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NPI 1295973006 · Reno, NV · Ambulatory Surgical Clinic/Center
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St. Mary's Outpatient Surgery Center At Galena LLC is a ambulatory surgical clinic/center provider located in Reno, Nevada. This profile covers 11 Medicare and 2 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 | St. Mary's Outpatient Surgery Center At Galena LLC |
| Address | 18653 Wedge Pkwy Ste 170 |
| City | Reno |
| State | NV |
| ZIP | 89511 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 2, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $330.3K |
This facility is an ambulatory surgical clinic/center with a service mix heavily concentrated in interventional spine and pain procedures on the Medicare side, led by 63685 (spinal neurostimulator pulse generator insertion) and 63650 (epidural electrode placement). The top three Medicare codes (63685, 63650, 64635) account for 88.9% of this provider's total Medicare revenue, underscoring a focused specialty practice rather than a broad outpatient surgical mix.
Code-level contribution shows strong Medicare concentration: 63685 alone represents 52.1% of Medicare revenue and 63650 represents 32.9%, while 64635 contributes 3.9%. Both 63685 (ranks #167 of 1281, 86th percentile) and 63650 (ranks #145 of 1371, 89th percentile) are noted in the source as 'typical, unremarkable volume,' so the provider's high-share codes are specialty-defining but not flagged as statistical anomalies.
Medicaid billing is effectively single-code driven: 41899 accounts for 100.0% of the provider's total Medicaid revenue and generated $330.3K in lifetime Medicaid revenue. The code 41899 (procedure on teeth and adjoining alveolar structures) ranks #13 of 24 in-state (48th percentile) and is described as 'typical, unremarkable volume,' indicating that Medicaid activity is concentrated in dental/odontologic billing rather than the spine/pain procedures that dominate Medicare.
Overall payer mix favors Medicare by scale: lifetime Medicare revenue is $1.2M compared with lifetime Medicaid revenue of $330.3K, indicating Medicare is the larger revenue source for this entity. The two payers also reflect different service lines—Medicare revenue is driven by interventional pain/spine CPTs while Medicaid revenue is concentrated entirely in 41899—so payer-specific contracting and network strategies should reflect these divergent case types.
Competitive standing by code is modest-to-notable but not extreme: for its two largest Medicare codes the provider ranks in relatively high national percentiles (86th and 89th), yet those same codes are labeled 'typical, unremarkable volume' in the source data. That means the center has a concentrated niche in neurostimulation and epidural electrode services relative to many peers, but the activity levels are within expected ranges for providers that offer these services.
There are no codes in the provided lists flagged as outliers or labeled with exceptional language such as 'extreme outlier' or 'notably above typical'; the narrative attached to nearly all listed CPTs is 'typical, unremarkable volume.' This suggests billing patterns align with accepted specialty practice patterns rather than showing atypical statistical deviation.
Operationally, the mix of high-revenue Medicare interventional spine codes (63685, 63650) alongside smaller volumes of cataract (66984) and ENT procedures (30140, 30520) implies the center performs a core set of spine/pain interventions and a secondary set of ambulatory surgical procedures. Analysts should treat the facility as a specialized ambulatory surgery center where spine/pain services are the primary business line for Medicare, with ancillary outpatient ENT/ophthalmology casework.
The provider has been enumerated since 2009-02-02 (~17 years ago), indicating an established presence in the market. Tenure combined with the concentrated Medicare spine/pain revenue stream suggests an experienced specialty operation; however, Medicaid engagement is limited and entirely concentrated in a single billing code (41899), so state-level competitiveness for Medicaid populations appears modest and narrowly focused.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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 | $18,360 | $624.4K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 110 | $3,750 | $394.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 90 | $520 | $46.9K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 40 | $820 | $35.3K |
| 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… | 40 | $570 | $23.2K |
| 30140 | This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method). | 40 | $440 | $19.1K |
| 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)… | 60 | $240 | $15.5K |
| 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). | 50 | $290 | $14.2K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 20 | $690 | $13.2K |
| 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… | 30 | $260 | $7K |
Showing 1–10 of 11
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
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 6 | 20 | 20 | $9,360 | $224.7K |
| 66984 | 81 | 120 | 80 | $590 | $121.4K |
| 63650 | 1 | 30 | 40 | $2,380 | $109.4K |
| 64635 | 11 | 80 | 40 | $440 | $25.2K |
| 64483 | 52 | 100 | 60 | $230 | $20.3K |
| 64493 | 65 | 80 | 50 | $210 | $17.1K |
| 64633 | 10 | 30 | 30 | $450 | $16.2K |
| 30140 | 4 | 10 | 50 | $270 | $15.3K |
| 30520 | 4 | 10 | 20 | $500 | $10.5K |
| 62323 | 53 | 70 | 40 | $190 | $10.2K |
Showing 1–10 of 11
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 430 | $760 | $330.3K |
| 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… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 13 | 20 | 470 | $640 | $1.5M |
| 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… | 29 | 40 | 190 | $0 | $0 |
Other providers in the same ZIP code as St. Mary's Outpatient Surgery Center At Galena LLC, ranked by combined Medicare and Medicaid revenue.
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