable source of carpal tunnel surgery for both Medicare and Medicaid populations and suggests operational processes and referral patterns support high volumes of this outpatient procedure.
From a business implications perspective, the prominence of high-value implant procedures (27447 $1.7M, avg paid/claim $7576; 27130 $818.6K, avg paid/claim $7796) alongside a steady stream of lower-paying outpatient procedures implies the center must support both implant supply/OR capacity and higher turnover minor-procedure workflows. For payers and contracting teams, that mix signals needs for implant procurement oversight, bundled payment considerations for arthroplasty, and targeted utilization management for high-volume outpatient procedures.
The provider’s two-decade tenure combined with multiple “extreme outlier” and “notably above typical” percentile labels across several codes suggests an established, high-volume ambulatory orthopedics practice that will be material to network capacity for joint, spine, and hand surgery in its market. These statistical outlier designations merit attention from payer analysts for network negotiations and clinical pathway alignment, but they should be interpreted as indicators of scale and specialization rather than any presumption of improper activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 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… | 230 | $7,580 | $1.7M |
| 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 | $7,800 | $818.6K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 80 | $2,580 | $217K |
| 23430 | In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.… | 50 | $3,370 | $161.8K |
| 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. | 280 | $530 | $149.7K |
| 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). | 450 | $330 | $148.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 240 | $580 | $136.9K |
| 23412 | In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the… | 60 | $2,070 | $128.6K |
| 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 | $3,600 | $82.7K |
| 25447 | The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the… | 90 | $890 | $80.5K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 1 | 170 | 30 | $1,590 | $60.3K |
| 27130 | 3 | 110 | 30 | $1,610 | $53.1K |
| 28750 | 4 | 10 | 10 | $3,190 | $47.9K |
| 23412 | 1 | 10 | 40 | $960 | $34.6K |
| 29848 | 1 | 20 | 40 | $470 | $26.8K |
| 23430 | 1 | 10 | 20 | $1,140 | $25.1K |
| 64635 | 3 | 80 | 40 | $430 | $24K |
| 63047 | 2 | 70 | 20 | $820 | $23.9K |
| 25609 | 2 | 10 | 10 | $1,380 | $23.5K |
| 29827 | 12 | 40 | 20 | $1,060 | $22.3K |
Showing 1–10 of 31
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.
5 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. | 930 | $470 | $432.4K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 20 | $1,220 | $20.8K |
| L8699 | Prosthetic implant, not otherwise specified | 440 | $10 | $2.6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 80 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| L8699 | Prosthetic implant, not otherwise specified | 2 | 10 | 240 | $460 | $268.4K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 8 | 10 | 50 | $1,590 | $217.7K |
| 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. | 2 | 10 | 70 | $410 | $181.5K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 18 | 20 | 250 | $1 | $10 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 21 | 40 | 110 | $1 | $1 |
Other providers in the same ZIP code as Cascade Surgicenter, LLC, ranked by combined Medicare and Medicaid revenue.
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