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

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

Surgcenter At National Harbor, LLC (NPI 1912267592)

Field	Value
Entity Type	Organization
Organization	Surgcenter At National Harbor, LLC
Address	125 Potomac Passage
City	National Harbor
State	MD
ZIP	20745
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 17, 2012

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

SURGCENTER AT NATIONAL HARBOR, LLC reports $2.8M in lifetime Medicare revenue and has no Medicaid billing on file, making its observed payer mix effectively single-payer (Medicare) in the available datasets. The absence of Medicaid activity prevents direct comparison to in-state Medicaid peers and indicates the center predominantly bills Medicare or does not participate in Medicaid billing pathways.

Revenue is heavily concentrated in three joint‑replacement codes: 27447 (35.4%), 27130 (32.4%), and 27446 (24.4%); these three codes together account for 92.2% of the provider’s Medicare revenue. That degree of concentration signals a narrow service-line focus where major joint arthroplasties drive nearly the entire Medicare financial footprint.

The code mix and high shares for 27447, 27130, and 27446 indicate a clinical and business emphasis on major orthopedic procedures, specifically hip and knee arthroplasty and related compartment reconstructions. Supporting volume in related procedures such as 29827 (shoulder rotator cuff repair), 64721 (carpal tunnel neuroplasty), and 26055 (trigger finger release) suggests the center also performs ancillary upper‑ and lower‑extremity surgeries, but these contribute far less to revenue.

Competitive standing is strong for major joint procedures: 27130 ranks #108 of 8062 providers nationally (99th percentile; extreme outlier) and 27446 ranks #8 of 450 (98th percentile; extreme outlier), marking this center as a major national participant in hip and knee arthroplasty by Medicare volume. 27447 ranks #373 of 12089 (97th percentile; notably above typical national volume), reinforcing that the facility exceeds typical national volumes for total knee arthroplasty as well.

Despite high national ranks on specific CPTs, overall Medicare revenue of $2.8M is modest in absolute terms, indicating that the center is a high-volume specialist for a narrow set of procedures rather than a large diversified surgical enterprise. The concentration in a few high-value CPTs creates operational leverage around joint replacement workflows but also revenue dependency on those service lines.

Procedure-level volumes beyond the top three are comparatively small and described as typical or unremarkable: 29827 (37 claims, $2398 avg paid/claim) and 64721 (82 claims, $652 avg paid/claim) contribute minor shares of revenue. These ancillary procedures appear to complement the primary arthroplasty business rather than drive the center’s Medicare revenue.

The provider’s NPI was enumerated on 2012-05-17 (~14 years ago), indicating an established operating history in the market; this tenure, combined with outlier national ranks on core arthroplasty codes, suggests an enduring orthopedic-focused practice model. For payer or network strategy, the center’s profile points to negotiating and capacity considerations centered on hip and knee replacement volumes and reimbursement for those high-revenue codes.

From a risk and strategic perspective, the extreme concentration (92.2% of Medicare revenue in three codes) implies sensitivity to reimbursement changes, utilization trends, or referral shifts for total hip and knee arthroplasty. Absent Medicaid billing, any payer negotiation or population-health initiatives should account for the center’s primary exposure to Medicare reimbursement dynamics rather than mixed‑payer performance.

Medicare: Complete Services Breakdown

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

12 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	$7,350	$991.7K
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…	120	$7,510	$908.2K
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…	100	$7,190	$683.2K
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…	40	$2,400	$88.7K
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…	80	$650	$53.5K
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…	50	$440	$23.7K
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	$940	$15.1K
29882	The provider examines the inside of the knee joint with an arthroscope. She repairs a torn meniscus, a crescent shaped cartilage cushion, in either the medial or lateral compartments of the knee…	10	$1,060	$13.8K
26480	In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…	10	$870	$11.3K
26160	In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.	20	$520	$10.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Surgcenter At National Harbor, LLC — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27446	1	20	30	$3,330	$103.2K
27447	13	270	30	$1,500	$72K
27130	4	180	30	$1,430	$56K
29827	16	80	20	$1,210	$30.3K
64721	8	60	30	$490	$22.1K
26480	13	20	20	$760	$16.1K
26055	17	70	30	$340	$15.5K
29881	13	30	20	$840	$15.1K
29882	1	10	10	$1,060	$13.8K
C9290	19	20	4,920	$1	$7.5K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Surgcenter At National Harbor, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Thats Therapeutic Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.7M
Moore Obgyn LLC	MD	Obstetrics & Gynecology Physician	$0	$23.2M
Ib Dental Ii, P.C.	MD	General Practice Dentistry	$0	$10.5M
Tanek L. Jenkins, Dds	MD	Pediatric Dentistry	$0	$9.8M
Nspc Surgery Center Of Maryland LLC	MD	Ambulatory Surgical Clinic/Center	$5.8M	$6.3K
All That's Therapeutic, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M
Metrospine PC	MD	Specialist	$0	$4.9M
Utopian Institute Of Family Living LLC	MD	Community/Behavioral Health Agency	$0	$4.6M
Vipul Mangal	MD	Pain Medicine (Anesthesiology) Physician	$2.2M	$0
Potomac Urology Surgery Center, LLC	MD	Ambulatory Surgical Clinic/Center	$624.4K	$0

Surgcenter At National Harbor, LLC — Billing Profile & Reimbursement Data

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Surgcenter At National Harbor, 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