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

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

Muve - West Chester Ambulatory Surgical Center, LLC (NPI 1790265999)

Field	Value
Entity Type	Organization
Organization	Muve - West Chester Ambulatory Surgical Center, LLC
Address	1230 American Blvd Ste 101
City	West Chester
State	PA
ZIP	19380
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 16, 2018

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This entity reports Total Medicare revenue of $2.4M and has no Medicaid billing on file, making its publicly reported activity effectively single‑payer Medicare. Analysts should treat the profile as Medicare‑centric when evaluating payer mix, network value, and utilization patterns for this NPI.

Revenue is extremely concentrated: the precomputed top three Medicare codes (27447, 27130, 29827) together account for 99.4% of the provider's Medicare revenue, with 27447 at 63.9%, 27130 at 33.0%, and 29827 at 2.5%. This concentration indicates that a very small number of high‑value orthopedic procedures drive nearly all reported Medicare income.

The provider operates as an Ambulatory Surgical Clinic/Center focused on major joint arthroplasty and related shoulder procedures: 27447 (total knee arthroplasty) and 27130 (hip replacement) dominate revenue, and 29827 (arthroscopic rotator cuff repair) appears as a smaller but relevant shoulder service. Average paid-per-claim figures are high for the top joint procedures ($7311 for 27447 and $7415 for 27130), consistent with an ASC performing major orthopedic surgeries.

27447 is a national outlier for this provider: it ranks #76 of 12089 providers nationally, in the 99th percentile and is labeled an "extreme outlier." This indicates the provider's knee replacement volume for Medicare is far above typical national volumes and positions the ASC as a high-volume knee arthroplasty performer in national comparisons.

27130 likewise shows elevated national standing: it ranks #164 of 8062 providers nationally (98th percentile) and is described as "notably above typical national volume." Together with the 27447 ranking, this establishes the facility as a significant national participant in hip and knee replacement activity for Medicare.

By contrast, 29827 (rotator cuff repair) is a modest contributor by both revenue and ranking: 26 claims generated $59.1K (2.5% of Medicare revenue) and the code ranks #832 of 3445 providers (74th percentile), characterized as typical/unremarkable national volume. C9290 appears as a high-claim but low‑revenue item (6.8K claims, $1 avg paid/claim, $6.8K revenue; 0.3% of Medicare revenue) and ranks #226 of 451 providers (50th percentile), signaling procedural billing presence but minimal financial impact.

The NPI was enumerated on 2018-08-16 (~8 years ago), indicating a relatively recent establishment compared with longer-tenured surgical centers; despite this tenure the provider has already achieved very high national percentiles on major joint replacement codes. This timeline is relevant for assessing growth trajectory and recent market entry when benchmarking against peers.

For payer contracting and network management, the profile implies concentrated orthopedic episode risk and opportunity: because $2.4M in Medicare revenue is driven almost entirely by high-value joint replacement codes (27447 and 27130), the ASC is likely to be a key counterparty for orthopedic bundles, site-of-service considerations, and volume‑based initiatives. Analysts should prioritize evaluation of joint replacement quality metrics, post‑acute patterns, and capacity if considering this ASC for orthopedic networks.

Medicare: Complete Services Breakdown

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

5 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…	210	$7,310	$1.5M
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…	110	$7,420	$793.4K
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	$2,270	$59.1K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	10	$600	$7.2K
C9290	Injection, bupivacaine liposome, 1 mg	6,790	$1	$6.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Muve - West Chester Ambulatory Surgical Center, LLC — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	3	540	30	$930	$41K
27130	4	360	30	$950	$31.3K
29827	28	120	20	$970	$19.4K
29824	19	20	20	$310	$5.6K
C9290	3	20	3,990	$1	$5.1K

Nearby Providers

Other providers in the same ZIP code as Muve - West Chester Ambulatory Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Theraplay, LLC	PA	Occupational Therapist	$0	$38.5M
The Devereux Foundation	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$29.7M
County Of Chester	PA	Case Management Agency	$0	$19.5M
Chester County Hospital	PA	General Acute Care Hospital	$410	$10.2M
Bruce Saran	PA	Ophthalmology Physician	$2.9M	$0
Michael Ward	PA	Ophthalmology Physician	$2.7M	$0
Michael Rosen	PA	Internal Medicine Physician	$1.5M	$0
West Chester Endoscopy LLC	PA	Endoscopy Clinic/Center	$1.3M	$0
Good Fellowship Club Of Chester County, Inc.	PA	Land Ambulance	$591.2K	$585K
Raghuram Mallya	PA	Cardiovascular Disease Physician	$1.1M	$0

Muve - West Chester Ambulatory Surgical Center, LLC — Billing Profile & Reimbursement Data

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Muve - West Chester Ambulatory Surgical 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