Loading...
NPI 1346862869 · Oxon Hill, MD · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Nspc Surgery Center Of Maryland LLC is a ambulatory surgical clinic/center provider located in Oxon Hill, Maryland. This profile covers 27 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 | Nspc Surgery Center Of Maryland LLC |
| Address | 6710 Oxon Hill Rd Ste 550b |
| City | Oxon Hill |
| State | MD |
| ZIP | 20745 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 7, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.8M |
| Medicaid | $6.3K |
NSPC SURGERY CENTER OF MARYLAND LLC presents as an ambulatory surgical center heavily focused on spine and implantable neuromodulation procedures: its top Medicare revenue codes are dominated by spinal neurostimulator and fusion services (63685, 22612, 63650) and additional device-implant codes (62362, 64590, 62350). The code mix — high counts and high average paid/claim for implantable pulse generators, intrathecal pumps, and fusion procedures — indicates the center performs high-complexity, device-driven spine care in an outpatient surgical setting rather than primarily low-acuity office-based services.
Medicare revenue is the overwhelming revenue stream for this facility: lifetime Medicare revenue is $5.8M versus total Medicaid revenue of $6.3K, signaling an effectively single-payer (Medicare-dominant) billing profile at scale. The center’s Medicaid activity is minimal in absolute dollars and concentrated in low-dollar E&M visits, so Medicaid does not materially contribute to the center’s surgical/device service volume.
Revenue concentration within Medicare is high: the precomputed top 3 Medicare codes account for 59.6% of the provider’s total Medicare revenue, driven primarily by 63685 ($1.9M), 22612 ($864.5K), and 63650 ($703.3K). This concentration highlights that a few high-value device and spine fusion procedures make up the majority of Medicare dollars for the center, which has implications for payer negotiations, prior authorization needs, and risk exposure if referral patterns shift.
On several high-revenue Medicare codes the center ranks at or near the top nationally, indicating a regional or national-level specialty footprint: 63685 ranks #10 of 1281 (99th percentile; extreme outlier), 22612 ranks #28 of 1984 (99th percentile; extreme outlier), and 63650 ranks #33 of 1371 (98th percentile; notably above typical national volume). These standings suggest the center is a major, high-volume provider for selected complex spine and neuromodulation procedures compared with national peers.
Beyond the top three, the center also shows elevated activity on other device and targeted-pain procedures: 62362 ($457.2K) ranks #4 of 138 providers nationally (98th percentile; notably above typical national volume), and 0275T ($440.8K) ranks #10 of 597 (98th percentile; extreme outlier). The pattern of multiple high-percentile, device-related codes reinforces specialization in implantable pain-management technology and related interventions.
Medicaid billing is extremely limited and concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 99214 representing $5.8K (92.1% of Medicaid revenue) and 99213 representing $494 (7.9%). Those Medicaid claims are for office/outpatient evaluation and management visits, indicating the provider’s Medicaid footprint is largely low-reimbursement ambulatory visits rather than the high-value device and surgical work seen in its Medicare book.
Operational tenure is modest but established: the NPI was enumerated on 2020-05-07 (~6 years ago), so the center has accumulated multiple years of Medicare volume in specialty spine/device care since initial enumeration. The combination of relatively short tenure and high national ranks on several technical codes may indicate rapid growth or focused referral relationships in the intervening years.
For payers and provider analysts, the key commercial considerations are clear: this center’s Medicare book is highly concentrated in a few high-cost spine and neuromodulation procedures (59.6% concentrated in the top 3), and the provider ranks as a high-volume outlier on several of those codes nationally. Contracting, utilization management, and network strategy should account for its specialized device and implant case mix and the fact that Medicaid represents only a nominal revenue stream relative to Medicare.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 100 | $19,390 | $1.9M |
| 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… | 70 | $12,180 | $864.5K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 180 | $3,840 | $703.3K |
| 62362 | The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as… | 40 | $10,890 | $457.2K |
| 0275T | N/A | 120 | $3,830 | $440.8K |
| 64628 | The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session. | 50 | $7,830 | $352.1K |
| 27279 | The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic… | 20 | $13,680 | $273.7K |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 10 | $15,460 | $201K |
| 0775T | N/A | 10 | $10,890 | $130.7K |
| 22869 | Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous… | 10 | $8,730 | $122.3K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27279 | 1 | 10 | 20 | $13,680 | $273.7K |
| 63685 | 1 | 30 | 20 | $10,020 | $240.5K |
| 62362 | 1 | 10 | 30 | $7,010 | $231.4K |
| 64590 | 16 | 20 | 20 | $7,550 | $151.1K |
| 0775T | 1 | 10 | 10 | $10,890 | $130.7K |
| 22869 | 1 | 10 | 10 | $8,730 | $122.3K |
| 64628 | 1 | 10 | 10 | $5,250 | $120.8K |
| 63650 | 1 | 50 | 30 | $2,120 | $106K |
| 0275T | 1 | 40 | 20 | $2,450 | $83.2K |
| 63688 | 1 | 10 | 30 | $1,450 | $40.7K |
Showing 1–10 of 27
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 |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 250 | $20 | $5.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 30 | $20 | $490 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,398 | 3,670 | 680 | $90 | $310K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,956 | 3,280 | 610 | $80 | $296.1K |
Other providers in the same ZIP code as Nspc Surgery Center Of Maryland LLC, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.