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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Murrells Inlet Asc LLC (NPI 1780076885)

Field	Value
Entity Type	Organization
Organization	Murrells Inlet Asc LLC
Address	3545 Highway 17 Bypass
City	Murrells Inlet
State	SC
ZIP	29576
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 26, 2015

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

Service-line profile: Medicare billing is dominated by major orthopedic procedures and high-volume interventional pain services, with the top revenue codes representing joint arthroplasty and spinal injections. The presence of large-dollar joint replacement codes (27447 and 27130) alongside multiple high-volume injection and ablation codes (64483, 64493, 64635, 64490) indicates the facility operates as an ambulatory surgical center focused on both joint replacement and a dedicated interventional pain program.

Revenue concentration: this provider reports $2.6M in total Medicare revenue and the top three Medicare codes account for 75.1% of that total. The single largest line-item is 27447 ($1.1M, 44.0% of Medicare revenue), followed by 27130 ($614.8K, 23.6%) and 64483 ($197.1K, 7.6%), demonstrating heavy dependence on a small set of high‑revenue procedures.

Payer mix and exposure: Medicaid billing is absent (none (no Medicaid billing on file)), so this provider is effectively single‑payer with Medicare as the primary revenue source. That concentration reduces exposure to Medicaid reimbursement variability but increases sensitivity to Medicare volume and policy changes affecting arthroplasty and interventional pain services.

Knee arthroplasty competitive standing: 27447 accounts for $1.1M (44.0% of Medicare revenue) and ranks #178 of 12089 providers nationally (98th percentile; extreme outlier). This rank places the provider among a small group of centers with exceptionally high Medicare knee arthroplasty volume, signaling a dominant national position for this specific procedure relative to peers.

Hip arthroplasty competitive standing: 27130 contributes $614.8K (23.6% of Medicare revenue) and ranks #324 of 8062 providers nationally (96th percentile; notably above typical national volume). The provider shows a materially above‑average national presence in hip replacement as well, reinforcing a specialization in major lower‑extremity arthroplasty.

Interventional pain services are a distinct high-volume line: 64483 (transforaminal epidural) generates $197.1K and ranks #75 of 8202 providers (99th percentile; extreme outlier), while 64493 (lumbar/sacral facet injection) generates $164.7K and ranks #25 of 7519 providers (100th percentile; extreme outlier). These placements indicate unusually high throughput for spinal injection and facet procedures, consistent with a staffed pain‑management workflow within the ASC.

Broader procedural mix and secondary revenue lines: additional codes such as 64635 ($123.2K, 4.7%), 64490 ($69.9K, 2.7%), 28299 ($57.9K, 2.2%), and 26055 ($50.5K, 1.9%) show the center also bills a range of neurolytic, cervical/thoracic facet, and foot/hand procedures. These mid‑level contributors reflect ancillary orthopedic and hand/foot surgical volume that supplements the dominant arthroplasty and pain-management revenue streams.

Tenure and operational implication: the NPI was enumerated on 2015-02-26 (~11 years ago), indicating the ASC has been active for multiple years; combined with national outlier rankings for several high‑revenue codes, this suggests an established operation with developed clinical capacity in arthroplasty and interventional pain. Given the provider’s reliance on a concentrated set of Medicare procedures, strategic shifts in referral patterns or Medicare policy for these codes would likely have an outsized impact on overall revenue.

Medicare: Complete Services Breakdown

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

16 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…	170	$6,780	$1.1M
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…	90	$6,910	$614.8K
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).	720	$270	$197.1K
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…	610	$270	$164.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	200	$610	$123.2K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	260	$270	$69.9K
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…	20	$2,900	$57.9K
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…	120	$420	$50.5K
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	$2,280	$45.6K
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…	60	$580	$34.1K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Murrells Inlet Asc LLC — 6 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	4	220	40	$1,090	$61.9K
27130	9	150	40	$1,060	$44.7K
64483	3	130	90	$190	$33K
28299	5	10	20	$1,330	$30.5K
64493	3	130	70	$170	$22.7K
64635	3	110	40	$350	$22.4K
64721	21	60	40	$400	$20.4K
29827	55	90	20	$880	$20.1K
29828	19	40	20	$710	$14.2K
28285	14	30	30	$350	$13.2K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Murrells Inlet Asc LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waccamaw Community Hospital	SC	General Acute Care Hospital	$0	$9.7M
Seaside Pediatric Dental Associates	SC	Pediatric Dentistry	$0	$5.6M
Inlet Pediatrics PA	SC	Pediatrics Physician	$0	$5.3M
Carolina Ob-gyn LLC	SC	Obstetrics & Gynecology Physician	$0	$2M
James Montgomery	SC	Gynecology Physician	$1.9M	$0
Charles Doering	SC	Ophthalmology Physician	$1.7M	$0
Jason Rosenberg	SC	Interventional Pain Medicine Physician	$880.6K	$0
Michael Mccaffrey	SC	Neurology Physician	$723.1K	$0
Matthew Davies	SC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$714.5K	$0
Channing Willoughby	SC	Pain Medicine Physician	$680.8K	$0

Murrells Inlet Asc LLC — Billing Profile & Reimbursement Data

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Murrells Inlet Asc 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