Loading...
NPI 1144745951 · Maple Grove, MN · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Metropolitan Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Maple Grove, Minnesota. This profile covers 16 Medicare and 23 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 | Metropolitan Surgical Center, LLC |
| Address | 9645 Grove Cir N Ste 250 |
| City | Maple Grove |
| State | MN |
| ZIP | 55369 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 14, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $1.3M |
METROPOLITAN SURGICAL CENTER, LLC’s code mix is concentrated in interventional pain and spine procedures rather than general ambulatory surgery; the largest Medicare revenue drivers are 63685 (spinal neurostimulator pulse generator insertion), 63650 (epidural electrode placement), and 64483 (transforaminal epidural injection), and the Medicaid side is similarly concentrated on 64483, 64635 (genicular/facet neurolytic procedures), and 64493 (lumbar/sacral facet injections). These codes indicate the facility operates as an outpatient pain-management and spinal-procedures center, performing both injection-based therapies and implantable neurostimulator procedures.
Revenue concentration is high on both payers: the top 3 Medicare codes account for 70.3% of this provider’s Medicare revenue and the top 3 Medicaid codes account for 81.5% of its Medicaid revenue. This degree of concentration means a small set of interventional pain procedures drives the majority of the center’s billed revenue for each payer.
On scale the provider has roughly comparable business across payers: total Medicare revenue is $1.6M while total Medicaid revenue is $1.3M, so Medicare slightly exceeds Medicaid but neither payer is negligible. The bilateral exposure suggests the center depends on both public payers rather than being effectively single-payer.
Medicare competitive standing is mixed by code: 64483 is an extreme outlier nationally (rank #129 of 8202; 98th percentile), and other procedures such as 64635 and 64493 are described as notably above typical national volume (97th–98th percentiles), indicating above-average national activity in image-guided spinal injections and neurolytic procedures. By contrast, high-revenue implant codes like 63685 and 63650 rank in the middle-to-high national percentiles (77th and 90th, respectively) and are described as typical or unremarkable volume for those codes, so the center is regionally/narrowly prominent for injection-based spinal care but not uniformly dominant across all implant services nationally.
State-level (Medicaid) competitive standing is prominent for core injection and ablation services: 64483 ranks #2 of 22 in-state (95th percentile; notably above typical state volume), 64635 ranks #1 of 7 (100th percentile; notably above typical state volume), and 64493 ranks #1 of 16 (100th percentile; extreme outlier, far above typical state volume). These in-state rankings signal the center is a leading Medicaid provider for interventional spinal injections and ablation in Minnesota.
Operational throughput is suggested by high claim counts on injection and supply items: Medicaid shows 1.5K claims for 64483 and 2K claims for A4550 (surgical trays), along with 1.9K claims for A4215 (needles), indicating high procedural volume and significant per-case consumable usage. The combination of high-volume injection codes and many supply claims is consistent with a high-turnover ambulatory setting focused on minimally invasive spine procedures and injections.
Clinical-service implications include a full range of interventional pain offerings—image-guided transforaminal epidurals, facet/paravertebral injections, radiofrequency/neurolytic procedures, and spinal neurostimulator implantation—supporting both diagnostic and therapeutic workflows. The presence of both implant codes (e.g., 63685) and high-volume injection/ablation codes (e.g., 64483, 64635, 64493) implies the center manages patients across the trajectory from injections to device therapy.
The provider’s administrative tenure is established: NPI was enumerated on 2017-08-14 (~9 years ago) and the taxonomy is Ambulatory Surgical Clinic/Center, consistent with the observed mixture of outpatient procedures and procedural supply billing. That tenure is long enough to have developed the concentrated procedural mix and in-state competitive positions reflected in the Medicaid rankings.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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 | $20,110 | $522.8K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 110 | $3,920 | $431.4K |
| 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). | 570 | $290 | $167K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 200 | $660 | $134.8K |
| 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… | 330 | $270 | $89.1K |
| 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… | 80 | $680 | $55.4K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 230 | $220 | $49.9K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 150 | $280 | $41.8K |
| 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)… | 130 | $260 | $33.5K |
| 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… | 10 | $2,550 | $30.6K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 9 | 20 | 20 | $8,770 | $210.4K |
| 63650 | 5 | 30 | 70 | $2,030 | $170.4K |
| 22514 | 1 | 10 | 10 | $2,550 | $30.6K |
| G0260 | 3 | 20 | 80 | $210 | $24.2K |
| 64635 | 1 | 100 | 30 | $370 | $16.2K |
| 64483 | 3 | 170 | 40 | $200 | $14.1K |
| 64633 | 2 | 50 | 20 | $400 | $11.9K |
| 64493 | 1 | 120 | 50 | $180 | $10.7K |
| 64624 | 2 | 10 | 20 | $430 | $9.1K |
| 64490 | 2 | 70 | 30 | $200 | $8.3K |
Showing 1–10 of 16
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.
23 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). | 1,540 | $360 | $561.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 430 | $720 | $308K |
| 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… | 520 | $340 | $179.2K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 220 | $240 | $52.6K |
| 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… | 60 | $680 | $43.3K |
| 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)… | 140 | $290 | $40.4K |
| A4550 | Surgical trays | 2,040 | $20 | $30.6K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 60 | $290 | $18.3K |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 1,350 | $10 | $17.5K |
| A4649 | Surgical supply; miscellaneous | 1,370 | $10 | $10.9K |
Showing 1–10 of 23
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
23 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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 | 20 | 140 | $170 | $79.1K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 1 | 10 | 90 | $400 | $64.2K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 37 | 60 | 220 | $40 | $55.4K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 3 | 10 | 220 | $210 | $46.3K |
| 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… | 1 | 10 | 60 | $680 | $43.3K |
| 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 | 20 | 40 | $220 | $19.4K |
| 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)… | 4 | 10 | 110 | $140 | $19K |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 1 | 10 | 1,350 | $10 | $16.8K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 1 | 10 | 40 | $240 | $9.5K |
| A4550 | Surgical trays | 2 | 10 | 310 | $1 | $9.1K |
Showing 1–10 of 23
Other providers in the same ZIP code as Metropolitan Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Al Shifa Dentistry PA | MN | Dental Clinic/Center | $0 | $18.4M |
| Regency Home Healthcare Services LLC | MN | Home Health Agency | $0 | $11.1M |
| Children's Clinic Network | MN | Primary Care Clinic/Center | $0 | $10M |
| Osseo Area Schools | MN | Local Education Agency (LEA) | $0 | $8.8M |
| Miso Dentistry, PC | MN | Dentist | $0 | $8.4M |
| Maple Grove Hospital Corporation | MN | General Acute Care Hospital | $0 | $7.6M |
| Interventional Spine And Pain Physicians, PA | MN | Specialist | $0 | $5.5M |
| North Memorial Health Care | MN | Urgent Care Clinic/Center | $0 | $4.5M |
| Asim Khan | MN | Rheumatology Physician | $2.4M | $0 |
| Sumi Patel | MN | Rheumatology Physician | $364.5K | $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.