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

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

Advanced Surgery Center Of Lancaster, LLC (NPI 1013471754)

Key Findings

Field	Value
Entity Type	Organization
Organization	Advanced Surgery Center Of Lancaster, LLC
Address	160 N Pointe Blvd Ste 105
City	Lancaster
State	PA
ZIP	17601
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 28, 2019

Payer Source	Total Paid
Medicare	$4M
Medicaid	$0

ADVANCED SURGERY CENTER OF LANCASTER, LLC presents as a highly specialized spine and pain-management ambulatory surgical center: its top Medicare revenue drivers are implantable neurostimulation and spinal procedures (63685, 63650, 63655) and related device/pump services (62362), plus sacroiliac fusion (27279) and basivertebral nerve ablation (64628), indicating a service mix focused on advanced spine surgery and implanted device therapies rather than routine office-based injections. The presence of high-dollar device codes (for example, 63685 avg paid/claim $18639 and 63655 avg paid/claim $13134) supports interpretation of an operation built around surgical implantation and device management rather than primary-care or basic pain injections.

Revenue is heavily concentrated in a very small set of procedures: the precomputed top 3 Medicare codes (63685, 63650, 63655) account for 56.5% of this provider's total Medicare revenue, and that concentrated share sits on a total Medicare revenue base of $4M. Given that $4M Medicare figure and the single-payer dominance described below, procedural and reimbursement shifts affecting those specific codes would materially change the center's revenue profile.

This provider is effectively single-payer in scope: reported lifetime Medicare revenue is $4M while there is no Medicaid billing on file, so operations and strategy appear to be driven almost entirely by Medicare reimbursement and patient mix rather than a dual Medicare/Medicaid footprint. The absence of any Medicaid revenue suggests limited exposure to state-managed payer populations and that Medicaid is not a meaningful contributor to the center's current volume or revenue streams.

63685 is a standout in national competitive standing: the center reported $1.4M from 63685 (34.1% of its Medicare revenue) over 74 claims with an avg paid/claim of $18639, and it ranks #18 of 1281 providers nationally (99th percentile; extreme outlier), which positions the center as a major national outlier for this specific spinal neurostimulator pulse generator procedure. That ranking and revenue concentration indicate unusually high activity and/or specialization in this high-value implant procedure relative to peers.

63650 and 63655 further define the center's competitive posture in spinal neuromodulation: 63650 produced $511.4K (12.7% of Medicare revenue) across 138 claims with avg paid/claim $3706 and ranks #88 of 1371 providers nationally (94th percentile; notably above typical), while 63655 produced $394K (9.7% of Medicare revenue) across 30 claims with avg paid/claim $13134 and ranks #20 of 245 providers nationally (91th percentile; typical, unremarkable volume). Together these two codes plus 63685 explain why the center is a prominent regional/national participant in SCS lead and paddle implantation and related procedures.

Beyond the high-dollar implants, the center also reports substantial throughput in image-guided injections and neurolysis—procedures that look like ancillary or complementary pain-management services—such as 64493 (204 claims, $50.8K revenue; ranks #459 of 7519, 94th percentile), 62323 (174 claims, $42.6K revenue; ranks #831 of 7397, 89th percentile), and 64635 (100 claims, $60.7K revenue; ranks #748 of 5957, 87th percentile). These code volumes and percentiles indicate the center supports a steady procedural pipeline of lower-reimbursed, higher-frequency pain interventions alongside its implant program, consistent with a specialized multidisciplinary spine/pain center model.

The center shows meaningful activity in several other device and implant codes that reinforce the specialized spine focus: 62362 (implant/replace programmable pump) generated $170.7K (16 claims, avg paid/claim $10671; ranks #57 of 138, 50th percentile) and 27279 (sacroiliac fusion) generated $350.1K (28 claims, avg paid/claim $12502; ranks #17 of 161, 88th percentile). These additional device-based procedures diversify the implant portfolio beyond spinal cord stimulation and suggest capacity for a range of minimally invasive or implant-centric spine interventions.

Tenure and scale: the entity's NPI was enumerated on 2019-01-28 (~7 years ago), which indicates a relatively recent market entry that has reached $4M in Medicare lifetime revenue and achieved notable national rankings on select high-revenue codes in a short time frame. This combination of recent enumeration and concentrated, high-value procedural activity suggests fast-scale specialization in implantable spine therapies rather than a long-established general surgical practice.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
63685	The 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…	70	$18,640	$1.4M
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	140	$3,710	$511.4K
63655	In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…	30	$13,130	$394K
27279	The 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…	30	$12,500	$350.1K
64628	The 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.	40	$7,440	$312.5K
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	30	$11,630	$302.3K
0275T	N/A	50	$3,620	$177.5K
62362	The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as…	20	$10,670	$170.7K
64555	A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…	20	$4,220	$88.6K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	100	$610	$60.7K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$34.4M
Andventure, LLC	PA	Home Health Agency	$0	$26.7M
Efcc Acquisition Corp	PA	Home Health Agency	$0	$13.1M
Smilebuilderz LLC	PA	Dentist	$0	$11.5M
Teamcare Behavioral Health, LLC	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.3M
Horizon Healthcare Services, LLC	PA	Home Infusion Therapy Pharmacy	$12.2K	$6.5M
Penn State Health Lancaster Medical Center	PA	General Acute Care Hospital	$0	$5.4M
Roy Brod	PA	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Dina Gewaily	PA	Ophthalmology Physician	$1.8M	$2.7K
Philip Scharper	PA	Retina Specialist (Ophthalmology) Physician	$1.6M	$0

Advanced Surgery Center Of Lancaster, 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	1	40	20	$6,350	$139.6K
64628	3	10	30	$4,420	$132.5K
27279	1	10	20	$6,590	$118.7K
0275T	14	50	30	$2,160	$112.6K
63650	4	40	40	$1,960	$107.6K
64555	4	10	20	$2,390	$59.8K
62362	2	10	10	$3,360	$43.7K
63655	2	10	20	$2,430	$41.2K
22612	19	80	20	$1,280	$29.5K
64483	65	340	60	$190	$18.6K