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NPI 1689013534 · Honolulu, HI · Ambulatory Surgical Clinic/Center
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Specialty Surgical Suites, LLC is a ambulatory surgical clinic/center provider located in Honolulu, Hawaii. This profile covers 10 Medicare and 3 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 | Specialty Surgical Suites, LLC |
| Address | 1401 S Beretania St |
| City | Honolulu |
| State | HI |
| ZIP | 96814 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 24, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $69.2K |
SPECIALTY SURGICAL SUITES, LLC operates as an ambulatory surgical clinic/center with a clear orthopedics focus: its top Medicare revenue drivers are major joint arthroplasty and reconstructive codes — 27130 (hip replacement) generated $390K (29.3% of Medicare revenue), 27447 (total knee replacement) generated $325.1K (24.4%), and 27446 (partial/compartmental knee reconstruction) generated $268.9K (20.2%). These three codes together account for 73.9% of the provider's Medicare revenue, indicating the center’s core business is high-cost implant and joint-replacement procedures performed in an outpatient surgical setting.
Revenue concentration on Medicare is pronounced: total Medicare lifetime revenue is $1.3M and the precomputed top-3 Medicare codes account for 73.9% of that sum. This degree of concentration suggests commercial and operational risk is tied to a small set of high-revenue orthopedic procedures rather than a broad mix of low-cost services.
The payer mix is heavily Medicare-skewed — lifetime Medicare revenue is $1.3M compared with $69.2K in Medicaid — making Medicare the dominant source of payer-funded volume and revenue for this facility. Medicaid billing is highly concentrated by code as well: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, driven primarily by prosthetic implant charges (L8699 $46.4K, 67.0% of Medicaid revenue) and implant anchors (C1713 $22.8K, 33.0%).
Competitive standing across Medicare codes is mixed: for the high-revenue hip replacement 27130 the provider ranks #1809 of 8062 (77th percentile; typical, unremarkable volume for this code), and for total knee replacement 27447 it ranks #4329 of 12089 (63th percentile; typical, unremarkable volume for this code), indicating modest national presence in major arthroplasty. By contrast, arthroscopic shoulder repair 29827 produced $146.7K (11.0% of Medicare revenue) and ranks #83 of 3445 (98th percentile; notably above typical national volume for this code), showing a relative specialty strength in shoulder arthroscopy compared with national peers.
Within the Medicaid footprint the provider is not a dominant in-state player for implant codes: L8699 (37 claims, $46.4K, 67.0% of Medicaid revenue) ranks #6 of 8 in-state (14th percentile) and C1713 (14 claims, $22.8K, 33.0%) ranks #5 of 5 in-state (0th percentile). These ranks indicate the practice bills meaningful implant dollars to Medicaid but sits low in in-state peer rankings, suggesting limited scale in the Medicaid population.
Average paid-per-claim metrics underscore the high-cost, implant-driven nature of the practice: 27130 shows $8667 avg paid/claim while 27447 and 27446 show $7930 and $8147 avg paid/claim respectively, consistent with implant and device-heavy orthopedic surgery performed in the ASC setting. Lower-reimbursement procedures are also present (for example 29827 at $2190 avg paid/claim and 64721 at $544 avg paid/claim), reflecting a mixed case mix that includes both high-cost replacements and routine soft-tissue or hand procedures.
Procedure breadth beyond large joint arthroplasty is notable: the practice also reports substantial arthroscopic shoulder work (29827, $146.7K, 11.0% of Medicare revenue), carpal tunnel release 64721 (60 claims, $32.6K, 2.5% of Medicare revenue, ranked #513 of 3206, 83th percentile; typical, unremarkable volume for this code), muscle biopsy 20205 ($27.8K, 2.1% of Medicare revenue, ranked #3 of 8, 71th percentile; typical, unremarkable volume for this code), and smaller hand procedures like trigger finger 26055. This mix suggests the ASC supports a full-spectrum orthopedic and upper-extremity practice alongside its arthroplasty-driven volume.
The provider has been enumerated since 2013-06-24 (~13 years ago), indicating a stable multi-year presence in Honolulu. Lifetime revenue totals ($1.3M Medicare, $69.2K Medicaid) position SPECIALTY SURGICAL SUITES as a specialized, Medicare-centric ASC with concentrated orthopedic revenue lines and selective Medicaid implant billing rather than a broad multispecialty ambulatory operator.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 50 | $8,670 | $390K |
| 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… | 40 | $7,930 | $325.1K |
| 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… | 30 | $8,150 | $268.9K |
| 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… | 70 | $2,190 | $146.7K |
| 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… | 30 | $2,810 | $70.1K |
| 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… | 20 | $2,860 | $48.7K |
| 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… | 60 | $540 | $32.6K |
| 20205 | A muscle biopsy is a procedure to obtain sample of deep muscle tissue to further analyze a suspected medical condition or infection. Deep muscle tissue is well below the fascia or beneath other… | 30 | $960 | $27.8K |
| 23700 | In this procedure, the provider manipulates a patient’s shoulder joint with the patient under anesthesia. He may also apply a fixation apparatus. He performs this service to treat conditions such as… | 20 | $660 | $11.3K |
| 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 | $500 | $9.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
Other providers in the same ZIP code as Specialty Surgical Suites, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Walgreen Co | HI | Pharmacy | $0 | $25.3M |
| Mastercare Inc | HI | Nursing Care Agency | $0 | $10.8M |
| Attention Plus Private Nursing, Inc. | HI | Nursing Care Agency | $0 | $7.7M |
| Heaven's Helpers, Inc. | HI | In Home Supportive Care Agency | $0 | $4.5M |
| Heaven's Helpers, Inc. | HI | Nursing Care Agency | $0 | $4M |
| Honolulu Imaging Center, LLC | HI | Diagnostic Radiology Physician | $2.6M | $1.1M |
| Eugene W M Ng Md LLC | HI | Ophthalmology Physician | $0 | $3.7M |
| Bayada Home Care | HI | In Home Supportive Care Agency | $0 | $3.6M |
| B Homecare L.L.C. | HI | In Home Supportive Care Agency | $0 | $3.5M |
| Hawaii Diagnostic Radiology Services LLC | HI | Diagnostic Radiology Physician | $0 | $3.2M |
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