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

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

Vadnais Heights Surgery Center LLC (NPI 1861825986)

Field	Value
Entity Type	Organization
Organization	Vadnais Heights Surgery Center LLC
Address	3580 Street Ste 200
City	Vadnais Heights
State	MN
ZIP	55127
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 13, 2013

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This entity is effectively an orthopedic-focused ambulatory surgical operation: the listed taxonomy is Ambulatory Surgical Clinic/Center and the Medicare top codes are dominated by large-joint arthroplasty and shoulder/knee arthroscopy codes (27447, 27130, 29827), indicating the center primarily performs joint replacement and related orthopaedic procedures in an outpatient surgical setting. The presence of high-volume arthroplasty codes alongside arthroscopic repairs suggests a service line built around same-specialty surgical workflows rather than broad multispecialty outpatient services.

Revenue is highly concentrated in a small set of procedures: the precomputed top three Medicare codes account for 91.8% of the provider's total Medicare revenue, with 27447 generating $1M (60.2% of Medicare revenue), 27130 generating $487.2K (28.2%), and 29827 generating $59.6K (3.4%). This concentration signals heavy dependence on knee and hip replacement activity for the provider’s Medicare topline.

Payer mix is effectively single-payer: lifetime Medicare revenue is $1.7M and there is no Medicaid billing on file. The lack of Medicaid billing means the provider’s public-payer exposure is concentrated in Medicare only, which reduces diversification across public programs and ties financial performance closely to Medicare reimbursement and case volume.

Competitive standing on Medicare for core services is strong for certain codes: 27447 ranks #333 of 12089 providers nationally (97th percentile) and is described as notably above typical national volume, indicating this center is a high-volume national performer for knee arthroplasty. 27130 ranks #905 of 8062 (88th percentile) and 29827 ranks #465 of 3445 (86th percentile), both consistent with above-typical but not top-tier national volumes for hip arthroplasty and rotator cuff repair, respectively.

There are notable outlier patterns for some non-arthroplasty items: C9290 appears with 53.5K claims, $1 avg paid/claim, $53.5K revenue (3.1% of Medicare revenue) and ranks #9 of 451 providers nationally (98th percentile) — characterized as notably above typical national volume. This indicates the provider is an unusually heavy reporter of that injectable product relative to peers, even though it represents a modest share of revenue.

Volume and revenue mix across other ancillary codes is uneven: codes such as 23430 and 29881 contribute much smaller shares ($40.2K and $15K respectively) and show lower national standing (23430 ranks #618 of 811, 10th percentile; 29881 ranks #751 of 1125, 23th percentile), which suggests the center’s shoulder procedure activity is limited compared with its joint replacement throughput.

Operational tenure is established but not legacy: the NPI was enumerated on 2013-08-13 (~13 years ago), indicating the center has been operating for over a decade. That tenure is long enough to have developed procedural volume and market positioning, particularly in knee arthroplasty where it already ranks well nationally.

The combination of concentrated Medicare revenue, absence of Medicaid billing, and high national ranks on a few codes implies both strength and risk: the provider is a specialized, high-volume performer in selected orthopaedic procedures (notably 27447 and C9290), but its financial exposure is tied to a narrow set of services and a single public payer, which could amplify the impact of shifts in outpatient arthroplasty referral patterns or Medicare reimbursement policy.

Medicare: Complete Services Breakdown

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

9 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…	140	$7,480	$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…	60	$7,730	$487.2K
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	$1,750	$59.6K
C9290	Injection, bupivacaine liposome, 1 mg	53,470	$1	$53.5K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	10	$3,350	$40.2K
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).	90	$300	$28.2K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	10	$1,150	$15K
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	$270	$3K
76000	In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures.	70	$20	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Vadnais Heights Surgery Center LLC — 4 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	2	270	20	$1,340	$41.5K
23430	1	10	10	$3,350	$40.2K
27130	10	190	20	$1,260	$30.3K
29827	3	30	20	$1,320	$25.1K
C9290	1	10	6,650	$1	$18.5K
29881	8	10	20	$1,030	$18.5K
64483	35	170	40	$200	$14.1K
62321	78	80	30	$160	$6.1K
76000	1	20	20	$10	$300

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summit Orthopedics, Ltd	MN	Orthopaedic Surgery Physician	$0	$6.7M
Summit Orthopedics Ltd	MN	Ambulatory Surgical Clinic/Center	$1.5M	$0
Summit Orthopedics Ltd	MN	Ambulatory Surgical Clinic/Center	$1.1M	$20.1K
Summit Orthopedics, Ltd	MN	Ambulatory Surgical Clinic/Center	$489.7K	$41.6K
Kristoffer Breien	MN	Orthopaedic Surgery Physician	$143.6K	$0
Catherine Choi	MN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$108.4K	$0
David Strothman	MN	Orthopaedic Surgery Physician	$93.2K	$0
Steven Sabers	MN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$92.7K	$0
Jose Ramil Santos	MN	Physical Medicine & Rehabilitation Physician	$78.4K	$0
Steven Stulc	MN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$73.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Suite Living Senior Care Of Vadnais Heights	MN	Assisted Living Facility	$0	$4.6M
Affiliated Endoscopy Centers, LLC	MN	Ambulatory Surgical Clinic/Center	$967.7K	$2M
Olaf Rustad	MN	Dermatology Physician	$282.9K	$0
Ruth Rustad	MN	Dermatology Physician	$120.1K	$0
Sherri Long	MN	Dermatology Physician	$93.7K	$0
Abigail Tracy	MN	Physician Assistant	$81.6K	$0
Eliza Abraham	MN	Medical Physician Assistant	$75.5K	$0
Peter Dahlstrom	MN	Family Medicine Physician	$71.1K	$0
Jacqueline St. John	MN	Surgical Physician Assistant	$71K	$0
James Gannon	MN	Orthopaedic Surgery Physician	$65.2K	$0

Vadnais Heights Surgery Center LLC — Billing Profile & Reimbursement Data

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Vadnais Heights 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