Loading...
NPI 1124612924 · Franklin, WI · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Milwaukee Surgicenter LLC is a ambulatory surgical clinic/center provider located in Franklin, Wisconsin. This profile covers 14 Medicare and 12 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 | Milwaukee Surgicenter LLC |
| Address | 4202 W Oakwood Park Ct |
| City | Franklin |
| State | WI |
| ZIP | 53132 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 23, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $253.7K |
MILWAUKEE SURGICENTER LLC presents a clear spine and interventional pain service line profile: Medicare top codes are device- and surgery-oriented (63685, 63650, 27279, 62362) involving spinal neurostimulator implantation, electrode placement, sacroiliac fusion, and implantable pumps, which is consistent with the provider taxonomy of Ambulatory Surgical Clinic/Center. This mix indicates the practice performs higher-complexity implant and fusion procedures in addition to image-guided pain procedures.
Revenue concentration on Medicare is heavy and narrowly focused: the provider reports $1.2M in total Medicare revenue with the precomputed top 3 Medicare codes accounting for 70.5% of that revenue. The three highest Medicare revenue drivers are 63685 ($405.4K), 63650 ($284.5K), and 27279 ($186K), showing reliance on a few high-value surgical/device codes.
On the Medicaid side the provider is highly concentrated in image-guided neurolytic and injection services: total Medicaid revenue is $253.7K and the precomputed top 3 Medicaid codes account for 82.5% of Medicaid revenue. Those top Medicaid codes are 64635 ($121.7K), 64483 ($52.9K), and 64493 ($35K), indicating Medicaid revenue is driven by high-volume procedural injections.
Payer mix is Medicare-dominant in scale: Medicare revenue ($1.2M) materially exceeds Medicaid revenue ($253.7K), so the provider’s overall financial footprint is driven largely by Medicare activity rather than Medicaid. This suggests strategic sensitivity to Medicare reimbursement and case mix for device and surgical procedures.
Competitive standing varies by payer and code type: for Medicare the highest-revenue code 63685 ranks #383 of 1281 (67th percentile) and 63650 ranks #268 of 1371 (80th percentile), both labeled as typical, unremarkable volumes nationally, while 27279 and 62362 sit lower in national rank (32nd and 26th percentiles respectively), indicating the provider is not a dominant national center for sacroiliac fusion or implantable pump procedures. These percentile placements suggest respectable presence on nationally reimbursed neurostimulation/electrode services but modest participation in several other device procedures.
In-state competitive position for Medicaid is stronger around injection and neurolytic services: 64635 ranks #6 of 35 in-state (85th percentile), 64483 ranks #9 of 55 (85th percentile), and 64493 ranks #11 of 57 (82th percentile), each labeled typical, unremarkable volume but at relatively high state-level percentiles. Taken together, these ranks indicate the center is a major in-state provider for image-guided lumbar/sacroiliac injections and neurolytic procedures despite modest overall Medicaid revenue.
Payment profile contrasts between payers and code types: Medicare payments are concentrated in a few high-dollar procedures (e.g., 63685 avg paid/claim $18427, 27279 avg paid/claim $12403, 62362 avg paid/claim $10937) which generate large single-claim revenue, whereas Medicaid revenue is driven by high counts of lower-paid injection claims (e.g., 64635 avg paid/claim $150, 64483 avg paid/claim $60, 64493 avg paid/claim $59). This split indicates the facility’s Medicare business is value-driven by device/surgical reimbursements while its Medicaid business relies on procedural volume of injections.
The provider’s NPI was enumerated on 2021-02-23 (~5 years ago), signaling a relatively recent market entrant for an ambulatory surgical clinic/center. Combined with a tightly concentrated code mix and stronger in-state footprint for injection services, this tenure suggests a focused, specialized operation that has established itself quickly in interventional spine and pain procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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 | $18,430 | $405.4K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 80 | $3,700 | $284.5K |
| 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… | 20 | $12,400 | $186K |
| 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… | 10 | $10,940 | $142.2K |
| 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). | 180 | $280 | $51.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 70 | $540 | $36.9K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 150 | $210 | $30.9K |
| 62350 | The 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 | $1,690 | $22K |
| 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… | 40 | $570 | $19.9K |
| 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)… | 80 | $250 | $18.6K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27279 | 4 | 10 | 20 | $5,880 | $123.4K |
| 63685 | 2 | 30 | 10 | $7,060 | $105.9K |
| 62362 | 3 | 10 | 20 | $4,810 | $86.6K |
| 63650 | 2 | 20 | 50 | $1,720 | $86.2K |
| 62350 | 3 | 10 | 20 | $940 | $17.8K |
| G0260 | 5 | 20 | 50 | $210 | $16.8K |
| 64635 | 13 | 130 | 30 | $320 | $12.3K |
| 64483 | 7 | 170 | 40 | $160 | $9.8K |
| 64633 | 5 | 30 | 20 | $350 | $8.4K |
| 64493 | 28 | 150 | 40 | $150 | $7.9K |
Showing 1–10 of 14
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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 810 | $150 | $121.7K |
| 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). | 880 | $60 | $52.9K |
| 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… | 590 | $60 | $35K |
| 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)… | 390 | $70 | $26.9K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 70 | $100 | $7.3K |
| 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)… | 30 | $120 | $3.6K |
| 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… | 320 | $10 | $3.5K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 150 | $20 | $2.4K |
| 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… | 420 | $1 | $840 |
| 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… | 120 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
12 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 | 40 | 150 | $250 | $108.4K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 12 | 20 | 230 | $140 | $69.6K |
| 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… | 11 | 60 | 80 | $130 | $60.6K |
| 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). | 9 | 60 | 140 | $130 | $51.8K |
| 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)… | 14 | 50 | 120 | $110 | $34.3K |
| 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… | 11 | 30 | 140 | $50 | $27.3K |
| 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… | 13 | 50 | 80 | $50 | $23.2K |
| 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)… | 9 | 20 | 30 | $130 | $8.1K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 4 | 10 | 90 | $40 | $6.7K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 85 | 90 | 190 | $1 | $940 |
Showing 1–10 of 12
Other providers in the same ZIP code as Milwaukee Surgicenter LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Surgery Center, LLC | WI | Ambulatory Surgical Clinic/Center | $1.3M | $277K |
| City Of Franklin | WI | Land Ambulance | $293.3K | $609.3K |
| Tracy Nelson | WI | Family Nurse Practitioner | $714.9K | $0 |
| Robert Matteucci | WI | Foot & Ankle Surgery Podiatrist | $163.9K | $39K |
| Catalina Hamilton Martinez | WI | Physical Therapist | $128.4K | $57.6K |
| Oh Hoon Kwon | WI | Radiation Oncology Physician | $167.3K | $0 |
| David Clark | WI | Orthopaedic Hand Surgery Physician | $154.4K | $0 |
| Glsd Medical LLC | WI | Ambulatory Surgical Clinic/Center | $1.6K | $144.5K |
| William Pennington | WI | Orthopaedic Surgery Physician | $107.9K | $0 |
| Jennifer Riley | WI | Physical Therapist | $96.2K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.