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

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

Surgical Center At Columbia Orthopaedic Group LLC (NPI 1831360247)

Field	Value
Entity Type	Organization
Organization	Surgical Center At Columbia Orthopaedic Group LLC
Address	1 South Keene
City	Columbia
State	MO
ZIP	65201
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 13, 2008

Payer Source	Total Paid
Medicare	$6.2M
Medicaid	$0

Key Findings

This facility reports Total Medicare revenue: $6.2M and Total Medicaid revenue: none (no Medicaid billing on file), making it functionally a Medicare-focused ambulatory surgical center. The lack of any Medicaid billing on file indicates the provider’s publicly available payer footprint is effectively single-payer (Medicare) in scale and should be treated as such for payer-mix analysis and contracting considerations.

Revenue is highly concentrated in a small number of codes: the precomputed top 3 codes account for 56.2% of this provider’s total Medicare revenue. In particular, 27447 generates $1.6M (25.5% of total Medicare revenue), 63685 generates $1.2M (19.6%), and 27446 generates $676.6K (11.1%), so joint arthroplasty and spinal neurostimulator insertion dominate the clinic’s Medicare dollars.

The provider’s taxonomy as an Ambulatory Surgical Clinic/Center aligns with a surgical, implant-oriented service mix: high-revenue knee and hip arthroplasties (27447 $1.6M; 27446 $676.6K; 27130 $612.3K) sit alongside device-heavy spine/pain procedures (63685 $1.2M with $17891 avg paid/claim; 63650 $440.9K). The blend of major joint replacements, spinal neurostimulator work, and arthroscopic shoulder procedures (29827 $322.4K; 29828 $216.1K) indicates an orthopedic specialty ASC handling both elective arthroplasty and implantable-pain-device cases.

National competitive standing for several top Medicare codes is unusually strong: 27447 ranks #57 of 12089 providers nationally (100th percentile; extreme outlier) and 27446 ranks #5 of 450 providers nationally (99th percentile; extreme outlier), while 63685 ranks #26 of 1281 providers nationally (98th percentile; notably above typical national volume). These rank/percentile placements show the center is a major national-volume performer for specific joint replacement and spinal device codes rather than a typical low-volume ASC.

Beyond the top three, multiple other codes also show atypically high national volumes for this provider, reinforcing a pattern of outsized procedural throughput: 29827 ranks #2 of 3445 (100th percentile; extreme outlier), 29828 ranks #7 of 1007 (99th percentile; extreme outlier), and 64721 ranks #49 of 3206 (98th percentile; extreme outlier). This distribution suggests the center has both depth and breadth across shoulder, upper-extremity, and nerve-release procedures in addition to arthroplasty.

The procedure-level economics point to an implant- and device-intensive operation: examples include 63685 with $17891 avg paid/claim and 27279 with $12385 avg paid/claim, alongside high-volume arthroplasty payments like 27447 at $6695 avg paid/claim. These unit-level payment sizes imply significant supply, implant procurement, and perioperative resource requirements that payers should account for when assessing case rates or bundled payments.

From a payer-risk and network strategy perspective, the absence of Medicaid billing plus $6.2M in Medicare revenue concentrates financial exposure on Medicare reimbursement policy and referral patterns. Because Medicare accounts for essentially all reported public-payor revenue, any shifts in Medicare policy for joint replacements, spinal neurostimulator reimbursement, or ASC payment rules would disproportionately affect this facility’s revenue.

Operational tenure supports market establishment: the NPI enumerated (registered) on 2008-03-13 (~18 years ago), indicating the surgical center has been active for a long enough period to build referral relationships and procedural volume. That longevity, combined with multiple national outlier ranks, strengthens the interpretation that the center is a stable, specialized high-volume provider in orthopedic and spine procedures.

Medicare: Complete Services Breakdown

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

32 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…	230	$6,700	$1.6M
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…	70	$17,890	$1.2M
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	110	$6,440	$676.6K
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	$6,880	$612.3K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	120	$3,560	$440.9K
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…	190	$1,720	$322.4K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	20	$12,390	$297.2K
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…	100	$2,250	$216.1K
0275T	N/A	60	$3,470	$208.4K
28730	In this procedure, the provider surgically immobilizes multiple or transverse midtarsal or tarsometatarsal joints with the help of fixation devices. Midtarsal joints are combined joints of either the…	10	$6,980	$83.7K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Surgical Center At Columbia Orthopaedic Group LLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	2	30	20	$6,300	$144.9K
63650	6	30	50	$1,480	$112.4K
27446	1	10	40	$2,250	$101.1K
27279	1	10	20	$4,970	$89.4K
27447	1	250	30	$1,140	$50.2K
0275T	2	20	30	$1,650	$49.6K
27130	4	160	20	$1,050	$31.6K
28730	3	10	20	$2,180	$30.6K
28750	2	10	20	$1,700	$27.2K
29827	1	70	20	$990	$24.6K

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Surgical Center At Columbia Orthopaedic Group LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woodhaven	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$88.3M
Palmer's Home Care, LLC	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.3M
Oats, Inc.	MO	Non-emergency Medical Transport (VAN)	$0	$23.4M
Independent Living Center Of Mid-missouri Inc.	MO	Specialist	$0	$14.2M
Ch Allied Services, Inc.	MO	General Acute Care Hospital	$0	$8.6M
Central Missouri Area Agency On Aging	MO	Voluntary or Charitable Agency	$0	$8.4M
Life Christain Outreach	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.1M
Mid-missouri Supported Living	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.3M
Woodhaven Learning Center	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.1M
Central Missouri Subcontracting Enterprises	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5M

Surgical Center At Columbia Orthopaedic Group LLC — Billing Profile & Reimbursement Data

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Surgical Center At Columbia Orthopaedic Group 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