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    OpenPayerNPI Medicare & MedicaidNorthwest Regional Surgery Center, LLC
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    Northwest Regional Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1871838003 · Merrillville, IN · Ambulatory Surgical Clinic/Center

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    Northwest Regional Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Merrillville, Indiana. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthwest Regional Surgery Center, LLC
    Address8900 Broadway
    CityMerrillville
    StateIN
    ZIP46410
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedNovember 28, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$570.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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…40$6,600$277.2K
    27130In 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…20$7,060$120.1K
    29881The 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…40$1,030$38K
    29827The 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…20$2,210$35.4K
    26055Trigger 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…80$410$34.1K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.50$520$25.6K
    64721Neuroplasty 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…30$620$17.8K
    29880In 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…20$970$14.5K
    29824The 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$680$7.4K

    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

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744714134040$1,130$51.1K
    2713016722030$1,280$40.9K
    29827307020$890$17K
    2984872040$420$16.3K
    647215010030$420$16.2K
    2988133020$790$14.9K
    2605559030$280$10.5K
    2988082020$650$9.7K
    29824162020$220$4.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Help At Home, LLCINHome Health Agency$0$207.5M
    Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works MerrillvilleINSubstance Abuse Rehabilitation Facility$0$43.1M
    Southlake Community Mental Health Center Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$29.2M
    Southlake Community Mental Health Center Inc.INPsychiatric Hospital$0$22.6M
    Innovations In Learning, PCINBehavior Analyst$0$15.1M
    Southlake Community Mental Health Center Inc.INClinic/Center$0$14M
    Robert W Moses O.d. Professional CorporationINOptometrist$0$13.4M
    All Family Dental & Braces, LLC.INGeneral Practice Dentistry$0$12.1M
    Northshore Health Centers, Inc.INFederally Qualified Health Center (FQHC)$0$10.9M
    Belvedere Slf LLCINAssisted Living Facility$0$10.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Northwest Regional Surgery Center, LLC — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana