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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Apex Spine Institute (NPI 1245987965)

Field	Value
Entity Type	Organization
Organization	Apex Spine Institute
Address	985 Goethals Dr
City	Richland
State	WA
ZIP	99352
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 2, 2022

Payer Source	Total Paid
Medicare	$993.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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…	10	$19,070	$209.8K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	50	$3,680	$198.9K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	320	$530	$169.1K
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).	420	$290	$122.3K
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…	330	$270	$88.2K
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…	110	$630	$70.2K
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…	160	$280	$45K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	200	$210	$42.4K
64625	The provider destroys the nerves innervating (supplying) the sacroiliac joint with radiofrequency ablation, that is, the use of heat produced by focused radio waves (a type of electromagnetic wave)…	60	$650	$38.8K
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)…	30	$250	$8.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Apex Spine Institute — 5 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	31	30	20	$8,250	$148.4K
63650	19	40	50	$1,960	$109.9K
64635	2	90	30	$400	$21.2K
G0260	2	20	60	$230	$19.8K
64483	8	160	50	$200	$19.7K
64625	1	10	20	$420	$14.1K
64493	4	120	50	$190	$13.5K
64633	1	40	20	$420	$13.3K
62323	71	130	40	$150	$10.2K
64490	2	60	30	$200	$8.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Apex Spine Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allen Shoham	WA	Interventional Pain Medicine Physician	$202.9K	$0
Caleb Ledford	WA	Nurse Practitioner	$189.2K	$0
Karen Nguyen	WA	Physician Assistant	$168.5K	$0
Dennis Ang	WA	Nurse Practitioner	$151.1K	$0
Janmeet Sahota	WA	Orthopaedic Surgery of the Spine Physician	$84.7K	$0
Hannah Burgett	WA	Certified Registered Nurse Anesthetist	$6.2K	$0

Nearby Providers

Other providers in the same ZIP code as Apex Spine Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kadlec Regional Medical Center	WA	General Acute Care Hospital	$0	$151.5M
Gill, Ritchie, Walker PLLC	WA	Ambulatory Surgical Clinic/Center	$0	$10.7M
City Of Richland	WA	Ambulance	$679.8K	$7.8M
Ortc, LLC	WA	Methadone Clinic	$0	$6.2M
Health First Urgent Care, PLLC	WA	Urgent Care Clinic/Center	$0	$5.2M
American Medical Response Ambulance Service Inc	WA	Ambulance	$1.1M	$3M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.8M
Tri-city Orthodontics, LLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.9M
Alexey Ryskin	WA	Pain Medicine (Anesthesiology) Physician	$2.3M	$990
Sidney Smith	WA	Dermatology Physician	$2.1M	$0

Apex Spine Institute — Billing Profile & Reimbursement Data

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Apex Spine Institute — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References