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

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

Premier Cardiac Surgery Center, PLLC (NPI 1922664622)

Key Findings

Field	Value
Entity Type	Organization
Organization	Premier Cardiac Surgery Center, PLLC
Address	11560 S. Kedzie Avenue
City	Merrionette Park
State	IL
ZIP	60803
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 17, 2019

Payer Source	Total Paid
Medicare	$3.5M
Medicaid	$0

PREMIER CARDIAC SURGERY CENTER, PLLC is registered as an Ambulatory Surgical Clinic/Center and its Medicare code mix is concentrated in cardiac implantable device work — leading codes include 33249, 33208, 33285 and C7539 which correspond to implant/replacement of defibrillators, pacemakers and subcutaneous cardiac rhythm monitors. The presence of multiple device-upgrade and multi-chamber device codes indicates the practice operates as a specialty device implant and generator-replacement center rather than a general cardiology clinic.

This provider reports $3.5M in lifetime Medicare revenue and has no Medicaid billing on file, making it effectively a single-payer (Medicare) operation for the data available. Analysts should treat Medicare as the dominant payer exposure and note there is no Medicaid activity to assess for in-state competitive comparisons.

Revenue concentration is high: the top three Medicare codes account for 57.9% of the provider's total Medicare revenue, with 33249 representing 26.3%, 33208 representing 19.2%, and 33285 representing 12.4% of Medicare revenue. This concentration indicates that a small set of device-implantation and monitoring procedures drive the majority of billing.

The provider is a national volume outlier on several signature codes. Specifically, 33208 ranks #2 of 3026 providers nationally (100th percentile; extreme outlier) and 33249 ranks #8 of 1011 providers nationally (99th percentile; extreme outlier), signaling unusually high national-level activity for pacemaker and defibrillator insertion/replacement.

Several other codes show above-typical volume: 33285 ranks #58 of 1716 (97th percentile; notably above typical) and 33207 ranks #2 of 88 (98th percentile; notably above typical), while codes such as 33264 rank #16 of 154 (89th percentile; typical, unremarkable). C7539 appears as #1 of 2 providers nationally (100th percentile; typical, unremarkable), a reminder that small peer group sizes can produce top ranks without implying broad market dominance.

Claim-level and unit-payment data reinforce a high-value device mix: 33249 had 46 claims with $20055 avg paid/claim and generated $922.5K revenue, 33208 had 118 claims with $5710 avg paid/claim and generated $673.8K revenue, and 33285 had 78 claims with $5571 avg paid/claim and generated $434.5K revenue. These figures indicate the practice combines moderate claim volumes with high average payments consistent with implanted cardiac device procedures.

Procedure detail shows capability for complex device management and upgrades: codes for multi-chamber replacements and left-ventricular pacing at time of generator insertion appear among top billings (for example, 33264 generated $409.4K and C7539 generated $287.7K), suggesting the clinical program routinely handles upgrades and generator exchanges beyond simple single-lead implants. For payers, this implies the provider is resourced for higher-complexity device work that can carry higher per-episode costs.

For contracting and network strategy, the combination of high Medicare concentration ($3.5M lifetime Medicare revenue, no Medicaid) and national outlier status on key device codes suggests the provider could be a specialized partner for Medicare-focused device pathways or a target for focused rate negotiation on implantable cardiac device services. However, absence of Medicaid activity removes any immediate leverage or exposure in that payer channel and should be noted when assessing cross-payer risk and access implications.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33249	The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by…	50	$20,060	$922.5K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	120	$5,710	$673.8K
33285	The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions.	80	$5,570	$434.5K
33264	The provider removes a previously placed implantable defibrillator pulse generator from the patient and replaces it with a new one. He performs this procedure for a patient with leads to at least…	20	$20,470	$409.4K
C7539	Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at…	40	$7,380	$287.7K
33228	The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart…	40	$6,050	$211.6K
33263	The provider removes a previously placed implantable defibrillator pulse generator from the patient and replaces it with a new one. He performs this procedure for a patient with leads to two chambers…	10	$13,260	$159.1K
33229	The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart…	20	$9,490	$142.4K
33207	The provider inserts or replaces a permanent pacemaker and implants one or more electrodes into the right ventricle.	30	$4,660	$135.2K
C7538	Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of…	20	$7,820	$125K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doubek Medical Supply Inc.	IL	Durable Medical Equipment & Medical Supplies	$0	$37.8M
Metropolitan Family Services	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
Village Of Alsip	IL	Ambulance	$180.2K	$5.5M
Hang-jin Shin	IL	Cardiovascular Disease Physician	$840K	$139.8K
James Sur	IL	Interventional Cardiology Physician	$677.7K	$47.1K
Sean Tierney	IL	Clinical Cardiac Electrophysiology Physician	$538.8K	$32.1K

Premier Cardiac Surgery Center, PLLC — Billing Profile & Reimbursement Data

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Premier Cardiac Surgery Center, PLLC — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
C7539	1	10	40	$7,380	$287.7K
C7538	1	10	20	$7,810	$125K
33263	1	10	10	$6,790	$81.5K
33229	2	10	20	$4,590	$73.4K
33264	1	10	10	$4,420	$61.9K
33207	1	10	30	$2,180	$50.1K
33249	1	40	10	$1,990	$33.8K
33285	2	60	20	$1,260	$26.4K
33208	1	120	20	$620	$16.1K
33228	1	40	20	$590	$10K