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NPI 1063445542 · Meridian, MS · Ambulatory Surgical Clinic/Center
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Total Pain Care LLC is a ambulatory surgical clinic/center provider located in Meridian, Mississippi. This profile covers 22 Medicare and 11 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 | Total Pain Care LLC |
| Address | 1001 14th Street |
| City | Meridian |
| State | MS |
| ZIP | 39301 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.2M |
| Medicaid | $332.7K |
Service-line profile: The provider’s Medicare revenue is driven by high-acuity interventional spine and neuromodulation procedures—notably 63685 (spinal neurostimulator pulse generator insertion), 63650 (epidural electrode placement), and 64628 (basivertebral nerve ablation). These codes indicate an ambulatory surgical clinic model focused on advanced pain-management implants, image-guided spine interventions, and neuroablative procedures rather than primarily primary care or general surgery services.
Medicare revenue concentration: The top 3 Medicare codes by revenue account for 51.5% of this provider's total Medicare revenue, showing a concentrated reliance on a small set of high-value spine interventions. Key individual contributions include 63685 ($890.7K, 27.8% of Medicare revenue), 63650 ($448K, 14.0%), and 64628 ($313.2K, 9.8%).
Medicaid service mix and concentration: On the Medicaid side the practice is concentrated in image-guided injection and facet procedures—64483 (transforaminal epidural) and 64493 (lumbar/sacral facet injection) dominate billing. The top 3 Medicaid codes account for 95.2% of the provider's total Medicaid revenue, with 64483 alone representing $219K (65.7% of Medicaid revenue) and 64493 representing $82.5K (24.8%).
Payer mix and scale: This provider is heavily Medicare-weighted in scale, reporting Total Medicare revenue: $3.2M versus Total Medicaid revenue: $332.7K, indicating Medicare is the primary revenue source by a large margin. While Medicaid activity exists and is concentrated in specific injection codes, Medicare volume and dollars dominate the business.
National competitive standing on core Medicare procedures: For several of its highest-revenue Medicare codes the provider reports well above typical national volumes—63685 ranks #43 of 1281 providers nationally (96th percentile, notably above typical national volume), 63650 ranks #79 of 1371 (94th percentile, notably above typical national volume), and 64628 ranks #11 of 247 (96th percentile, notably above typical national volume). These ranks position the provider as a high-volume national participant for specialized interventional spine procedures.
State-level competitive standing on Medicaid: Within Mississippi the provider is a leading state performer for certain injection services—64483 ranks #2 of 33 providers in-state (97th percentile, notably above typical state volume) and 62321 ranks #2 of 16 providers in-state (93rd percentile, notably above typical state volume). This suggests the clinic is a prominent regional destination for image-guided epidural and spinal injection services.
Statistical outlier signals: Multiple codes on the Medicare side are flagged as extreme outliers or far above typical national volume—examples include 64483, 64635, 64493, 64490, and 62321 which are described as extreme outliers or far above typical national volume in the dataset. These labels indicate volumes materially above peer norms and point to operational specialization rather than routine, low-acuity office procedures.
Tenure and operational stability: The provider’s NPI was enumerated on 2006-07-08 (~20 years ago), indicating long-standing presence in the market. Combined with concentrated, high-value procedural billing and high national/state ranks on key interventional spine codes, this tenure supports a picture of an established specialty ASC focused on interventional pain and spine care.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 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… | 60 | $15,910 | $890.7K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 140 | $3,160 | $448K |
| 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 | $6,660 | $313.2K |
| 0627T | The provider injects a cellular or tissue–based product under fluoroscopic guidance to treat a lumbar intervertebral disc. This code applies to the first level injected. The injection may occur on… | 50 | $6,110 | $311.5K |
| 64483 | This 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). | 1,110 | $260 | $283.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 490 | $430 | $212.9K |
| 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… | 20 | $10,720 | $171.5K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 720 | $220 | $159.9K |
| 22513 | The provider performs a percutaneous vertebral augmentation of the thoracic spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a… | 40 | $2,120 | $84.7K |
| 22514 | The provider performs a percutaneous vertebral augmentation of the lumbar spine, such as kyphoplasty, a surgical procedure that treats compression fractures of the spine. He also may perform a… | 40 | $2,120 | $82.6K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 3 | 20 | 30 | $7,940 | $277.9K |
| 0627T | 7 | 20 | 40 | $3,200 | $163K |
| 63650 | 2 | 20 | 80 | $1,890 | $160.4K |
| 64628 | 1 | 10 | 20 | $2,990 | $83.8K |
| 22612 | 7 | 10 | 20 | $2,420 | $55.7K |
| 22514 | 3 | 10 | 30 | $1,320 | $39.7K |
| 64483 | 2 | 70 | 110 | $180 | $36.7K |
| 22513 | 3 | 10 | 20 | $1,190 | $35.8K |
| 64635 | 1 | 70 | 60 | $340 | $31.3K |
| G0260 | 14 | 20 | 150 | $190 | $26.3K |
Showing 1–10 of 22
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64483 | This 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). | 2,610 | $80 | $219K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 1,200 | $70 | $82.5K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 140 | $110 | $15.7K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 230 | $60 | $12.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 40 | $50 | $2.1K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 970 | $1 | $970 |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 110 | $1 | $320 |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 1,510 | $0 | $0 |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 330 | $0 | $0 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 790 | $0 | $0 |
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How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 6 | 20 | 40 | $420 | $105.7K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 7 | 40 | 160 | $170 | $90.1K |
| 64483 | This 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). | 2 | 30 | 110 | $120 | $55.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 34 | 40 | 280 | $110 | $46.9K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 2 | 20 | 40 | $90 | $7.2K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 1 | 10 | 160 | $10 | $4.5K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 7 | 30 | 120 | $10 | $2.7K |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 2 | 10 | 110 | $10 | $2.1K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 4 | 10 | 40 | $10 | $1.6K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 7 | 40 | 140 | $1 | $590 |
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Other providers in the same ZIP code as Total Pain Care LLC, ranked by combined Medicare and Medicaid revenue.
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