Loading...
NPI 1891730644 · Duluth, MN · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Lakewalk Surgery Center, Inc. is a ambulatory surgical clinic/center provider located in Duluth, Minnesota. This profile covers 32 Medicare and 14 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 | Lakewalk Surgery Center, Inc. |
| Address | 1420 London Rd |
| City | Duluth |
| State | MN |
| ZIP | 55805 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.6M |
| Medicare | $1.7M |
This provider has a payer mix heavily weighted toward Medicaid: Total Medicare revenue: $1.7M versus Total Medicaid revenue: $8.6M, so Medicaid represents the much larger share of lifetime billing on file. The profile is not a Medicare-first practice; instead Medicaid-funded dental services drive the majority of clinical activity and revenue.
The Medicare procedure mix indicates an outpatient orthopedic/spine and pain-intervention focus for Medicare patients. The top Medicare codes — 27447 ($346.5K), 27279 ($291.3K), and 63685 ($229.8K) — are procedures for knee arthroplasty, SI joint fusion, and implantable spinal neurostimulators, which aligns with an ambulatory surgical center performing higher-complexity musculoskeletal and device procedures alongside more routine ophthalmic and arthroscopic services.
Medicare revenue is moderately concentrated: the precomputed top-3 Medicare codes account for 51.1% of this provider's total Medicare revenue. Those three codes generate large individual line-item revenues (27447 $346.5K, 27279 $291.3K, 63685 $229.8K), indicating reliance on a few high-value procedures to supply over half of Medicare receipts.
Medicaid revenue is extremely concentrated in a small set of dental codes: the precomputed top-3 Medicaid codes account for 92.1% of this provider's total Medicaid revenue. The dominant Medicaid codes are 41899 ($3.7M), D2930 ($2.6M), and D7140 ($1.6M), signaling that the center effectively operates as a high-volume dental surgery provider for Medicaid beneficiaries.
On competitive standing for Medicaid dental services, the provider is a regional outlier for specific codes: 41899 ranks #1 of 12 providers in-state (100th percentile; notably above typical state volume) and D9420 ranks #2 of 26 providers in-state (96th percentile; notably above typical state volume). Meanwhile its other high-volume dental codes (D2930 and D7140) sit at typical-to-above-typical state volumes (78th and 77th percentiles), confirming market leadership in selected dental procedures rather than uniformly high volume across all dental codes.
Nationally for Medicare specialties, the provider shows mixed competitiveness: 27447 ranks #3511 of 12089 (70th percentile) and 27279 ranks #50 of 161 (64th percentile), both described as typical, unremarkable volumes within their national cohorts, whereas 63685 ranks #1012 of 1281 (11th percentile) indicating a modest or limited national presence for implantable neurostimulator pocket procedures. High-percentile performance on selected injection codes such as G0260 (rank #107 of 967, 89th percentile) suggests pockets of comparatively strong volume in specific imaging-guided injection services.
The practice has established tenure: NPI enumerated (registered) 2006-06-17 (~20 years ago), indicating roughly two decades of operation which may support its developed referral streams and payer relationships, particularly in Medicaid dental channels.
Operational implication: the combination of very high Medicaid dental revenue concentration (top‑3 = 92.1%) and materially lower Medicare revenue (Total Medicare revenue: $1.7M) suggests business risk if state Medicaid dental policy or reimbursement changes. Conversely, Medicare work is concentrated in a few high-cost outpatient surgical procedures (e.g., 63685 average paid/claim $19149; 27279 average paid/claim $13240; 27447 average paid/claim $7219), so loss of even a small number of Medicare cases could meaningfully affect that revenue stream despite its smaller overall size.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
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… | 50 | $7,220 | $346.5K |
| 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 | $13,240 | $291.3K |
| 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… | 10 | $19,150 | $229.8K |
| 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… | 20 | $7,370 | $162.1K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 180 | $840 | $154.3K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,580 | $118.3K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 200 | $210 | $41.8K |
| 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… | 20 | $1,850 | $38.8K |
| 62323 | 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 lumbar (lower back) or sacral (caudal, or tailbone)… | 160 | $240 | $38.6K |
| 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… | 20 | $2,430 | $36.5K |
Showing 1–10 of 32
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
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 21 | 20 | 20 | $8,770 | $210.4K |
| 63650 | 23 | 30 | 70 | $2,030 | $170.4K |
| 27279 | 3 | 10 | 20 | $2,740 | $60.4K |
| 66984 | 155 | 300 | 190 | $50 | $56K |
| 27447 | 41 | 270 | 20 | $1,340 | $41.5K |
| 27130 | 62 | 190 | 20 | $1,260 | $30.3K |
| 29827 | 9 | 30 | 20 | $1,320 | $25.1K |
| 15823 | 21 | 40 | 30 | $530 | $25K |
| G0260 | 4 | 20 | 80 | $210 | $24.2K |
| C9290 | 4 | 10 | 6,650 | $1 | $18.5K |
Showing 1–10 of 32
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 1,910 | $1,940 | $3.7M |
| D2930 | N/A | 5,470 | $480 | $2.6M |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 2,560 | $630 | $1.6M |
| D2392 | Post 2 surface resin‑based composite | 1,400 | $330 | $465.5K |
| D9420 | N/A | 2,830 | $50 | $141.3K |
| D2391 | Resin‑based composite – one surface, posterior | 80 | $370 | $29.5K |
| D1351 | Sealant - per tooth | 580 | $50 | $26.1K |
| D3220 | N/A | 230 | $40 | $8.9K |
| D1510 | N/A | 50 | $110 | $5.5K |
| D0220 | Intraoral - periapical first radiographic image | 40 | $0 | $0 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 1 | 10 | 280 | $2,150 | $1M |
| D2930 | N/A | 15 | 70 | 610 | $170 | $518.6K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 57 | 240 | 730 | $100 | $243.2K |
| D2392 | Post 2 surface resin‑based composite | 76 | 270 | 540 | $90 | $161.5K |
| D2391 | Resin‑based composite – one surface, posterior | 201 | 250 | 420 | $70 | $116.6K |
| D1351 | Sealant - per tooth | 121 | 230 | 690 | $30 | $86.6K |
| D1120 | Prophylaxis–child | 377 | 500 | 420 | $30 | $76.8K |
| D3220 | N/A | 17 | 30 | 200 | $80 | $68K |
| D1208 | Topical application of fluoride - excluding varnish | 60 | 110 | 140 | $50 | $56.1K |
| D1510 | N/A | 13 | 10 | 180 | $220 | $49.7K |
Showing 1–10 of 14
Other providers in the same ZIP code as Lakewalk Surgery Center, Inc., ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.