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NPI 1083715148 · Elkhart, IN · Ambulatory Surgical Clinic/Center
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Asc Surgical Ventures, LLC is a ambulatory surgical clinic/center provider located in Elkhart, Indiana. This profile covers 23 Medicare and 3 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 | Asc Surgical Ventures, LLC |
| Address | 2310 California Rd Ste B |
| City | Elkhart |
| State | IN |
| ZIP | 46514 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $17.2K |
This entity is effectively Medicare-dominant: reported lifetime Medicare revenue is $1.5M versus $17.2K in Medicaid revenue, so the vast majority of operating revenue on file comes from Medicare payers. Medicaid billing is de minimis relative to Medicare and should be treated as a secondary payer stream for most analytic purposes.
Revenue concentration on Medicare is substantial: the precomputed top 3 Medicare codes (63685, 63650, 27447) account for 55.3% of this provider's total Medicare revenue. This concentration means changes in reimbursement or utilization for those specific codes would materially affect overall Medicare revenue for the entity.
Medicaid revenue is fully concentrated in a single billed procedure: the precomputed top-3 Medicaid share is 100%, and code 62323 accounts for the entire reported Medicaid revenue ($17.2K across 98 claims). Other Medicaid-listed codes (G8907, G8918) show activity but $0 revenue, reinforcing that 62323 is the only Medicaid line contributing dollars.
The provider’s procedure mix is consistent with an Ambulatory Surgical Clinic/Center that combines pain-management and outpatient surgical services: high-revenue codes include implantable spinal neurostimulator generator placement (63685) and epidural electrode placement (63650), alongside major joint arthroplasty codes such as 27447 and 27130, plus many image-guided injection codes (62323, 62321, 64493). This mix suggests the facility handles both device/implant procedures and high-volume image-guided pain injections rather than purely minor outpatient cases.
For certain image-guided pain interventions this provider is a high-volume national outlier: Medicare code 62323 ranks #130 of 7397 providers and is labeled an "extreme outlier" (98th percentile), and other injection/nerve procedure codes such as 64721 (97th percentile) and 62321 (95th percentile) are also notably above typical national volumes. These rankings indicate the provider is a major national participant in several pain-management procedural codes even if other services are more modest.
By contrast, the highest-revenue device and arthroplasty codes show only typical to modest national standing: 63685 ranks #497 of 1281 (58th percentile; typical), 63650 ranks in the 74th percentile, and 27447 ranks in the 40th percentile. In other words, while these codes drive a large share of Medicare dollars for this provider, the entity is not a dominant national leader for those implant/arthroplasty procedures.
The NPI was enumerated on 2006-09-25 (~20 years ago), indicating a long-tenured operation. That tenure is consistent with the facility performing a broad procedural mix over time and may explain the developed capability in both pain-management injections and outpatient surgical implants.
Operational sensitivity is elevated because of the narrow set of revenue drivers: with 55.3% of Medicare revenue concentrated in the top three Medicare codes and 100% of Medicaid dollars tied to 62323, payer-contracting or utilization policy changes for those codes could disproportionately impact revenue. The very high Medicare volume in specific pain-procedure codes also suggests this provider could have negotiating leverage with payers for those services, but it also creates dependency on sustained referral and reimbursement patterns for image-guided spine interventions.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 20 | $19,290 | $366.4K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 70 | $3,740 | $254.3K |
| 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… | 30 | $7,270 | $189.1K |
| 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… | 20 | $7,200 | $143.9K |
| 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)… | 420 | $250 | $101.7K |
| 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… | 110 | $650 | $74.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 140 | $510 | $69.7K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 90 | $500 | $45.2K |
| 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… | 160 | $260 | $40.1K |
| 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)… | 110 | $250 | $28K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 19 | 50 | 20 | $8,700 | $174.1K |
| 63650 | 12 | 50 | 50 | $1,870 | $110.5K |
| 27447 | 231 | 340 | 40 | $1,130 | $51.1K |
| 27130 | 142 | 220 | 30 | $1,280 | $40.9K |
| 64483 | 71 | 190 | 60 | $180 | $17.8K |
| G0260 | 15 | 30 | 70 | $210 | $16.7K |
| 64721 | 3 | 100 | 30 | $420 | $16.2K |
| 64635 | 4 | 150 | 30 | $360 | $16.1K |
| 29881 | 14 | 30 | 20 | $790 | $14.9K |
| C9290 | 6 | 20 | 7,580 | $1 | $14.8K |
Showing 1–10 of 23
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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)… | 100 | $180 | $17.1K |
| 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… | 290 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 290 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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)… | 37 | 80 | 80 | $160 | $45.3K |
| 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… | 36 | 70 | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 18 | 40 | 240 | $0 | $0 |
Other providers in the same ZIP code as Asc Surgical Ventures, LLC, ranked by combined Medicare and Medicaid revenue.
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