Loading...
NPI 1720081870 · Canton, OH · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Orthopaedic Ambulatory Surgical Intervention Services, LLC is a ambulatory surgical clinic/center provider located in Canton, Ohio. This profile covers 22 Medicare and 1 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 | Orthopaedic Ambulatory Surgical Intervention Services, LLC |
| Address | 7000 Whipple Ave Nw |
| City | Canton |
| State | OH |
| ZIP | 44720 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $0 |
ORTHOPAEDIC AMBULATORY SURGICAL INTERVENTION SERVICES, LLC is overwhelmingly Medicare-focused: lifetime Medicare revenue is $2M while recorded Medicaid revenue is $0, making the entity effectively single-payer in the available data and indicating its patient mix and billing activity are concentrated in the Medicare population. This payer concentration suggests the practice’s operations and revenue risk are closely tied to Medicare policy and beneficiary demand rather than state Medicaid contracts or volumes.
Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 81.0% of the provider’s total Medicare revenue, indicating a narrow set of procedures drives most income. That concentration implies the business model centers on a few high-value surgical services rather than a broad mix of low-revenue office-based care.
The practice’s dominant service lines are major joint arthroplasty and spine injections: 27447 (knee replacement) and 27130 (hip replacement) together represent the largest shares of Medicare revenue ($917.6K and $535.8K respectively), and the third major contributor is 62323 (lumbar epidural injections) at $126K. This mix indicates the center operates primarily as an orthopaedic ambulatory surgical facility performing high-volume lower-extremity joint replacements alongside substantial image-guided spine injection services.
Competitive standing for joint arthroplasty is notably strong: the provider ranks in the 97th percentile nationally for 27447 (rank #315 of 12089) and in the 94th percentile for 27130 (rank #457 of 8062), which the source characterizes as "notably above typical national volume." These ranks signal the provider is a major national-volume participant for knee and hip arthroplasty among Medicare providers rather than a small or marginal operator.
For spinal injection services, the provider is an extreme outlier: 62323 shows 565 claims and ranks #48 of 7397 (99th percentile) with the label "extreme outlier, far above typical national volume." This suggests a specialized capacity or referral pattern for lumbar/sacral epidural injections that is exceptional relative to peers and contributes meaningfully to the practice’s revenue mix despite lower average payment per claim.
Service breadth beyond arthroplasty and spine injections includes common upper-extremity arthroscopy and hand procedures but at materially smaller scale. Codes such as 29827 (arthroscopic rotator cuff repair), 29848 (carpal tunnel endoscopic release), and 64721 (median nerve neuroplasty) appear in the top codes but each represents under 3% of Medicare revenue individually, reflecting ancillary orthopedic and hand surgery services that complement the core joint-replacement and injection volumes.
The provider’s tenure is long-standing: NPI enumeration dates to 2005-05-23 (~21 years ago), indicating an established presence in the market. Combined with the high national ranks for arthroplasty, this duration supports a conclusion that the center has sustained capacity and likely developed referral relationships that underpin its high-volume joint replacement and injection caseloads.
Procedure-level pricing profile shows high average paid per claim for major arthroplasty and modest payments for injection/office-based codes: average paid/claim is $6508 for 27447 and $6698 for 27130, while 62323 averages $223 paid/claim. This spread is consistent with an ambulatory surgical center model where a few high-cost, high-revenue surgical episodes dominate dollars while high-frequency, lower-paid image-guided injections add volume and broader service utilization.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 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… | 140 | $6,510 | $917.6K |
| 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… | 80 | $6,700 | $535.8K |
| 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)… | 570 | $220 | $126K |
| 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 | $1,750 | $47.3K |
| C9290 | Injection, bupivacaine liposome, 1 mg | 42,830 | $1 | $42.8K |
| 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. | 80 | $510 | $42K |
| 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… | 10 | $3,110 | $37.3K |
| 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… | 80 | $440 | $32.7K |
| 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… | 130 | $240 | $30.1K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 50 | $480 | $22.9K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 10 | 540 | 30 | $1,280 | $52.4K |
| 27130 | 7 | 340 | 20 | $1,250 | $38.8K |
| 25609 | 6 | 10 | 10 | $1,930 | $32.9K |
| C9290 | 3 | 10 | 15,410 | $1 | $27.4K |
| 29827 | 19 | 120 | 20 | $950 | $19K |
| 64483 | 110 | 270 | 50 | $170 | $17.7K |
| G0260 | 21 | 30 | 40 | $200 | $17.5K |
| 64635 | 63 | 210 | 30 | $310 | $14.8K |
| 64721 | 63 | 130 | 30 | $400 | $13.9K |
| 26123 | 3 | 10 | 10 | $960 | $13.5K |
Showing 1–10 of 22
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 41 | 50 | 90 | $1 | $60 |
Other providers in the same ZIP code as Orthopaedic Ambulatory Surgical Intervention Services, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Absolute Hospice, Inc. | OH | Community Based Hospice Care Agency | $0 | $23.9M |
| Emergency Medical Transport Inc | OH | Land Ambulance | $2M | $8.9M |
| J&c Ambulance Service, Inc. | OH | Land Ambulance | $2M | $4.8M |
| Absolute Health Services Inc | OH | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $51.9K | $2M |
| Ohio Specialty Surgical Suites, LLC | OH | Ambulatory Surgical Clinic/Center | $1.5M | $0 |
| Pankaj Gupta | OH | Ophthalmology Physician | $276.9K | $0 |
| Jeffrey Dulik | OH | Orthopaedic Surgery Physician | $218.5K | $0 |
| Steven Pruett | OH | Clinical Psychologist | $106.8K | $53.7K |
| Mark Shepard | OH | Orthopaedic Surgery Physician | $158.7K | $0 |
| Brett Butler | OH | Vascular Surgery Physician | $158.3K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.