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NPI 1821066200 · Summerville, SC · Ambulatory Surgical Clinic/Center
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Lowcountry Outpatient Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Summerville, South Carolina. This profile covers 24 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Lowcountry Outpatient Surgery Center, LLC |
| Address | 93a Springview Ln |
| City | Summerville |
| State | SC |
| ZIP | 29485 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $45K |
This provider’s business is heavily Medicare-driven: lifetime Medicare revenue is $2.6M compared with $45K in Medicaid, so Medicare dominates the revenue mix and the center effectively operates as a Medicare-focused ambulatory surgical clinic. The NPI enumeration date of 2006-03-10 (~20 years ago) indicates long-tenure operation, consistent with established surgical and pain-management service lines.
Revenue concentration on Medicare is significant: the precomputed top 3 Medicare codes account for 51.9% of total Medicare revenue, driven by high-value orthopedic and spinal implant procedures (notably 27447, 63685, and 27130). This concentration signals that a small set of major procedures — rather than a broad low-acuity mix — generates the majority of Medicare inflow.
The code mix and top-revenue services indicate a dual specialty profile: high-revenue joint replacement codes 27447 and 27130 point to a substantive orthopedic arthroplasty footprint, while spinal implant and neurostimulation codes like 63685 and 63650, together with numerous epidural and facet injection codes (e.g., 64483, 62321, 64493), indicate an active spine/pain-management practice. As an Ambulatory Surgical Clinic/Center, the dataset suggests the center performs both orthopedic joint procedures and high-volume minimally invasive spine/pain interventions.
Several Medicare lines are statistical outliers for volume. For example, 64483 shows 1.1K claims and $289.9K revenue and ranks #22 of 8202 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 62321 ranks #13 of 4493 providers nationally (100th percentile; extreme outlier). These extreme-volume pain-management injections stand out relative to national peers and materially contribute to Medicare revenue.
Orthopedics-related codes also show above-typical national standing: 27447 generates $716.3K (27.2% of Medicare revenue) and ranks #849 of 12089 (93th percentile; notably above typical national volume for this code), while 27130 produces $314.3K (12.0% of Medicare revenue) and ranks #1887 of 8062 (76th percentile). Those ranks indicate this ASC is higher-volume than typical peers for major joint arthroplasty services.
Not all high-revenue CPTs are outliers; several codes reflect typical, unremarkable national volumes (for example, 63685 ranks #534 of 1281, 54th percentile, and 63650 ranks #739 of 1371, 44th percentile). This mix suggests the center combines exceptionally high-volume injection and arthroscopy lines with more typical volumes for surgical implant procedures.
On Medicaid the billing footprint is very small and highly concentrated: top Medicaid codes account for 100.0% of Medicaid revenue, with 64483 alone representing $42.7K (94.7% of Medicaid revenue) across 257 claims. In-state competitive standing for Medicaid is modest — 64483 ranks #6 of 22 providers in-state (76th percentile; typical, unremarkable volume), so the center is not a dominant Medicaid provider despite performing the same injection service line.
From a payer-competitive perspective, the provider is a prominent national outlier on specific Medicare procedure volumes (notably injections and arthroscopy) while remaining a modest participant in Medicaid within state comparators. Analysts evaluating network capacity or contracting should treat this entity as a high-volume Medicare orthopedic/spine surgery and interventional pain provider with minimal Medicaid exposure.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 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… | 100 | $6,950 | $716.3K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $18,590 | $334.5K |
| 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… | 40 | $7,140 | $314.3K |
| 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). | 1,050 | $280 | $289.9K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 40 | $3,520 | $147.9K |
| 29880 | In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with… | 80 | $1,050 | $81.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 150 | $560 | $81.5K |
| 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… | 290 | $260 | $75.6K |
| 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… | 30 | $2,240 | $67.2K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 260 | $240 | $63.6K |
Showing 1–10 of 24
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
24 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 18 | 40 | 20 | $5,770 | $138.5K |
| 63650 | 18 | 40 | 40 | $1,580 | $66.5K |
| 27447 | 35 | 220 | 40 | $1,090 | $61.9K |
| 27130 | 60 | 150 | 40 | $1,060 | $44.7K |
| 64483 | 2 | 130 | 90 | $190 | $33K |
| 62323 | 40 | 130 | 80 | $160 | $28.8K |
| 25609 | 4 | 10 | 10 | $1,640 | $24.6K |
| 64493 | 11 | 130 | 70 | $170 | $22.7K |
| 64635 | 9 | 110 | 40 | $350 | $22.4K |
| G0260 | 2 | 10 | 70 | $210 | $21.1K |
Showing 1–10 of 24
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 260 | $170 | $42.7K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 10 | $200 | $2.4K |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 6 | 20 | 140 | $50 | $10.6K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 8 | 10 | 20 | $80 | $2.2K |
Other providers in the same ZIP code as Lowcountry Outpatient Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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