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NPI 1336479021 · Medford, OR · Ambulatory Surgical Clinic/Center
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Rogue Valley Surgery Center LLC is a ambulatory surgical clinic/center provider located in Medford, Oregon. This profile covers 14 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 | Rogue Valley Surgery Center LLC |
| Address | 1411 E Mcandrews Rd |
| City | Medford |
| State | OR |
| ZIP | 97504 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 3, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $18.1K |
ROGUE VALLEY SURGERY CENTER LLC operates as an Ambulatory Surgical Clinic/Center with a procedure mix concentrated in spinal neuromodulation and interventional spine pain care; its top Medicare codes include 63685 (spinal neurostimulator pulse generator insertion), 63650 (epidural electrode placement), and multiple image-guided facet and epidural injection codes such as 64493 and 64635, indicating an ASC configured for implant procedures and fluoroscopic/CT-guided pain interventions. The presence of high-dollar device implantation (63685 with $19527 avg paid/claim) alongside high-volume electrode placement (63650 with $3890 avg paid/claim) suggests capital investments in operating-room capability and device-case throughput.
Revenue concentration on Medicare is high: total Medicare revenue is $1.6M and the precomputed top 3 Medicare codes by revenue account for 81.0% of this provider's total Medicare revenue, driven primarily by 63685, 63650, and 64493. This concentration indicates that a small set of implant and spine-pain procedures are the primary revenue drivers for the practice on the Medicare side.
On Medicare competitive standing, the provider shows a mixed profile across its leading codes: 63650 ranks #72 of 1371 providers nationally (95th percentile) and is labeled "notably above typical national volume for this code," while 64493 ranks #143 of 7519 (98th percentile) and is described as an "extreme outlier, far above typical national volume for this code." By contrast, 63685 ranks #167 of 1281 (86th percentile) and is called "typical, unremarkable volume for this code." Together these ranks indicate the facility is a regional/national high-volume operator for several interventional spine procedures, particularly electrode placement and facet-related injections.
Medicaid activity is minimal compared with Medicare: total Medicaid revenue is $18.1K and the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with all Medicaid revenue reported under G0260. G0260 (sacroiliac joint injection) is ranked #2 of 3 in-state and described as "typical, unremarkable volume for this code," indicating a modest Medicaid footprint concentrated in sacroiliac injections.
The payer mix is heavily Medicare-dominant: the provider reported $1.6M in Medicare revenue versus $18.1K in Medicaid revenue, making Medicare the overwhelmingly material payer for this ASC. This imbalance implies that reimbursement and utilization trends among Medicare beneficiaries will drive the facility’s financial performance, while Medicaid exposure represents a very small share of total billings.
Procedure-level economics reinforce a device-and-intervention business model: high average paid amounts for the top implant and electrode-placement services (63685 at $19527 avg paid/claim; 63650 at $3890 avg paid/claim) show that relatively few high-value implant cases can account for large portions of revenue. The code mix—implantation, electrode placement, radiofrequency neurolysis, and multiple image-guided injections—aligns with an ASC strategy centered on spine-pain interventions and neuromodulation rather than high-volume low-cost injections alone.
The practice has established tenure in the market, with an NPI enumerated on 2010-01-03 (~16 years ago), and its claim distribution suggests consistent specialization in spine and pain procedures over time. Given the concentration of revenue in a few procedure types and the documented high national percentiles on several spine codes, payers and network analysts should treat this provider as a specialized ASC partner for neuromodulation and advanced interventional spine services rather than a broad-based ambulatory surgery provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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 | $19,530 | $663.9K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 150 | $3,890 | $567.9K |
| 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… | 360 | $280 | $101.9K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 150 | $640 | $96.5K |
| 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). | 180 | $300 | $54.8K |
| 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… | 150 | $290 | $44.4K |
| 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… | 50 | $690 | $37.2K |
| 64624 | The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it… | 40 | $680 | $26.5K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 90 | $210 | $19.5K |
| 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)… | 60 | $260 | $16.4K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 80 | $230 | $18.1K |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2 | 10 | 80 | $110 | $10.6K |
Other providers in the same ZIP code as Rogue Valley Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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