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NPI 1053565259 · Lincoln, NE · Ambulatory Surgical Clinic/Center
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Southwest Lincoln Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Lincoln, Nebraska. This profile covers 10 Medicare and 1 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 | Southwest Lincoln Surgery Center, LLC |
| Address | 2222 S 16th St |
| City | Lincoln |
| State | NE |
| ZIP | 68502 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 14, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $114.7K |
This facility’s payer mix is heavily Medicare-weighted: total Medicare revenue is $1.7M compared with total Medicaid revenue of $114.7K, indicating Medicare is the dominant source of billed revenue for the practice. Medicaid activity is present but small in scale relative to Medicare, so shifts in Medicare referrals or reimbursement would have outsized impact on overall receipts.
Medicare revenue is highly concentrated in a few procedures: the precomputed top three Medicare codes (63685, 64628, 66984) account for 77.4% of the provider’s Medicare revenue. Those three codes individually report $551.4K (63685, 31.9%), $409.8K (64628, 23.7%), and $375.1K (66984, 21.7%), signaling that a narrow set of procedures drives the majority of Medicare billing.
Service-line mix suggests a dual focus on advanced spine/neurostimulation interventions and high-volume cataract surgery. Codes like 63685 (spinal neurostimulator pulse generator insertion), 64628 (basivertebral nerve thermal ablation), and 63650 (epidural electrode placement) point to significant neuromodulation/spine procedural capability, while 66984 (extracapsular cataract extraction with intraocular lens) shows large-volume ophthalmology work.
One Medicare code stands out as a national outlier: 64628 ranks #7 of 247 providers nationally and is described as "notably above typical national volume," indicating this center is a national-level high-volume provider for basivertebral nerve ablation. By contrast, 63685 (rank #232 of 1281, 81th percentile; described as typical, unremarkable volume) and 66984 (rank #3146 of 15965, 80th percentile; typical, unremarkable volume) reflect solid but not dominant national positions for those procedures.
Medicaid billing is entirely concentrated in a single non-specific dental procedure code: 41899 accounts for 100.0% of this provider’s Medicaid revenue with 197 claims and $114.7K revenue. In-state competitive standing on that code is modest: 41899 ranks #10 of 17 providers in-state (44th percentile) and is characterized as typical, unremarkable volume within Nebraska.
Several secondary Medicare codes provide additional spine-related revenue and reinforce the neuromodulation profile: 63650 represents $223K in Medicare revenue (12.9% of Medicare revenue) and ranks #459 of 1371 providers nationally (66th percentile, typical). Other spine neurolytic or image-guided ablation codes such as 64635 and 64633 appear on the top Medicare list at lower volumes, indicating a focused set of spine interventions beyond the top three drivers.
The center’s tenure is well-established: NPI enumerated 2008-11-14 (~18 years ago), supporting the interpretation that this mix of services and referral relationships has been built over a sustained period. That longevity, combined with a concentrated set of high-revenue procedures, suggests stable specialization but also potential sensitivity to changes in reimbursement or referral patterns affecting those specific codes.
Operational and revenue concentration risk is material given the top-3 Medicare codes account for 77.4% of Medicare revenue; any policy, reimbursement, or referral shift affecting 63685, 64628, or 66984 could meaningfully change total Medicare receipts. Monitoring utilization trends and competitive shifts specifically for 64628 (nationally elevated volume) and 63685/66984 (high-dollar or high-count contributors) would be important for payer or provider analysts evaluating financial and network risk.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 30 | $19,010 | $551.4K |
| 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. | 50 | $7,590 | $409.8K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 450 | $840 | $375.1K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 60 | $3,780 | $223K |
| 0275T | N/A | 20 | $3,700 | $59.2K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 70 | $840 | $55.7K |
| 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… | 20 | $660 | $15.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 30 | $530 | $14.9K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 160 | $80 | $12.5K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 10 | $660 | $9.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 200 | $580 | $114.7K |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 10 | 20 | 460 | $1,260 | $1.8M |
Other providers in the same ZIP code as Southwest Lincoln Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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