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

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

Crosstown Surgery Center LLC (NPI 1720398167)

Key Findings

Field	Value
Entity Type	Organization
Organization	Crosstown Surgery Center LLC
Address	4010 West 65th Street
City	Edina
State	MN
ZIP	55435
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 19, 2010

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

CROSSTOWN SURGERY CENTER LLC reports $1.5M in lifetime Medicare revenue and has no Medicaid billing on file, making its public payer footprint effectively single-payer Medicare at present. The facility’s NPI was enumerated 2010-10-19 (~16 years ago), indicating an established presence in EDINA, MN.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 52.6% of the provider’s total Medicare revenue. Those top drivers are 27447 ($500.6K revenue, 33.6% of Medicare revenue), 27130 ($162.5K, 10.9%), and 28299 ($121.1K, 8.1%), which together create most of the billing profile.

The code mix points to an orthopedic specialty ambulatory surgery center with a focus on major lower-extremity joint replacement and foot surgery: 27447 (66 claims, $7585 avg paid/claim, $500.6K revenue) and 27130 (21 claims, $7736 avg paid/claim, $162.5K revenue) dominate revenue while 28299 (39 claims, $3105 avg paid/claim, $121.1K revenue) shows strong bunion/forefoot activity. This combination suggests the center performs both high-revenue joint arthroplasty work and a steady stream of elective foot procedures.

Competitive standing varies by code: for major knee arthroplasty 27447 the provider ranks #2167 of 12089 (82th percentile) and is described as delivering typical, unremarkable volume nationally, implying it is a modest but visible participant for that service. For hip arthroplasty 27130 the provider ranks #4773 of 8062 (38th percentile), placing it below the national median for that procedure and indicating more limited scale in hip replacement.

Several codes are flagged as statistical positives relative to national peers: 28299 ranks #3 of 62 (97th percentile; notably above typical national volume) which makes the provider a high-volume outlier for bunion surgery. Additional services with “notably above typical national volume” standing include 25447 (46 claims, $604 avg paid/claim, $27.8K revenue, ranks #35 of 947, 96th percentile) and 26480 (43 claims, $836 avg paid/claim, $35.9K revenue, ranks #29 of 466, 94th percentile), underscoring specialty strength in hand/wrist and carpometacarpal procedures.

The practice also reports substantial image-guided injection and pain-management volumes that function as an ancillary service line: 64483 (187 claims, $330 avg paid/claim, $61.7K revenue, ranks #1216 of 8202, 85th percentile) and 62323 (122 claims, $270 avg paid/claim, $32.9K revenue, ranks #1423 of 7397, 81th percentile) indicate frequent use of transforaminal epidural and lumbar paraspinal injections. These relatively high percentiles suggest that pain-injection services are a consistent, mid-sized revenue contributor to the Medicare mix.

Upper-extremity procedures are a meaningful secondary stream: 29848 (66 claims, $558 avg paid/claim, $36.8K revenue, ranks #213 of 1333, 84th percentile) and 64721 (51 claims, $630 avg paid/claim, $32.1K revenue, ranks #694 of 3206, 78th percentile) show sustained carpal tunnel and related decompression activity. Together with the high-volume foot procedures, this indicates a diversified orthopedic procedural portfolio rather than exclusive focus on large-joint replacement.

Given its Medicare-only billing profile (no Medicaid on file) and its code mix dominated by joint arthroplasty and specialty foot/hand procedures, CROSSTOWN SURGERY CENTER LLC appears to operate as a niche orthopedic ambulatory surgical center with established tenure (NPI since 2010-10-19 (~16 years ago)). The concentration in a few high-revenue CPTs (top 3 = 52.6%) implies sensitivity to volume shifts in those procedures and suggests that payer contracting or referral changes for those codes would materially affect overall revenue.

Medicare: Complete Services Breakdown

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

30 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…	70	$7,590	$500.6K
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…	20	$7,740	$162.5K
28299	The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes double osteotomy, cutting and realigning one or more toe…	40	$3,110	$121.1K
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…	30	$3,450	$86.2K
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…	40	$1,970	$68.9K
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).	190	$330	$61.7K
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…	20	$2,490	$47.2K
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…	140	$280	$38.4K
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.	70	$560	$36.8K
26480	In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…	40	$840	$35.9K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Professional Association	MN	Emergency Medicine Physician	$0	$72.7M
Vitreoretinal Surgery PLLC	MN	Ophthalmology Physician	$0	$27.8M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Professional Resource Network - Prn - Corporation	MN	Home Health Agency	$0	$12.4M
Virtual Radiologic Professionals, LLC	MN	Diagnostic Radiology Physician	$0	$11.3M
Mental Health Systems PC	MN	Psychologist	$0	$11M
Premier Obgyn Of Minnesota PLLC	MN	Obstetrics & Gynecology Physician	$0	$7M
Noran Neurological Clinic P.A.	MN	Specialist	$0	$6M
Nura Surgical Center LLC	MN	Ambulatory Surgical Clinic/Center	$5.3M	$581.7K
Southdale Pediatric Associates, Ltd	MN	Multi-Specialty Clinic/Center	$0	$5.3M

Crosstown Surgery Center LLC — Billing Profile & Reimbursement Data

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Crosstown 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
28299	1	10	30	$1,590	$42.9K
27447	16	270	20	$1,340	$41.5K
27130	67	190	20	$1,260	$30.3K
28750	1	10	20	$1,750	$27.9K
29827	2	30	20	$1,320	$25.1K
G0260	20	20	80	$210	$24.2K
29881	3	10	20	$1,030	$18.5K
28285	3	10	40	$450	$18.3K
26850	1	10	10	$1,370	$16.4K
29828	1	10	10	$1,160	$16.3K