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NPI 1922334101 · Green Bay, WI · Ambulatory Surgical Clinic/Center
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Orthopedic Surgery Center Of Green Bay, LLC is a ambulatory surgical clinic/center provider located in Green Bay, Wisconsin. 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Orthopedic Surgery Center Of Green Bay, LLC |
| Address | 2223 Lime Kiln Rd Ste 2 |
| City | Green Bay |
| State | WI |
| ZIP | 54311 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 23, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $0 |
As an Ambulatory Surgical Clinic/Center, the provider’s Medicare billing is dominated by major joint procedures: the top revenue-driving codes are 27447 (total knee arthroplasty), 27130 (total hip arthroplasty), and 29827 (arthroscopic rotator cuff repair). This code mix points to an operation focused on high-revenue joint replacement services with a secondary offering of arthroscopic shoulder and knee procedures rather than a broad multispecialty outpatient practice.
Revenue is highly concentrated: the top 3 Medicare codes by revenue account for 94.5% of this provider's total Medicare revenue. Within that concentration, 27447 alone represents 60.7% of Medicare revenue and 27130 represents 30.1%, so nearly all Medicare dollars flow from knee and hip arthroplasty activity.
The provider’s payer mix is effectively single-payer for the datasets shown: Total Medicare revenue: $2M while Total Medicaid revenue: none (no Medicaid billing on file). The absence of Medicaid billing on file means the provider’s public-payer exposure is concentrated in Medicare policy and patient demographics rather than shared across both federal and state programs.
27447 is a national outlier for this provider: it shows 171 claims, $7083 avg paid/claim, $1.2M revenue and ranks #167 of 12089 nationally (99th percentile), described in the source as an "extreme outlier, far above typical national volume for this code." That ranking signals national-level dominance in Medicare knee arthroplasty volume relative to peers.
27130 also shows unusually high Medicare activity: 84 claims, $7151 avg paid/claim, $600.7K revenue and a rank of #403 of 8062 (95th percentile), labeled "notably above typical national volume." Together with 27447, these ranks indicate the center is a significant national outlier for orthopedic arthroplasty case volume and revenue.
Other procedure lines are smaller and more variable: 29827 (rotator cuff repair) generated 31 claims, $2346 avg paid/claim, $72.7K revenue and ranks #566 of 3445 (82th percentile; typical, unremarkable volume), while 29881 (knee arthroscopy/meniscectomy) shows 37 claims, $1075 avg paid/claim, $39.8K revenue and ranks #76 of 1125 (93th percentile; notably above typical national volume). This pattern shows that beyond arthroplasty the center performs modest volumes of arthroscopic and hand procedures with mixed competitive standing across specific codes.
The provider appears established: NPI enumerated 2009-10-23 (~17 years ago), indicating sustained enrollment and operational tenure. Coupled with the tight revenue concentration in a few high-value arthroplasty codes and no Medicaid billing on file, the business profile is entrenched but potentially sensitive to any Medicare reimbursement or site-of-service policy changes that affect 27447 and 27130.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 170 | $7,080 | $1.2M |
| 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… | 80 | $7,150 | $600.7K |
| 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 | $2,350 | $72.7K |
| 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… | 40 | $1,080 | $39.8K |
| 29880 | In 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 | $1,070 | $22.5K |
| 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 | $610 | $15.3K |
| 29823 | The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the… | 20 | $720 | $12.9K |
| 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 | $400 | $11.9K |
| 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 | $730 | $8.1K |
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
Other providers in the same ZIP code as Orthopedic Surgery Center Of Green Bay, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Eric Lund | WI | Clinical Psychologist | $0 | $77.1M |
| Baycare Aurora, LLC | WI | General Acute Care Hospital | $0 | $25.4M |
| County Of Brown | WI | Clinic/Center | $0 | $21.1M |
| Caravel Autism Health, LLC | WI | Behavior Analyst | $0 | $18.5M |
| County Of Brown | WI | Community/Behavioral Health Agency | $0 | $8.2M |
| Visiting Nurse Association Of Wisconsin, Inc. | WI | Home Infusion Therapy Pharmacy | $0 | $5M |
| Baycare Clinic LLP | WI | Emergency Medicine Physician | $0 | $3.6M |
| County Of Brown | WI | Case Management Agency | $0 | $3.3M |
| Aegis Group Inc | WI | Land Ambulance | $1.2M | $1.6M |
| Visiting Nurse Association Of Wisconsin, Inc | WI | Home Health Agency | $0 | $2.7M |
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