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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Lighthouse Surgical Suites, LLC (NPI 1932700085)

Field	Value
Entity Type	Organization
Organization	Lighthouse Surgical Suites, LLC
Address	2 Market Pl Ste 100
City	Hollis
State	NH
ZIP	03049
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	November 5, 2020

Payer Source	Total Paid
Medicare	$894K
Medicaid	$0

Key Findings

LIGHTHOUSE SURGICAL SUITES, LLC (Ambulatory Surgical Clinic/Center, HOLLIS NH) bills predominantly for major joint arthroplasty: its top three Medicare codes are 27130 (59 claims, $7277 avg paid/claim, $429.3K revenue), 27447 (51 claims, $7134 avg paid/claim, $363.8K revenue) and 27446 (13 claims, $7030 avg paid/claim, $91.4K revenue). The code descriptions indicate primary service lines are hip replacement and compartmental/total knee replacement, consistent with an ambulatory surgical center focused on orthopedic joint procedures.

Revenue concentration is extreme within Medicare: the precomputed top-3 share notes that the top 3 Medicare codes by revenue account for 99.0% of this provider's total Medicare revenue. That concentration implies the business is highly dependent on a narrow set of high-dollar arthroplasty services for nearly all of its $894K in Medicare revenue.

Payer mix is effectively single-payer Medicare: the provider reports Total Medicare revenue of $894K and has no Medicaid billing on file (none below). This means analysts should treat this profile as Medicare-dependent when assessing payer exposure, reimbursement trends, or patient mix impacts.

Competitive standing across the top codes is mixed. For hip replacement 27130 the provider ranks #1067 of 8062 nationally (86th percentile; typical, unremarkable volume), indicating above-average national placement but not a market-dominant position; for primary knee replacement 27447 it ranks #3249 of 12089 (72th percentile; typical, unremarkable volume), a moderate national footprint; and for 27446 it ranks #333 of 450 (18th percentile; typical, unremarkable volume), which places it toward the lower end of volume among the smaller cohort of providers billing that code.

Procedure-level economics show these are high-dollar interventions: the three arthroplasty codes carry average paid-per-claim amounts of $7277, $7134 and $7030 respectively, underlining why a small set of claims generates the majority of revenue. By contrast, code C9290 appears as a low-dollar, higher-count adjunct item (8.5K claims, $1 avg paid/claim, $8.5K revenue, 1.0% of Medicare revenue), suggesting ancillary use for perioperative analgesia that contributes minimal revenue.

Tenure is relatively short: the NPI was enumerated on 2020-11-05 (~6 years ago). Achieving $894K of Medicare revenue within that window indicates rapid revenue concentration into arthroplasty services since enumeration.

From a risk and strategic perspective, the provider's extreme dependence on a small set of arthroplasty codes (99.0% concentration) creates exposure to policy or reimbursement shifts affecting outpatient joint replacement. Given the mixed percentile ranks, any competitive or volume changes in hip and knee replacement markets could meaningfully affect the practice's Medicare revenue base.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	60	$7,280	$429.3K
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…	50	$7,130	$363.8K
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…	10	$7,030	$91.4K
C9290	Injection, bupivacaine liposome, 1 mg	8,510	$1	$8.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Lighthouse Surgical Suites, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27446	7	10	20	$3,100	$83.6K
27447	32	90	40	$1,310	$57.7K
27130	10	70	30	$1,580	$55.3K
C9290	4	10	6,720	$1	$12.9K

Nearby Providers

Other providers in the same ZIP code as Lighthouse Surgical Suites, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joanne Pomeranz	NH	Family Nurse Practitioner	$12.2K	$116.5K
Onward Psychiatry, LLC	NH	Psychiatric/Mental Health Nurse Practitioner	$0	$96.5K
Sau 41 Coop School District	NH	Local Education Agency (LEA)	$0	$83.2K
Hollis School District	NH	Local Education Agency (LEA)	$0	$52.6K

Lighthouse Surgical Suites, LLC — Billing Profile & Reimbursement Data

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Lighthouse Surgical Suites, 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