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NPI 1235706888 · Gray, LA · Ambulatory Surgical Clinic/Center
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Southern Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Gray, Louisiana. This profile covers 15 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 | Southern Surgical Center, LLC |
| Address | 213 Service Rd Sw |
| City | Gray |
| State | LA |
| ZIP | 70359 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 10, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $900 |
Business profile: SOUTHERN SURGICAL CENTER, LLC operates as an ambulatory surgical clinic/center with a procedural mix focused on interventional spine and pain specialties. Its top Medicare procedures include 63685 (spinal neurostimulator pulse generator insertion), 63650 (epidural electrode placement), and 0627T (injection of a cellular or tissue–based product into a lumbar disc), indicating capabilities for device implantation, image‑guided spinal interventions, and advanced biologic therapies rather than only routine outpatient injections.
Medicare revenue concentration: Total Medicare revenue is $1.2M and the precomputed top 3 Medicare codes account for 71.8% of that revenue. The top three Medicare codes are 63685 (22 claims, $15181 avg paid/claim, $334K revenue (28.4% of this provider's total Medicare revenue)), 63650 (83 claims, $3213 avg paid/claim, $266.7K revenue (22.7% of this provider's total Medicare revenue)), and 0627T (39 claims, $6245 avg paid/claim, $243.6K revenue (20.7% of this provider's total Medicare revenue)).
Medicaid footprint is negligible and effectively single-payer: Total Medicaid revenue is $901, a tiny fraction of Medicare revenue, and the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue. The Medicaid activity is almost entirely 62323 (13 claims, $69 avg paid/claim, $897 revenue (100.0% of this provider's total Medicaid revenue)), while other listed Medicaid G‑codes show $0 revenue, so the center’s operations are overwhelmingly reflected in Medicare data.
Competitive standing on Medicare for top procedures is modest: 63650 ranks #226 of 1371 providers nationally (83th percentile; typical, unremarkable volume for this code), 63685 ranks #383 of 1281 providers nationally (67th percentile; typical, unremarkable volume for this code), and 0627T ranks #25 of 68 providers nationally (63th percentile; typical, unremarkable volume for this code). These rank/percentile positions and the dataset’s plain‑English labels imply the center is a competent regional participant on these spine/interventional codes but not a dominant national outlier.
Higher relative activity in image‑guided injections and related procedures: several image‑guided injection codes have substantial claim counts and above‑median percentiles for Medicare — for example, 64493 shows 174 claims, $235 avg paid/claim, $40.9K revenue and ranks #655 of 7519 providers nationally (91th percentile; typical, unremarkable volume for this code), and 64635 shows 97 claims, $458 avg paid/claim, $44.4K revenue and ranks #808 of 5957 providers nationally (86th percentile; typical, unremarkable volume for this code). This pattern supports that the center performs a steady volume of diagnostic and therapeutic facet/paravertebral injections relative to peers.
Service mix implications: the presence of 0627T (a cellular/tissue‑based injection) together with device implantation codes like 63685 suggests the center offers higher‑acuity, specialty spine services (biologic injections and neurostimulator implantation) that typically require procedural infrastructure and imaging support. That aligns with its taxonomy as an ambulatory surgical center rather than a simple clinic.
Tenure and growth signal: the NPI was enumerated on 2021-06-10 (~5 years ago), indicating a relatively recent market entry. Given the $1.2M in Medicare revenue within this timeframe and concentrated revenue in specialized spine procedures, the center appears to have established a focused procedure line quickly.
Payer mix and contracting implications: with Medicare revenue at $1.2M versus Medicaid revenue of $901, the center is highly Medicare‑dependent and has a minimal Medicaid presence. That imbalance reduces exposure to state Medicaid reimbursement variability but could limit negotiating leverage or participation opportunities with Medicaid‑focused networks given the very small Medicaid billing footprint.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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 | $15,180 | $334K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 80 | $3,210 | $266.7K |
| 0627T | The provider injects a cellular or tissue–based product under fluoroscopic guidance to treat a lumbar intervertebral disc. This code applies to the first level injected. The injection may occur on… | 40 | $6,250 | $243.6K |
| 0275T | N/A | 40 | $3,230 | $116.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 100 | $460 | $44.4K |
| 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… | 170 | $240 | $40.9K |
| 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)… | 140 | $220 | $29.7K |
| 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). | 100 | $250 | $25.8K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 100 | $200 | $20.2K |
| 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… | 30 | $470 | $15.2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 7 | 20 | 20 | $7,420 | $141K |
| 63650 | 4 | 20 | 50 | $1,670 | $91.8K |
| 0627T | 1 | 10 | 20 | $2,290 | $57.3K |
| 0275T | 1 | 10 | 30 | $1,540 | $40.1K |
| 64635 | 27 | 120 | 40 | $340 | $23.5K |
| 64483 | 50 | 140 | 60 | $170 | $20.2K |
| G0260 | 5 | 20 | 70 | $190 | $17.2K |
| 64493 | 16 | 120 | 50 | $170 | $15.4K |
| 64625 | 9 | 10 | 30 | $360 | $13.8K |
| 64633 | 26 | 60 | 30 | $340 | $13.3K |
Showing 1–10 of 15
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.
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)… | 10 | $70 | $900 |
| 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… | 20 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana 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)… | 34 | 40 | 190 | $160 | $114.9K |
| 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… | 50 | 50 | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 34 | 40 | 190 | $0 | $0 |
Other providers in the same ZIP code as Southern Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Southeast Neuroscience Center, LLC | LA | Specialist | $0 | $8.2M |
| Cardiovascular Institute Of The South Asc, LLC | LA | Ambulatory Surgical Clinic/Center | $482.6K | $0 |
| Day Surgery, Inc. | LA | Ambulatory Surgical Clinic/Center | $406.2K | $3.8K |
| Jimmy Ponder | LA | Interventional Pain Medicine Physician | $366K | $0 |
| Edward Haight | LA | Neurology Physician | $354.8K | $0 |
| Donald Gervais | LA | Neurology Physician | $304.8K | $0 |
| Wendy Gervais | LA | Diagnostic Radiology Physician | $104.3K | $0 |
| Jeanette Naquin | LA | Family Nurse Practitioner | $14.7K | $0 |
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