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NPI 1720001928 · Germantown, TN · Ambulatory Surgical Clinic/Center
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Campbell Clinic Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Germantown, Tennessee. This profile covers 27 Medicare and 4 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 | Campbell Clinic Surgery Center, LLC |
| Address | 7887 Wolf River Blvd |
| City | Germantown |
| State | TN |
| ZIP | 38138 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $156.2K |
CAMPBELL CLINIC SURGERY CENTER, LLC presents as an ambulatory surgical clinic/center with a clear orthopedics and interventional pain mix: high-revenue joint arthroplasty codes (27447, 27130) dominate Medicare billing while a large volume of epidural/facet injection codes (64483 and related spine injection codes) indicate a substantial pain-management practice co-located with surgical services. The CPT mix also includes hand and foot procedures (for example 64721 and 28750), suggesting the center performs a range of musculoskeletal surgical procedures beyond major joint replacement.
Medicare revenue is highly concentrated: the top three Medicare codes account for 72.5% of the provider's total Medicare revenue, with 27447 generating $1.2M (41.4% of Medicare revenue), 27130 generating $643.2K (22.3%), and 64483 generating $257.1K (8.9%). This concentration signals that a small set of high-value services—primarily knee and hip arthroplasty plus targeted spine injections—drive the bulk of Medicare receipts.
Medicaid billing is almost entirely concentrated in a very small set of services: the top three Medicaid codes account for 100.0% of this provider's Medicaid revenue, and 64483 alone represents $140.2K (89.8% of Medicaid revenue) across 646 claims. Total Medicaid revenue ($156.2K) is an order of magnitude smaller than Medicare revenue ($2.9M), so the center is effectively Medicare-dominant in scale while maintaining a modest Medicaid footprint concentrated in interventional spine services.
Competitive standing for major joint procedures is unusually strong on the Medicare side. 27447 ranks #133 of 12089 providers nationally (99th percentile) and is labeled an "extreme outlier, far above typical national volume for this code," while 27130 ranks #251 of 8062 providers nationally (97th percentile) and is described as "notably above typical national volume for this code." The provider therefore appears to be a major national-volume performer for knee and hip arthroplasty within the Medicare population.
The provider is also an outlier in interventional spine injections for Medicare: 64483 shows 915 claims and $257.1K revenue, ranking #36 of 8202 providers nationally (100th percentile) and described as an "extreme outlier, far above typical national volume for this code." Interestingly, the same code is much more typical within Tennessee Medicaid peers (64483 ranks #8 of 39 in-state, 82th percentile), indicating the provider’s injection volume is unusually high relative to national Medicare peers but more ordinary within the state Medicaid cohort.
High-dollar implant and device procedures contribute materially despite low claim counts. For example, 63685 (spinal neurostimulator pulse generator insertion/replacement) is only 11 claims but represents $194.8K (6.7% of Medicare revenue) with a $17707 avg paid/claim, showing that a few device-based procedures have outsized revenue impact even at modest volume. This pattern suggests that revenue exposure is driven by both high-volume arthroplasty and lower-volume, high-cost implant work.
The clinic’s payer mix and scale create both concentration risk and operational leverage. With $2.9M in Medicare revenue versus $156.2K in Medicaid revenue, the facility is heavily dependent on Medicare reimbursement and referral flows; shifts in Medicare policy, local referral patterns, or surgical volumes for the dominant codes could materially affect overall revenue. Conversely, the strong Medicare position for arthroplasty and injections could support negotiations or network positioning with payers focused on orthopedic and spine bundles.
The practice has an established presence, with its NPI enumerated on 2006-07-26 (~20 years ago), indicating long-tenured operation. That longevity, combined with national-level outlier status on several Medicare codes, suggests sustained capacity in joint replacement and interventional spine services rather than a brief or nascent specialty practice.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 180 | $6,600 | $1.2M |
| 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… | 100 | $6,700 | $643.2K |
| 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). | 920 | $280 | $257.1K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 10 | $17,710 | $194.8K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 230 | $280 | $64.8K |
| 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… | 120 | $540 | $62.3K |
| 25607 | 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 the… | 20 | $3,160 | $53.7K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 10 | $3,020 | $42.3K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 170 | $240 | $39.2K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 70 | $540 | $39.1K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 33 | 40 | 20 | $6,810 | $170.2K |
| 27447 | 7 | 280 | 30 | $1,440 | $67.8K |
| 25607 | 1 | 10 | 20 | $3,160 | $53.7K |
| 27130 | 7 | 170 | 30 | $1,480 | $53.1K |
| 29827 | 29 | 90 | 20 | $1,110 | $26.7K |
| 64483 | 2 | 150 | 70 | $190 | $25.8K |
| 64635 | 53 | 150 | 40 | $360 | $25.6K |
| C9290 | 3 | 10 | 29,260 | $1 | $25.3K |
| 28750 | 5 | 10 | 10 | $1,540 | $24.6K |
| 29881 | 18 | 40 | 20 | $770 | $17K |
Showing 1–10 of 27
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 650 | $220 | $140.2K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 210 | $40 | $8.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 20 | $480 | $7.2K |
| 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… | 430 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 8 | 40 | 210 | $90 | $49.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 48 | 50 | 120 | $110 | $42.7K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 4 | 10 | 50 | $170 | $20K |
| 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 | 70 | 160 | $1 | $10 |
Other providers in the same ZIP code as Campbell Clinic Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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