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NPI 1174852461 · Cincinnati, OH · Ambulatory Surgical Clinic/Center
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Mayfield Spine Surgery Center LLC is a ambulatory surgical clinic/center provider located in Cincinnati, Ohio. This profile covers 17 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 | Mayfield Spine Surgery Center LLC |
| Address | 4020 Smith Rd |
| City | Cincinnati |
| State | OH |
| ZIP | 45209 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 15, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $13.6K |
MAYFIELD SPINE SURGERY CENTER LLC is a long-established ambulatory surgical clinic enumerated on 2009-12-15 (~17 years ago), consistent with a mature specialty practice serving surgical spine needs in the Cincinnati area. The service mix—dominated by spinal cord stimulator implantation/revision (63685), cervical fusion (22551), and multiple image-guided spine injection/facet denervation procedures—indicates the center functions primarily as a specialized spine surgery and interventional pain facility rather than a general ambulatory surgery center.
Medicare revenue for this entity totals $2.8M while Medicaid revenue is $13.6K, indicating Medicare dominates its payer mix by several orders of magnitude; the provider is effectively single-payer dominant with Medicare driving nearly all billed revenue. Medicaid activity is minimal and concentrated entirely in one service (64483), underscoring limited participation in the Medicaid population.
Revenue concentration on Medicare is meaningfully focused: the precomputed top 3 Medicare codes account for 44.4% of this provider's total Medicare revenue, so a relatively small set of high-value spine procedures drive close to half of Medicare receipts. This concentration suggests the business model relies heavily on a handful of resource-intensive procedures (e.g., device implants and fusion surgeries) rather than a broad, highly diversified set of low-acuity services.
At the code level the center shows both high-volume pain-management activity and higher-complexity surgical work. For Medicare the practice is an extreme outlier on several image-guided injection and denervation codes—64483 (ranks #5 of 8202, 100th percentile), 63047 (ranks #40 of 4170, 99th percentile), 64635 (ranks #43 of 5957, 99th percentile), 64493 (ranks #58 of 7519, 99th percentile), and 63030 (ranks #5 of 373, 99th percentile)—indicating unusually high procedural volumes in both injections/denervation and decompression procedures relative to national peers.
For high-revenue device and implant codes the provider reports solid but not dominant national standing: 63685 (spinal neurostimulator pulse generator) generates $503.8K and ranks #262 of 1281 providers (78th percentile), while 22551 (anterior cervical discectomy and fusion) is an extreme outlier in volume and revenue (311.1K, ranks #14 of 1286, 99th percentile). This mix signals the center is both a high-volume interventional pain practice and a significant regional surgical fusion/implant center.
Medicaid activity is entirely represented by 64483 (transforaminal epidural injection) with 91 claims and $13.6K in revenue, and this code ranks #62 of 95 providers in-state (34th percentile). That positioning shows the provider is not a leading Medicaid spine/interventional clinic within Ohio and has limited Medicaid case mix compared with in-state peers.
Several codes reflect markedly different competitive positions across the service spectrum: the practice is an extreme national outlier on select injection/denervation and decompression codes, yet for certain implant-placement codes (e.g., 63650) it sits near median national volume (50th percentile). This suggests the center concentrates activity where it has procedural capacity and referral patterns, while maintaining more typical involvement in other implant procedures.
Operationally, the large Medicare volumes in image-guided injections and ablations alongside substantial revenue from fusion and implant procedures imply a hybrid operation that combines high-throughput pain clinic workflows with lower-throughput, high-reimbursement surgical cases. Payers and network planners should expect scheduling, imaging, and device-implantation resources to be major drivers of this provider's cost and utilization profile.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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 | $18,660 | $503.8K |
| 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). | 1,550 | $270 | $424.4K |
| 22551 | A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae. | 50 | $6,760 | $311.1K |
| 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 | $12,440 | $261.3K |
| 63655 | In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall… | 20 | $13,560 | $257.6K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 90 | $2,330 | $205K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 350 | $500 | $175.6K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 50 | $3,650 | $164.1K |
| 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… | 510 | $260 | $133.1K |
| 63030 | This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral… | 50 | $2,190 | $118.4K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63655 | 1 | 10 | 20 | $8,320 | $133.1K |
| 63685 | 7 | 30 | 20 | $5,480 | $109.6K |
| 27279 | 1 | 10 | 20 | $5,480 | $93.2K |
| 63650 | 18 | 30 | 50 | $1,480 | $88.7K |
| 22551 | 1 | 40 | 10 | $1,390 | $22.2K |
| 63030 | 1 | 10 | 10 | $1,100 | $18.8K |
| 64483 | 1 | 270 | 50 | $170 | $17.7K |
| G0260 | 1 | 30 | 40 | $200 | $17.5K |
| 64635 | 1 | 210 | 30 | $310 | $14.8K |
| 64721 | 41 | 130 | 30 | $400 | $13.9K |
Showing 1–10 of 17
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 |
|---|---|---|---|---|
| 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). | 90 | $150 | $13.6K |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
1 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). | 62 | 100 | 170 | $240 | $84.7K |
Other providers in the same ZIP code as Mayfield Spine Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Zachary Tempel | OH | Neurological Surgery Physician | $377.3K | $0 |
| Michael Kachmann | OH | Neurological Surgery Physician | $313.8K | $0 |
| Robert Bohinski | OH | Neurological Surgery Physician | $313K | $0 |
| Randall Hlubek | OH | Neurological Surgery Physician | $255.3K | $0 |
| Donald Carruthers | OH | Physical Medicine & Rehabilitation Physician | $212.1K | $0 |
| William Tobler | OH | Neurological Surgery Physician | $165K | $0 |
| Marc Orlando | OH | Physical Medicine & Rehabilitation Physician | $161.1K | $0 |
| Lydia Hernandez | OH | Surgery Physician | $141.1K | $0 |
| Maeve Maher | OH | Dermatology Physician | $136.2K | $0 |
| Bryan Krueger | OH | Neurological Surgery Physician | $119.2K | $0 |
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