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NPI 1932390234 · Reno, NV · Ambulatory Surgical Clinic/Center
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Reno Orthopaedic Surgery Center LLC is a ambulatory surgical clinic/center provider located in Reno, Nevada. This profile covers 37 Medicare and 2 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 | Reno Orthopaedic Surgery Center LLC |
| Address | 555 N Arlington Ave Bldg C |
| City | Reno |
| State | NV |
| ZIP | 89503 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 5, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.3M |
| Medicaid | $0 |
RENO ORTHOPAEDIC SURGERY CENTER LLC presents as a high-volume ambulatory orthopedics specialist: its top Medicare revenue drivers are joint arthroplasty and arthroscopic shoulder procedures with 27447, 27130 and 29827 prominent in the mix. Code 27447 (knee arthroplasty) accounts for $2.6M of Medicare revenue (48.5% of total Medicare revenue) and 27130 (hip arthroplasty) accounts for $1.5M (28.2%), signaling an outpatient joint-replacement focused operation supplemented by shoulder arthroscopy and hand/foot procedures. These procedure-level descriptions align with an Ambulatory Surgical Clinic/Center taxonomy and indicate a clinical emphasis on same-site orthopedic surgical interventions.
Revenue concentration is substantial: the precomputed top‑3 codes by revenue account for 79.6% of the provider's total Medicare revenue. Nearly three quarters of Medicare dollars are tied to two high-value arthroplasty codes (27447 at $2.6M and 27130 at $1.5M) with the next contributor 29827 at $151.3K, which concentrates financial performance and makes overall revenue sensitive to volume or reimbursement changes for these specific codes.
Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $5.3M while reported Medicaid revenue is $0, indicating no recorded Medicaid billing. That imbalance suggests commercial and Medicare contracting and quality metrics will be the primary levers for payers evaluating this facility, and Medicaid strategy is not currently relevant based on on‑file claims.
National competitive standing for major procedures is dominant: the provider ranks #10 of 12089 for 27447 and #11 of 8062 for 27130 (both labeled 100th percentile; extreme outlier), and #24 of 3445 for 29827 (99th percentile; extreme outlier). Those rank/percentile positions describe an unusually high national volume for primary hip and knee replacement relative to peers, identifying the center as a major national outlier and practical leader for these services.
Billing patterns show breadth across orthopedic subspecialties beyond hip and knee: high-volume hand procedures such as 64721 (174 claims, $103.9K; 99th percentile; extreme outlier) and multiple arthroscopy codes (29880 rank #8 of 878, 29881 rank #9 of 1125) appear among top codes. This mix indicates the center routinely performs upper extremity, foot/ankle and soft-tissue arthroscopic procedures in addition to joint arthroplasty, supporting an operational model with multi-site orthopedics capability within the ASC.
The provider has long tenure in the NPI file (NPI enumerated 2007-08-05, ~19 years ago), which together with high national ranks for key procedures suggests an established service line and operating history. Longevity plus extreme outlier volumes for core codes may reflect sustained referral relationships, developed surgical capacity, or regional market positioning.
For payers and network managers, the combination of outsized Medicare volume in high-reimbursement arthroplasty codes and zero reported Medicaid activity creates specific contracting implications: this facility is a likely candidate for enterprise-level joint replacement bundles, episode-of-care reviews, and focused quality/value measurement for 27447 and 27130. Given that 79.6% of Medicare revenue is concentrated in the top three codes, payers should prioritize utilization, outcome tracking, and negotiated terms around these procedures when evaluating the provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
37 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… | 360 | $7,070 | $2.6M |
| 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 | $7,160 | $1.5M |
| 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 | $1,500 | $151.3K |
| 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.… | 40 | $2,930 | $128.8K |
| 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… | 170 | $600 | $103.9K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 30 | $3,320 | $89.6K |
| 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… | 70 | $1,040 | $76.8K |
| 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… | 180 | $420 | $76.1K |
| 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… | 70 | $1,010 | $65.8K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 30 | $2,170 | $65.1K |
Showing 1–10 of 37
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
37 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27447 | 1 | 90 | 30 | $1,490 | $71.5K |
| 27130 | 1 | 60 | 30 | $1,350 | $54K |
| 29827 | 1 | 40 | 20 | $1,110 | $31K |
| 28750 | 1 | 10 | 10 | $1,600 | $25.6K |
| 29880 | 4 | 30 | 30 | $570 | $23.3K |
| 28298 | 1 | 10 | 10 | $1,480 | $20.8K |
| 29828 | 1 | 10 | 20 | $1,120 | $20.2K |
| 64721 | 1 | 30 | 40 | $420 | $19.9K |
| 28309 | 1 | 10 | 10 | $1,290 | $18.1K |
| 29848 | 6 | 10 | 40 | $370 | $18K |
Showing 1–10 of 37
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 31 | 40 | 190 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 3 | 10 | 100 | $0 | $0 |
Other providers in the same ZIP code as Reno Orthopaedic Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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