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NPI 1902459084 · Hartford, CT · Orthopaedic Surgery Physician
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Lighthouse Surgery Center, LLC is a orthopaedic surgery physician provider located in Hartford, Connecticut. This profile covers 15 Medicare and 1 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 | Lighthouse Surgery Center, LLC |
| Address | 129 Woodland St |
| City | Hartford |
| State | CT |
| ZIP | 06105 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | July 18, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $13.2K |
LIGHTHOUSE SURGERY CENTER, LLC is coded as an Orthopaedic Surgery Physician and its Medicare activity is dominated by major joint replacement and arthroscopic procedures. The two highest‑revenue Medicare codes are 27447 (total knee arthroplasty) and 27130 (total hip arthroplasty), generating $454.8K (41.9% of Medicare revenue) and $361.2K (33.3% of Medicare revenue) respectively, which signals an operation focused on high‑value orthopaedic surgery rather than primary care or purely diagnostic services.
Revenue at the Medicare level is highly concentrated: the precomputed top 3 Medicare codes account for 80.6% of the provider's total Medicare revenue. Those top three codes—27447 ($454.8K, 41.9%), 27130 ($361.2K, 33.3%), and 29827 ($58.5K, 5.4%)—drive the majority of earnings, indicating the practice’s financial performance is closely tied to arthroplasty and related shoulder procedures.
Medicaid activity is negligible in scale compared with Medicare: total Medicare revenue is $1.1M while total Medicaid revenue is $13.2K, so the practice is effectively Medicare‑dominant. The precomputed topology also shows the top 3 Medicaid codes account for 100.0% of Medicaid revenue, underscoring that Medicaid billing is narrowly concentrated.
All Medicaid billing reported is concentrated in a single procedure code: 62323 (lumbar/sacral epidural injection) accounts for $13.2K in Medicaid revenue across 825 claims and represents 100.0% of the provider’s Medicaid revenue. In‑state competitive standing for that code is mid‑to‑upper relative, ranking #11 of 36 providers in-state (71th percentile; typical, unremarkable volume).
Competitive standing on Medicare for the top surgical codes is broadly described as typical rather than dominant. Specifically, 27447 ranks #2527 of 12089 (79th percentile; typical, unremarkable volume) and 27130 ranks #1751 of 8062 (78th percentile; typical, unremarkable volume), while 29827 ranks #664 of 3445 (79th percentile; typical, unremarkable volume); these placements suggest healthy but not market‑leading volume for large joint procedures nationally.
Some non‑arthroplasty procedural codes show relatively higher percentile placement for image‑guided injections: Medicare 62323 (214 claims, $57.1K revenue) ranks #588 of 7397 (92th percentile; typical, unremarkable volume), and G0260 (109 claims, $24K revenue) ranks #249 of 967 (74th percentile; typical, unremarkable volume). This mix of high‑value arthroplasty plus robust injection volumes suggests the center delivers both operative care and significant perioperative or nonsurgical pain‑management services.
One notable code‑level pattern is C9290 (bupivacaine liposome), which is reported as 20.2K claims yielding $20.2K (1.9% of Medicare revenue) at $1 avg paid/claim and ranks #70 of 451 (85th percentile; typical, unremarkable volume). The combination of a very large claim count with very low unit reimbursement is distinct in the profile and may reflect a high‑throughput billing pattern for a low‑unit‑cost supply or product used across many cases.
The provider’s NPI was enumerated on 2019-07-18 (~7 years ago), so achieving $1.1M in Medicare revenue within that timeframe indicates an established surgical throughput relative to its tenure. Given that 80.6% of Medicare revenue is concentrated in three codes, the business is referral‑ and procedure‑driven—making it potentially sensitive to changes in arthroplasty volumes, payer coverage policies, or shifts in referral networks.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 60 | $7,580 | $454.8K |
| 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… | 50 | $7,850 | $361.2K |
| 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 | $2,020 | $58.5K |
| 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)… | 210 | $270 | $57.1K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 110 | $220 | $24K |
| 64721 | Neuroplasty 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 | $670 | $22.2K |
| C9290 | Injection, bupivacaine liposome, 1 mg | 20,220 | $1 | $20.2K |
| 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… | 20 | $1,170 | $17.5K |
| 25447 | The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the… | 10 | $1,080 | $15.1K |
| 26055 | Trigger 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… | 30 | $530 | $14.2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 17 | 160 | 20 | $1,320 | $39.6K |
| 27130 | 16 | 100 | 20 | $1,200 | $34.9K |
| 29827 | 7 | 30 | 20 | $1,350 | $29.7K |
| G0260 | 3 | 10 | 50 | $230 | $22.8K |
| 29881 | 7 | 10 | 20 | $1,100 | $22K |
| 64721 | 19 | 40 | 30 | $490 | $16.2K |
| 29848 | 17 | 30 | 20 | $480 | $14K |
| 64493 | 50 | 60 | 50 | $200 | $13.3K |
| 62323 | 6 | 90 | 40 | $190 | $12.3K |
| 25447 | 4 | 10 | 10 | $740 | $11.8K |
Showing 1–10 of 15
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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)… | 830 | $20 | $13.2K |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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)… | 11 | 40 | 250 | $240 | $129.9K |
Other providers in the same ZIP code as Lighthouse Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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