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

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

West End Surgical, LLC (NPI 1962920751)

Field	Value
Entity Type	Organization
Organization	West End Surgical, LLC
Address	9405 Sw Nimbus Ave
City	Beaverton
State	OR
ZIP	97008
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 1, 2017

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

Service-line profile: WEST END SURGICAL, LLC (taxonomy: Ambulatory Surgical Clinic/Center) bills almost exclusively for major orthopedic joint-replacement procedures, with the two leading Medicare codes being 27447 (knee replacement) and 27130 (hip replacement). The code mix and high average payments per claim ($7973 for 27447 and $8104 for 27130) indicate the practice operates as an outpatient surgical site that performs high-acuity arthroplasty work rather than a broad multispecialty clinic.

Revenue concentration: Medicare revenue is highly concentrated in a narrow set of procedures — the top three Medicare codes account for 99.9% of this provider's total Medicare revenue. That concentration is centered almost entirely on 27447 (49.9% of Medicare revenue) and 27130 (48.6% of Medicare revenue), leaving only 1.4% for the third code.

27447 (knee arthroplasty) performance: WEST END SURGICAL reported 143 claims for 27447 generating $1.1M in revenue at an average paid-per-claim of $7973. The provider ranks #305 of 12089 nationally (97th percentile), which the source characterizes as notably above typical national volume for this code and signals a materially above-average knee-replacement throughput compared with peers.

27130 (hip arthroplasty) performance: The practice reported 137 claims for 27130 producing $1.1M in revenue with an average paid-per-claim of $8104. This provider ranks #67 of 8062 nationally (99th percentile) and is described as an extreme outlier, far above typical national volume for this code, indicating national-level prominence in hip arthroplasty billing.

Other CPT/HCPCS activity is minimal and operationally distinct: 63047 (lumbar decompression) represents 12 claims and $32.9K in Medicare revenue and ranks #3582 of 4170 (7th percentile), characterized as typical and unremarkable volume for that code. By contrast, C9290 shows high claim count (2.9K claims) but negligible revenue impact ($2.9K total at $1 avg paid/claim) and ranks #368 of 451 (18th percentile); this pattern suggests routine, low-dollar injectable billing that does not materially contribute to the practice's revenue base.

Payer mix and exposure: Lifetime Medicare revenue is $2.3M while there is no Medicaid billing on file (none below), so the provider is effectively single-payer with heavy Medicare dependence. The absence of Medicaid activity concentrates payer risk on Medicare reimbursement dynamics and policy changes affecting outpatient arthroplasty.

Competitive and strategic implications: Given the 99th percentile ranking on hip arthroplasty (27130) and 97th percentile on knee arthroplasty (27447), this entity should be viewed as a major national participant for these specific procedures, not as a generalist ambulatory center. However, the extremely narrow service mix tied to two codes creates operational vulnerability if market, clinical, or reimbursement conditions for outpatient joint replacement shift.

Tenure and operational stability: The provider's NPI was enumerated on 2017-09-01 (~9 years ago), indicating roughly a decade of documented Medicare activity. That tenure, coupled with concentrated high-volume arthroplasty billing, suggests an established outpatient joint-replacement operation rather than a newly formed or transient practice.

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
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…	140	$7,970	$1.1M
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…	140	$8,100	$1.1M
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	10	$2,740	$32.9K
C9290	Injection, bupivacaine liposome, 1 mg	2,930	$1	$2.9K

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. Oregon Distribution

West End Surgical, LLC — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	2	170	30	$1,590	$60.3K
27130	1	110	30	$1,610	$53.1K
63047	61	70	20	$820	$23.9K
C9290	11	10	7,710	$1	$12.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Northwest Enteral, LLC	OR	Parenteral & Enteral Nutrition Supplies (DME)	$0	$30.1M
University Professional Services	OR	Pharmacy	$0	$8.1M
Kidscare Home Health Of Oregon LLC	OR	Home Health Agency	$0	$2.5M
Crm Physicians, LLC	OR	Internal Medicine Physician	$0	$2.1M
Phillips Care Services	OR	In Home Supportive Care Agency	$0	$1.9M
Centennial Medical Equipment Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1.3M
Higher Ground Counseling Inc	OR	Professional Counselor	$0	$1.2M
180 Medical, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Hadi Nouredine Dmd	OR	General Practice Dentistry	$0	$953.3K
Jessica Spies	OR	Dermatopathology (Pathology) Physician	$642.4K	$0

West End Surgical, LLC — Billing Profile & Reimbursement Data

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West End Surgical, 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