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NPI 1366536880 · Vancouver, WA · Ambulatory Surgical Clinic/Center
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Southwest Washington Regional Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Vancouver, Washington. This profile covers 30 Medicare and 10 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 | Southwest Washington Regional Surgery Center, LLC |
| Address | 200 Ne Mother Joseph Place |
| City | Vancouver |
| State | WA |
| ZIP | 98664 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $563K |
The provider’s top Medicare revenue drivers are orthopedic joint replacement and neuromodulation procedures: 27130, 63685, and 27447 together account for 38.9% of its Medicare revenue. These codes indicate a mix of ambulatory orthopedic joint services (hip and knee replacement) and spine-focused neuromodulation, consistent with its Ambulatory Surgical Clinic/Center taxonomy and an ASC-style case mix that blends orthopedics and interventional spine work.
Medicaid revenue is highly concentrated in a small set of interventional procedures: 64483, 29848, and L8699 make up 95.2% of Medicaid revenue. The Medicaid mix is dominated by high-volume transforaminal epidural injections (64483 at 64.6%) and carpal tunnel surgery (29848 at 24.9%), suggesting the center’s Medicaid business is largely driven by pain-management injections and hand surgery rather than a broad outpatient surgical portfolio.
Revenue scale and payer mix show Medicare is the primary payer by dollars: total Medicare revenue is $2.4M compared with total Medicaid revenue of $563K, so Medicare is the larger revenue source for this facility. Both payers are represented (not single-payer), but Medicaid is a much smaller share of lifetime revenue relative to Medicare.
On Medicare competitive standing, the provider is an extreme outlier for 64483 (ranked #38 of 8202 providers nationally; 100th percentile; extreme outlier, far above typical national volume), indicating nationally exceptional volume for transforaminal epidural injections. By contrast, its high-cost joint-replacement codes show typical or unremarkable national volumes (27130 ranked #2202 of 8062, 72th percentile; 27447 ranked #4584 of 12089, 61th percentile) and 63685 sits lower in national ranking (rank #817 of 1281, 30th percentile), so the practice is nationally notable for injections but more modest for arthroplasty and neurostimulator procedures.
On the Medicaid side the provider holds a strong in-state position for key services: 64483 ranks #2 of 40 in-state (97th percentile; notably above typical state volume) and 29848 ranks #2 of 9 (88th percentile; typical, unremarkable volume). Other Medicaid codes are mid- to low-ranked in-state, so the facility appears regionally prominent mainly for epidural injections and carpal tunnel procedures.
Procedure-level operational profile shows a dual focus: repeated high-volume image-guided spine injections (64483, 64493, 64635) and neuromodulation placements (63650, 63685) alongside ambulatory orthopedic and hand procedures (27130, 27447, 29848, 29827). This combination implies an operational model that supports both high-throughput injection/pain clinics and episodic ambulatory surgeries, likely requiring imaging-capable procedure rooms and mixed surgical scheduling.
Medicaid revenue concentration (95.2% in top 3 codes) signals high dependency on a narrow set of services for that payer, which creates sensitivity to state reimbursement or utilization changes for 64483 and 29848. By comparison, Medicare revenue is more distributed (top 3 codes = 38.9%), indicating relatively broader Medicare service diversification despite a few dominant line items.
The NPI was enumerated on 2006-10-02 (~20 years ago), indicating long-standing enrollment and likely established referral pathways and operational stability in the local market. This tenure, combined with the high in-state ranking on select Medicaid and Medicare injection codes, supports a picture of a mature ambulatory surgery center with entrenched spine/pain and orthopedics activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 40 | $8,300 | $332.1K |
| 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 | $21,610 | $302.5K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 40 | $7,610 | $296.9K |
| 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). | 900 | $330 | $293.3K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 50 | $4,160 | $195.5K |
| 63047 | The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy… | 70 | $2,710 | $184.1K |
| 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… | 410 | $300 | $120.5K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 50 | $2,310 | $115.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 140 | $570 | $79.9K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 130 | $580 | $72.9K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 18 | 30 | 20 | $8,250 | $148.4K |
| 63650 | 22 | 40 | 50 | $1,960 | $109.9K |
| 27447 | 111 | 320 | 30 | $1,190 | $46.3K |
| 27130 | 68 | 230 | 30 | $1,060 | $37.1K |
| 29827 | 7 | 90 | 20 | $1,130 | $26.1K |
| 63030 | 3 | 10 | 10 | $1,250 | $21.3K |
| 64635 | 8 | 90 | 30 | $400 | $21.2K |
| 29881 | 3 | 30 | 20 | $950 | $20K |
| G0260 | 7 | 20 | 60 | $230 | $19.8K |
| 64483 | 2 | 160 | 50 | $200 | $19.7K |
Showing 1–10 of 30
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 1,880 | $190 | $363.9K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 310 | $460 | $140.1K |
| L8699 | Prosthetic implant, not otherwise specified | 250 | $130 | $31.9K |
| 64479 | 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 cervical or thoracic). | 30 | $270 | $7K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 30 | $270 | $6.9K |
| 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… | 30 | $200 | $5.3K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 10 | $300 | $4.2K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 20 | $220 | $3.8K |
| 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… | 620 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 270 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 104 | 120 | 590 | $230 | $331.2K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 83 | 90 | 260 | $300 | $208.5K |
| L8699 | Prosthetic implant, not otherwise specified | 6 | 10 | 250 | $250 | $138.2K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 36 | 50 | 90 | $400 | $102.5K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 2 | 10 | 40 | $610 | $83K |
| 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). | 2 | 40 | 80 | $210 | $63.2K |
| 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… | 14 | 20 | 50 | $290 | $54.5K |
| 64479 | 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 cervical or thoracic). | 2 | 10 | 180 | $200 | $35.9K |
| 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… | 8 | 50 | 90 | $1 | $1 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 8 | 30 | 120 | $0 | $0 |
Other providers in the same ZIP code as Southwest Washington Regional Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Peacehealth | WA | General Acute Care Hospital | $0 | $81.6M |
| The Vancouver Clinic Inc Ps | WA | Internal Medicine Physician | $0 | $28.2M |
| South Sound Inpatient Physicians PLLC | WA | Internal Medicine Physician | $0 | $17.6M |
| Peacehealth | WA | Surgery Physician | $0 | $13.5M |
| Emergency Medicine Associates PC | WA | Emergency Medicine Physician | $0 | $11.1M |
| Rkso LLC | WA | Durable Medical Equipment & Medical Supplies | $0 | $4.2M |
| The Vancouver Clinic Inc Ps | WA | Ambulatory Surgical Clinic/Center | $901.2K | $2.9M |
| Aliakbar Dadla | WA | Hematology & Oncology Physician | $613.3K | $0 |
| Howard Nelson | WA | Diagnostic Radiology Physician | $429K | $0 |
| David Valent | WA | Ophthalmology Physician | $333.3K | $0 |
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