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

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

Yellowstone Surgery Center LLC (NPI 1760836167)

Field	Value
Entity Type	Organization
Organization	Yellowstone Surgery Center LLC
Address	1739 Spring Creek Dr
City	Billings
State	MT
ZIP	59102
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 21, 2016

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

YELLOWSTONE SURGERY CENTER LLC is an ambulatory surgical center specializing in major joint replacement and spine-related procedures, as reflected by its Medicare CPT mix where 27447 (knee replacement) and 27130 (hip replacement) are the dominant services. The code descriptions show this center performs high-complexity orthopedic implant procedures alongside image-guided spine injections, indicating an OR-capable ambulatory surgery operation with perioperative pain management services on-site.

Medicare revenue is concentrated heavily in a very small set of procedures: the precomputed top 3 Medicare codes account for 95.0% of the provider's total Medicare revenue, which underscores dependence on a narrow set of service lines—primarily 27447 and 27130. Operational and contracting decisions (e.g., implant purchasing, OR scheduling, and payer rates) are therefore likely to be driven by volume and reimbursement for those two joint replacement codes.

27447 alone accounts for $609.5K (58.2% of Medicare revenue) and 89 claims, while 27130 accounts for $346.6K (33.1% of Medicare revenue) with 52 claims; both codes rank in high national percentiles (27447 at the 90th, 27130 at the 82th), indicating this center is a nationally notable but not dominant volume performer for elective lower-extremity arthroplasty. The percentile ranks suggest typical, unremarkable volume for these codes relative to peers nationally rather than extreme specialization or exceptional volume.

Other Medicare services such as facet and epidural injection codes (64493, 62323, 64483, 64479) appear in the top revenue list but together contribute only single-digit percent shares of Medicare revenue (for example, 64493 is 3.7% of Medicare revenue with $39.2K). These ancillary procedure volumes and payments are modest compared with joint replacement revenue, signifying that spine injections are supplemental to the center’s primary arthroplasty business rather than a major separate service line.

The provider reports $1M in total Medicare revenue and no Medicaid billing on file, which makes its effective public-payer footprint single-payer (Medicare-only) in the available data. This imbalance means Medicaid market dynamics and in-state Medicaid contracting are not material to the reported business profile and payer mix.

Competitive standing varies by code: for high-revenue arthroplasty codes the center sits at or above typical national activity (90th and 82th percentiles), which supports competitiveness in joint replacement services regionally, while its ranks for several spine injection codes range from the 40th to 16th percentiles, reflecting modest to low relative activity in image-guided spine care compared with national peers.

The NPI enumeration date of 2016-04-21 (~10 years ago) establishes at least a decade of Medicare credentialing/operations, which supports that the observed revenue and code mix represent several years of established service patterns rather than recent start-up activity. That tenure aligns with the scale of arthroplasty activity reported and suggests continuing operational stability for these elective surgical services.

A number of low-dollar HCPCS drug/implant-related codes (C9290, C9088) appear in the top-paid list but contribute small portions of revenue ($13.3K and $12K respectively); their presence is consistent with perioperative or injectible-product usage tied to the center’s surgical and pain-management workflows rather than primary revenue drivers. These items are concentrated in use but do not materially change the overall Medicare revenue concentration by major surgical CPTs.

Medicare: Complete Services Breakdown

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

8 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…	90	$6,850	$609.5K
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…	50	$6,670	$346.6K
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…	160	$250	$39.2K
C9290	Injection, bupivacaine liposome, 1 mg	13,300	$1	$13.3K
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).	50	$280	$12.6K
C9088	Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg	12,000	$1	$12K
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)…	40	$250	$9.9K
64479	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 cervical or thoracic).	20	$310	$4.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Yellowstone Surgery Center LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	12	80	40	$1,080	$60.6K
27130	20	50	40	$1,150	$54.1K
C9290	3	10	13,300	$1	$16.4K
64483	17	40	40	$170	$14.2K
64493	4	30	50	$160	$12.4K
62323	29	40	60	$130	$9K
C9088	2	10	15,000	$1	$8.3K
64479	5	10	30	$210	$6.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Yellowstone Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yellowstone Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$629.2K	$2.2M
Michael Yorgason	MT	Orthopaedic Foot and Ankle Surgery Physician	$120.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Youth Dynamics, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$65.4M
New Day, Inc.	MT	Mental Illness Community Based Residential Treatment Facility	$0	$27.7M
Youth Dynamics, Inc.	MT	Professional Counselor	$0	$24.6M
Resource, Support, & Development, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Brittany Curl	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.5M
Rimrock Pediatric Dentistry	MT	Pediatric Dentistry	$0	$15.2M
Bridges Of Montana	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
The Childrens Clinic Of Billings, PC	MT	Pediatrics Physician	$0	$10.9M
Community Option Resource Enterprises, Inc.	MT	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Ryan K. Larsen Dmd & Associates	MT	Dental Anesthesiology	$0	$8.3M

Yellowstone Surgery Center LLC — Billing Profile & Reimbursement Data

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Yellowstone 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

Related Providers

Nearby Providers

Frequently Asked Questions

References