Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Northwest Neurospine Institute, LLC (NPI 1205080181)

Field	Value
Entity Type	Organization
Organization	Northwest Neurospine Institute, LLC
Address	74b Centennial Loop
City	Eugene
State	OR
ZIP	97401
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	November 5, 2008

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Key Findings

This practice is effectively single‑payer in the observed dataset: total Medicare revenue is $2M while Medicaid revenue is none, so there is no Medicaid billing on file and the provider has no documented Medicaid market presence to diversify payer mix. Analysts should treat Medicare as the dominant — and for now sole — public payer when modeling revenue and risk for this entity.

Revenue is highly concentrated in a small set of spine/device procedures: the precomputed top‑3 Medicare codes account for 57.5% of the provider's Medicare revenue, with 22867 alone representing 24.4% ($489.5K) and 63685 and 22856 contributing 17.6% ($353.4K) and 15.5% ($310.6K) respectively. This concentration implies a revenue profile driven by a handful of high‑value interventions rather than broad, low‑margin outpatient services.

The CPT mix (22867, 63685, 22856, plus other spine codes such as 63650 and 22551) signals an ambulatory surgical center focused on spinal implant and neuromodulation services: device insertion/stabilization, spinal neurostimulator generator procedures, and artificial cervical disc replacement are among the top billers. High average payments per claim reinforce that these are device‑centric, procedure‑intense episodes of care (examples: 22867 at $13985 avg paid/claim, 63685 at $20786 avg paid/claim, 22856 at $12941 avg paid/claim).

Claim volumes for high‑revenue codes are modest in count but high in per‑case revenue, indicating case‑level concentration: top codes show relatively low claim counts (e.g., 35 claims for 22867, 17 for 63685, 24 for 22856) while producing substantive revenue shares. This pattern suggests the business is organized around episodic, high‑value procedures rather than high‑throughput injection or conservative pain‑management services.

Competitive standing is mixed: several leading spine codes are at or above the upper end of reported national percentiles (22867 ranks #4 of 32, 84th percentile; 22856 ranks #2 of 28, 89th percentile), indicating stronger-than-typical positioning among a small national sample for those device/implant procedures. At the same time, several other high‑revenue codes show typical, unremarkable volumes (63685 at the 48th percentile; 63650 at the 80th percentile), so the provider looks like a focused but not broadly dominant national competitor across all spine services.

One distinct statistical standout is 22551 (anterior cervical discectomy and fusion), which is listed as "notably above typical national volume" (rank #28 of 1286, 98th percentile) and contributed $192.7K (9.6% of Medicare revenue). That unusually high relative volume for 22551 suggests a specific strength or referral pipeline for cervical fusion procedures compared with peers.

The provider has an established operational tenure, with the NPI enumerated 2008-11-05 (~18 years ago), which supports interpretation of the observed patterns as the product of a mature ambulatory spine practice rather than a newly opened or transient operation. That longevity, combined with concentrated device/surgical billing, points to a stable niche provider profile whose financial exposure will be sensitive to reimbursement changes for a few high‑value spine codes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
22867	Through an open approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous processes) on…	40	$13,990	$489.5K
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	$20,790	$353.4K
22856	In this procedure, the provider places an artificial disc into a single cervical interspace to treat conditions such as degenerative disc disease, disc disruption, internal disc derangement, and…	20	$12,940	$310.6K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	80	$4,130	$309.8K
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.	40	$5,070	$192.7K
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	$11,010	$187.2K
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…	40	$1,750	$71.9K
63056	The provider uses a transpedicular approach to repair a bulging lumbar disc without manipulating the spinal cord. The approach is through the side of the pedicle of one lumbar vertebra, known as a…	20	$1,970	$43.4K
63042	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…	20	$1,550	$35.6K
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)…	30	$260	$7.6K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Northwest Neurospine Institute, LLC — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	11	20	20	$11,390	$239.2K
22867	1	10	40	$4,850	$169.8K
63650	7	40	40	$2,140	$117.8K
22856	1	10	20	$4,540	$109K
22551	1	20	20	$1,650	$31.3K
22612	8	20	20	$1,390	$27.8K
63047	13	70	20	$820	$23.9K
63056	1	10	20	$1,020	$22.5K
63042	1	10	20	$1,020	$20.4K
62323	39	60	40	$170	$8.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Northwest Neurospine Institute, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth Medical Group	OR	Family Medicine Physician	$0	$45.3M
Options Counseling Services Of Oregon	OR	Mental Health Counselor	$0	$25.9M
Eugene Emergency Physicians PC	OR	Emergency Medicine Physician	$0	$16.9M
Center For Family Development, Inc.	OR	Mental Health Counselor	$0	$15.6M
Laurel Hill Center	OR	Eyewear Supplier	$0	$14M
Looking Glass Community Services	OR	Mental Health Counselor	$0	$13.5M
Peacehealth	OR	General Acute Care Hospital	$0	$13.3M
Addiction Counseling And Education Services Inc.	OR	Mental Health Counselor	$0	$12.8M
Oregon Eye Consultants LLC	OR	Ophthalmology Physician	$0	$9.6M
Ch Mh Services (or), LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M

Northwest Neurospine Institute, LLC — Billing Profile & Reimbursement Data

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Northwest Neurospine Institute, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References