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    OpenPayerNPI Medicare & MedicaidNorth Pines Surgery Center, LLC
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    North Pines Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1013392042 · Conroe, TX · Ambulatory Surgical Clinic/Center

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    North Pines Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Conroe, Texas. This profile covers 20 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorth Pines Surgery Center, LLC
    Address4019 I 45 N
    CityConroe
    StateTX
    ZIP77304
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 20, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…60$15,610$967.8K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.170$3,850$654.3K
    0275TN/A70$3,640$265.6K
    C1826Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system20$14,880$223.2K
    27279The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…20$12,690$215.7K
    64628The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.10$7,260$101.7K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).110$290$33.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.60$470$26.4K
    63688The provider revises or removes a spinal neurostimulator pulse generator or receiver. The system is one that has a detachable connection between the electrode array and the pulse generator or…20$1,310$26.2K
    62350The provider implants, replaces, or repositions a previously implanted and tunneled intrathecal or epidural catheter. This procedure does not include a laminectomy. This service is done to instill…10$1,930$25.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    C182611020$14,880$223.2K
    636851116020$8,330$216.7K
    636501516050$1,960$147K
    27279132020$6,210$117.9K
    64628203020$3,980$91.6K
    0275T24020$2,080$58.2K
    G0260417070$210$19.8K
    6463513754040$370$19.1K
    6448317469060$190$18.3K
    6368831010$890$15.1K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as North Pines Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jtj Staffing, Inc.TXHome Health Agency$0$50.1M
    Lone Star Community Health Center, Inc.TXFederally Qualified Health Center (FQHC)$0$31M
    Advocate Pediatric Home Care LLCTXHome Health Agency$0$30.9M
    Chca Conroe LPTXGeneral Acute Care Hospital$0$12.8M
    Montgomery County Hospital DistrictTXAmbulance$4.4M$7.4M
    Conroe Independent School DistrictTXLocal Education Agency (LEA)$0$11.4M
    Ajay KwatraTXUrology Physician$3M$0
    Conroe Surgery Center 2, LLCTXAmbulatory Surgical Clinic/Center$2M$0
    Arindam BanerjeeTXInterventional Cardiology Physician$1.3M$0
    Ashesh DesaiTXPulmonary Disease Physician$999.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    North Pines Surgery Center, LLC — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas