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NPI 1912480070 · Tupelo, MS · Ambulatory Surgical Clinic/Center
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Sog Surgery Center LLC is a ambulatory surgical clinic/center provider located in Tupelo, Mississippi. This profile covers 38 Medicare and 6 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 | Sog Surgery Center LLC |
| Address | 1211 S Gloster St Ste B |
| City | Tupelo |
| State | MS |
| ZIP | 38801 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 13, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $7.5M |
| Medicaid | $480 |
SOG SURGERY CENTER LLC is effectively a Medicare-centered operation: lifetime Medicare revenue is $7.5M versus total Medicaid revenue of $476, indicating Medicare dominates the provider’s billing activity and cash flow. The Medicaid amount is de minimis compared with Medicare, so the provider’s financial footprint is essentially single-payer at scale.
Revenue concentration on Medicare is pronounced: the precomputed top-3 Medicare codes account for 68.3% of this provider’s total Medicare revenue, with those codes (27447, 27130, 27446) driving the bulk of payments. This concentration signals a business model focused on a narrow set of high-revenue procedures rather than broad, low-margin ambulatory services.
The top Medicare codes identify a clear service-line specialization in major lower-extremity joint replacement: 27447 (knee arthroplasty) generated $2.8M and 457 claims and is characterized as an "extreme outlier" nationally (rank #7 of 12089, 100th percentile); 27130 (hip arthroplasty) produced $1.3M and 211 claims and is also an "extreme outlier" (rank #10 of 8062, 100th percentile); and 27446 (knee reconstruction) contributed $860.3K and 140 claims and is an "extreme outlier" as well (rank #2 of 450, 100th percentile). These rankings indicate the center is a major national-volume provider for elective joint replacement procedures.
Beyond arthroplasty, the facility reports meaningful spine and neurostimulation activity: 63685 (spinal neurostimulator generator insertion) contributed $600.6K (37 claims) and ranks #127 of 1281 (89th percentile; labeled typical), while 63655 (lamina removal with paddle electrode placement) contributed $411.7K (34 claims) and ranks #14 of 245 (94th percentile; notably above typical). Together these codes represent a secondary, higher-acuity interventional pain management line that complements the joint-replacement case mix.
The provider also shows high relative volume in shoulder procedures and arthroscopy, consistent with a broader orthopedic surgical focus: 23430 (biceps tendon fixation) produced $237.8K (87 claims) and ranks #7 of 811 (99th percentile; extreme outlier), and 29827 (rotator cuff repair) produced $135.3K (101 claims) and ranks #24 of 3445 (99th percentile; extreme outlier). These entries reinforce that the center’s clinical portfolio extends beyond hips and knees to include upper-extremity, arthroscopic interventions.
Medicaid activity is negligible and highly concentrated: total Medicaid revenue is $476 with the precomputed top-3 Medicaid codes accounting for 100.0% of that revenue. The Medicaid revenue mix is dominated by 64999 (175 claims, $350; 68.6% of Medicaid revenue) which ranks #1 of 3 in-state (100th percentile), and 64483 (20 claims, $160; 31.4% of Medicaid revenue) which ranks #25 of 33 in-state (22th percentile). Multiple Medicaid-listed codes show $0 paid (for example G8907, 64447, 76942, C1776), indicating claims activity with little or no Medicaid reimbursement and reinforcing that Medicaid is not a meaningful revenue source.
The practice has been enumerated since 2018-09-13 (~8 years ago), so despite a relatively recent NPI date it has achieved unusually high national volumes for several specialty procedures. This tenure paired with concentrated, high-volume arthroplasty and interventional pain services suggests rapid scale-up in elective and implant-based subspecialty workflows.
Concentration creates operational and payer risk: heavy reliance on a small set of high-value Medicare procedures (top-3 = 68.3% of Medicare revenue) and virtually no Medicaid revenue ($476 total) means the facility’s financial performance is sensitive to policy, reimbursement, or local competitive shifts affecting joint replacement and implant-driven services. The national-level dominance for several CPTs indicates competitive strength but also a concentrated exposure if volumes were to move.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 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… | 460 | $6,210 | $2.8M |
| 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… | 210 | $6,270 | $1.3M |
| 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… | 140 | $6,150 | $860.3K |
| 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… | 40 | $16,230 | $600.6K |
| 63655 | In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall… | 30 | $12,110 | $411.7K |
| 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.… | 90 | $2,730 | $237.8K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 70 | $3,310 | $222K |
| 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… | 100 | $1,340 | $135.3K |
| 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). | 380 | $260 | $100.3K |
| 28299 | The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes double osteotomy, cutting and realigning one or more toe… | 30 | $2,680 | $77.8K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 8 | 20 | 30 | $7,940 | $277.9K |
| 27446 | 1 | 10 | 60 | $2,920 | $192.6K |
| 63655 | 4 | 10 | 30 | $4,740 | $170.6K |
| 27447 | 2 | 90 | 50 | $2,160 | $164.5K |
| 63650 | 10 | 20 | 80 | $1,890 | $160.4K |
| 27130 | 2 | 70 | 30 | $2,070 | $87.1K |
| 28299 | 2 | 10 | 30 | $1,490 | $44.7K |
| 64483 | 14 | 70 | 110 | $180 | $36.7K |
| 25609 | 3 | 10 | 20 | $1,850 | $35.1K |
| 29827 | 3 | 50 | 20 | $1,020 | $33.6K |
Showing 1–10 of 38
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64999 | Use 64999 to report procedures in the nervous system that do not have a specific code. | 180 | $1 | $350 |
| 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). | 20 | $10 | $160 |
| 64447 | The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single… | 140 | $0 | $0 |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 60 | $0 | $0 |
| C1776 | Joint device (implantable) | 60 | $0 | $0 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 150 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 25 | 30 | 110 | $120 | $55.7K |
| 64447 | The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single… | 2 | 10 | 120 | $30 | $4.2K |
| C1776 | Joint device (implantable) | 6 | 10 | 60 | $20 | $2.4K |
| 76942 | Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human… | 9 | 20 | 100 | $1 | $640 |
| 64999 | Use 64999 to report procedures in the nervous system that do not have a specific code. | 1 | 10 | 20 | $1 | $280 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 42 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Sog Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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