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

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

Alliance Surgery Center, LLC (NPI 1699328146)

Field	Value
Entity Type	Organization
Organization	Alliance Surgery Center, LLC
Address	3663 North Country Drive
City	Traverse City
State	MI
ZIP	49684
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 23, 2019

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

ALLIANCE SURGERY CENTER, LLC is classified as an Ambulatory Surgical Clinic/Center and its Medicare billing profile is concentrated in major orthopedic procedures: knee replacement (27447), hip replacement (27130), and shoulder arthroscopy with rotator cuff repair (29827). The code descriptions indicate the center performs high-acuity joint replacement and shoulder repair procedures rather than a broad mix of minor outpatient services, consistent with an orthopedic-focused ambulatory surgical operation.

Revenue is highly concentrated: the provider reports Total Medicare revenue of $3M and the precomputed top 3 Medicare codes by revenue account for 92.2% of that total Medicare revenue. Two individual codes alone represent the lion’s share of Medicare dollars, with 27447 reporting $1.3M (44.9% of total Medicare revenue) and 27130 reporting $1.3M (42.9% of total Medicare revenue), indicating a narrow service mix driving most payments.

This center is effectively single-payer in the available data: Total Medicaid revenue is none (no Medicaid billing on file), so Medicare accounts for essentially all recorded public-payer activity. That payer concentration means financial performance in this dataset is tied to Medicare policy and reimbursement for the center’s dominant procedures.

On national competitive standing the provider is a clear high-volume outlier for its top procedures: 27130 ranks #18 of 8062 providers nationally (100th percentile; extreme outlier) and 27447 ranks #90 of 12089 providers nationally (99th percentile; extreme outlier), while 29827 ranks #40 of 3445 providers nationally (99th percentile; extreme outlier). These rank/percentile labels indicate the center performs far more of these major arthroplasty and shoulder repair procedures than typical U.S. ambulatory surgery peers.

Secondary procedure lines show similarly elevated shoulder procedure volumes: 29828 reports $116.7K (3.9% of total Medicare revenue) and ranks #20 of 1007 providers (98th percentile; notably above typical national volume), while 29824 ($27.9K, 0.9%) and 29823 ($34.3K, 1.2%) rank in the 96th and 97th percentiles respectively (notably above typical national volume). These patterns reinforce that the center’s capabilities extend across several arthroscopic shoulder procedures, not just hip and knee arthroplasty.

Procedure-level reimbursement highlights why joint replacements dominate revenue: 27447 has an avg paid/claim of $6621 and 27130 has an avg paid/claim of $6751, making these high-dollar drivers of the provider’s $3M Medicare total. Dependence on a small number of high-value CPTs creates sensitivity to reimbursement changes or case-mix shifts for those specific codes.

Some common arthroscopy and imaging codes show typical or unremarkable volumes, offering context to the outlier arthroplasty activity: 29881 ($28.4K, 1.0%) ranks in the 87th percentile (typical, unremarkable volume), 29880 ($24.8K, 0.8%) ranks in the 80th percentile (typical, unremarkable volume), and fluoroscopy code 76000 ($323, 0.0%) ranks in the 29th percentile (typical, unremarkable volume). This suggests the center’s overall case mix includes routine arthroscopic procedures at normal volumes alongside a disproportionately large share of major joint replacements.

The provider’s NPI was enumerated on 2019-07-23 (~7 years ago), indicating relatively recent enrollment compared with longer-standing national facilities; despite this tenure the provider has already established unusually high national volumes for multiple major orthopedic CPTs. For payer/provider analysts, that combination of recent enumeration and extreme volume outlier status for core arthroplasty codes is a notable operational profile to investigate further for referral patterns, capacity, and regional market positioning.

Medicare: Complete Services Breakdown

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

9 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	$6,620	$1.3M
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…	190	$6,750	$1.3M
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…	80	$1,550	$128.8K
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…	50	$2,250	$116.7K
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	60	$540	$34.3K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	30	$950	$28.4K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	50	$520	$27.9K
29880	In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with…	30	$990	$24.8K
76000	In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.	20	$20	$320

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Alliance Surgery Center, LLC — 5 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	1	360	30	$1,470	$50.1K
27130	1	240	20	$1,410	$40.8K
29827	2	80	20	$1,040	$24.9K
29828	1	20	10	$1,070	$18.2K
29881	3	20	20	$920	$16.5K
29880	3	20	20	$750	$15.1K
29824	3	40	20	$290	$6.4K
29823	1	40	20	$210	$5K
76000	30	40	20	$20	$510

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Lakes Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$148.6M
Munson Medical Center	MI	General Acute Care Hospital	$0	$44.1M
Northwestern Michigan Emergency Physicians PC	MI	Emergency Medicine Physician	$0	$7.5M
Grand Traverse Radiologists PC	MI	Diagnostic Radiology Physician	$0	$7.3M
Northern Michigan Pediatric Dentistry	MI	Dental Clinic/Center	$0	$7M
Grand Traverse Womens Clinic PLLC	MI	Obstetrics Physician	$0	$6.7M
Northern Lakes Community Mental Health Authority	MI	Case Management Agency	$0	$5.9M
Northwest Michigan Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$2.9M	$1.5M
Michael Mawby	MI	Rheumatology Physician	$628.2K	$0
Surgery Center Plc	MI	Ambulatory Surgical Clinic/Center	$584.8K	$0

Alliance Surgery Center, LLC — Billing Profile & Reimbursement Data

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Alliance Surgery Center, LLC — 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