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

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

Seven Hills Asc (NPI 1760033229)

Key Findings

Field	Value
Entity Type	Organization
Organization	Seven Hills Asc
Address	876 Seven Hills Dr
City	Henderson
State	NV
ZIP	89052
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 26, 2019

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

SEVEN HILLS ASC is an Ambulatory Surgical Clinic/Center in HENDERSON, NV with $1.8M in lifetime Medicare revenue and no Medicaid billing on file, making its public payer exposure effectively Medicare-only. Its NPI was enumerated on 2019-09-26 (~7 years ago), indicating the organization has been active under this enumeration for roughly seven years.

Revenue concentration in Medicare is highly focused: the precomputed top three Medicare codes (C9600, 33264, 33249) account for 58.5% of this provider's total Medicare revenue. Those three codes individually contribute 20.2% (C9600), 19.8% (33264), and 18.5% (33249) of Medicare revenue, so a small set of device- and stent-related procedures drives the majority of payments.

The code mix and descriptions point to a specialized interventional cardiology and cardiac device service line: C9600 is percutaneous intracoronary drug-eluting stent placement, and 33264/33249 are implantable defibrillator generator removal/replacement procedures. In addition, high-volume imaging supervision codes such as 93458 appear in the top codes, which together suggest the ASC operates as a cath-lab and cardiac device center rather than a general multispecialty ASC.

One standout statistical signal is 93458 (171 claims, $1174 avg paid/claim, $200.8K revenue), which ranks #112 of 7990 providers and is labeled an "extreme outlier, far above typical national volume for this code." This ranking and claim volume indicate the facility performs imaging supervision/interpretation for left heart catheterization at a much higher rate than most peers, consistent with a high-throughput cath imaging capability.

Device-related procedures show mixed competitive standing: 33228 (29 claims, $6443 avg paid/claim, $186.8K revenue) ranks #51 of 911 (94th percentile; notably above typical national volume), indicating relatively high volume for pacemaker generator replacement, while 33264 (16 claims, $21884 avg paid/claim, $350.1K revenue) and 33249 (15 claims, $21867 avg paid/claim, $328K revenue) are ranked in typical national ranges (70th and 49th percentiles respectively). Taken together, this ASC is a notable regional performer on some CIED procedures but otherwise a typical participant nationally for several high-revenue device codes.

Claim-level economics amplify revenue concentration: high average payments per claim for device work (33264 at $21884 avg paid/claim and 33249 at $21867 avg paid/claim) combined with relatively small claim counts (16 and 15 claims respectively) produce outsized revenue contributions. By contrast, C9600 has a larger claim count (66 claims) with a lower avg paid/claim ($5432), showing the business model relies on both high unit prices for device replacements and moderate-volume stent work.

Payer mix and operational risk are asymmetric: with $1.8M in Medicare revenue and no Medicaid billing on file, the provider lacks Medicaid revenue diversification and is effectively a Medicare-dependent billing entity. That concentration could shape contracting and network strategies for payers and suggests Medicaid members are either not served by this ASC or the ASC does not bill Medicaid through the identifiable NPI.

Overall, the facility shows the profile of a specialized cardiac ASC established within the last ~7 years that concentrates revenue in a few high-value cardiac device and cath-lab imaging codes. The presence of an "extreme outlier" volume for 93458 and a "notably above typical" ranking for 33228 indicate pockets of unusually high activity against a backdrop of otherwise typical national participation for several leading codes.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
C9600	Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch	70	$5,430	$358.5K
33264	The provider removes a previously placed implantable defibrillator pulse generator from the patient and replaces it with a new one. He performs this procedure for a patient with leads to at least…	20	$21,880	$350.1K
33249	The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…	20	$21,870	$328K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	170	$1,170	$200.8K
33228	The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart…	30	$6,440	$186.8K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	20	$6,590	$131.8K
33207	The provider inserts or replaces a permanent pacemaker and implants one or more electrodes into the right ventricle.	10	$6,450	$71K
C7523	Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart…	40	$1,660	$59.8K
93460	The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…	30	$1,230	$36.8K
93454	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…	20	$1,260	$27.7K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Platinum Hospitalists LLP	NV	Hospitalist Physician	$0	$38.8M
Urgent Care Nevada, LLC	NV	Urgent Care Clinic/Center	$0	$34.9M
Dignity Health	NV	General Acute Care Hospital	$0	$18.7M
Behavioral Health Solutions LLC	NV	Community/Behavioral Health Agency	$0	$11.4M
Lamotte Pediatrics, LLP	NV	Pediatrics Physician	$0	$9.4M
Minghsun Liu Md PC	NV	Infectious Disease Physician	$0	$5.1M
Optimized Management LLC	NV	Clinical Social Worker	$0	$5M
Misch/hyun/hodapp Healthcare, LLP	NV	Pediatrics Physician	$0	$4.5M
Ellsworth Cox Pediatric Dentistry LLC	NV	Pediatric Dentistry	$0	$3.7M
Total Infusion Care LLC	NV	Home Infusion Therapy Pharmacy	$0	$3.1M

Seven Hills Asc — Billing Profile & Reimbursement Data

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Seven Hills Asc — 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