Loading...
NPI 1376709907 · Ardmore, OK · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ardmore Regional Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Ardmore, Oklahoma. This profile covers 6 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 | Ardmore Regional Surgery Center, LLC |
| Address | 2002 12th Ave Nw |
| City | Ardmore |
| State | OK |
| ZIP | 73401 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 4, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $1.1M |
Medicare revenue is heavily driven by neuromodulation and spinal implant procedures: 63685 (spinal neurostimulator pulse generator insertion) generated $840K (59.4% of this provider's total Medicare revenue) across 51 claims, 63650 (epidural electrode placement) produced $272.1K (19.2%) across 82 claims, and 0775T contributed $197.9K (14.0%) across 21 claims. These three codes together account for 92.7% of the provider's Medicare revenue, indicating an ASC that is functionally specialized around implantable neuromodulation and related interventional pain care rather than a broad mix of unrelated inpatient procedures.
The top-three concentration on Medicare is extreme: the precomputed top-3 share is 92.7% of Medicare revenue out of a total Medicare lifetime revenue of $1.4M. That level of concentration means the facility's Medicare financial performance is closely tied to continued volume and reimbursement for a very small set of high-value procedures.
On national competitive standing the provider is a strong outlier for its primary Medicare implant code: 63685 ranks #57 of 1281 providers nationally (95th percentile) and is described as notably above typical national volume. By contrast, 63650 ranks #233 of 1371 (83th percentile) and 0775T ranks #8 of 24 (70th percentile), both labeled typical, unremarkable volume; collectively this indicates a nationally significant niche presence driven by one particularly dominant code rather than broad high volume across many codes.
Medicaid billing is effectively concentrated in a single unspecified code: D9999 accounted for $1.1M and 2.8K claims, representing 97.0% of this provider's total Medicaid revenue and placing the provider #4 of 42 in-state (93th percentile) for that code; the precomputed top-3 share for Medicaid is 100.0% of Medicaid revenue. The remaining Medicaid activity is small (69436 at $33.4K, 3.0% of Medicaid revenue), so Medicaid revenue is effectively dependent on an uncategorized or non-descriptive code.
The provider's overall payer mix shows Medicare and Medicaid are similar in scale but not identical: lifetime Medicare revenue is $1.4M versus lifetime Medicaid revenue of $1.1M, so the center receives sizable business from both public payers rather than being single-payer dependent. Given the code concentration described above, however, each payer's revenue is concentrated in a small set of procedures that could drive sensitivity to policy or utilization shifts for those specific codes.
Procedure-level breadth beyond neuromodulation is limited but present: Medicare claims include additional surgical procedures such as 66984 (cataract extraction with lens insertion) at $74.7K (5.3% of Medicare revenue) and 64721 (median nerve neuroplasty) at $15.8K (1.1%), while Medicaid includes 69436 (tympanostomy) at $33.4K (3.0%). This mix suggests the ambulatory surgical center performs both implantable device/specialty pain work and a small volume of more routine ambulatory surgeries (ophthalmology, hand surgery, ENT), indicating a multi-specialty but highly weighted implant/pain orientation.
The provider has an established operational history, with its NPI enumerated on 2008-08-04 (~18 years ago), which supports the development of concentrated specialty programs over time and likely explains the high, focused volumes for certain implantable-device codes. Longevity combined with concentrated code leadership (especially for 63685) suggests an experienced, stable practice in its focal service lines.
From a revenue-risk and operational perspective, dependence on a single dominant Medicare code (63685 at $840K) and a single dominant Medicaid code (D9999 at $1.1M) creates concentration exposure: changes to coverage policy, reimbursement, or referral patterns for these specific codes could materially affect this provider's revenue streams. Analysts should flag renewal negotiations, local referral sources, and payer policy on neurostimulation and the unspecified D9999 code as priority areas for due diligence.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 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… | 50 | $16,470 | $840K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 80 | $3,320 | $272.1K |
| 0775T | N/A | 20 | $9,420 | $197.9K |
| 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… | 100 | $760 | $74.7K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 30 | $590 | $15.8K |
| 55700 | Code deleted December 31, 2025. | 20 | $550 | $13.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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 |
|---|---|---|---|---|
| D9999 | N/A | 2,820 | $380 | $1.1M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 110 | $310 | $33.4K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D9999 | N/A | 4 | 40 | 310 | $690 | $591.7K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 45 | 70 | 150 | $450 | $279K |
Other providers in the same ZIP code as Ardmore Regional Surgery Center, 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.