Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bloomfield Hills Surgery Center (NPI 1386220895)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bloomfield Hills Surgery Center
Address	359 Enterprise Ct
City	Bloomfield Hills
State	MI
ZIP	48302
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	March 23, 2021

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

BLOOMFIELD HILLS SURGERY CENTER is highly concentrated in interventional spine and pain procedures: the top three Medicare revenue drivers are 63685, 63650, and 62323 and these three codes together account for 60.1% of the provider's total Medicare revenue. The individual code descriptions indicate the facility performs device-based spinal neurostimulation (pulse generator implantation/replacement), epidural electrode placement, and lumbar region imaging‑guided injections, consistent with an ambulatory surgical clinic focused on interventional pain management and minor spine surgery rather than broad multispecialty surgery.

Revenue scale and payer mix are heavily skewed to Medicare: lifetime Medicare revenue is $2.2M and there is no Medicaid billing on file, so the provider effectively operates as a Medicare-focused ambulatory surgical center. The absence of Medicaid activity suggests limited exposure to state Medicaid populations and means payers assessing network coverage or access should treat this as a single-payer (Medicare) billing profile.

The largest single-code revenue concentration is 63685, which generates $681.4K (30.4% of Medicare revenue) and makes this code the single biggest revenue driver for the center. Although 63685 contributes the largest share of revenue, its national ranking is characterized as "typical, unremarkable volume" (rank #114 of 1281), indicating the provider relies on a common device procedure at meaningful scale but is not a standout national leader for that specific implant.

Procedure mix shows operational emphasis on both implantable devices and high-volume image-guided injections: 63650 (epidural electrode placement) produced $529.8K and 147 claims, and 62323 (lumbar imaging‑guided injections) tallied 576 claims and $136.5K. 63650 is described as "notably above typical national volume" (95th percentile, rank #70 of 1371), while 62323 is an "extreme outlier" (99th percentile, rank #46 of 7397), signaling strong procedural throughput in neuromodulation lead placement and diagnostic/therapeutic lumbar injections relative to peers.

Several other injection and neurotomy codes appear at high national percentiles, reinforcing the center's interventional pain specialization: 64635 (5.0% of revenue) and 64493 (4.0% of revenue) are both reported as notably above typical or extreme outlier national volumes (64635 at 98th percentile and 64493 at 98th percentile). This pattern — multiple injection/neurotomy codes with high percentile rankings — suggests the provider operates a high-volume outpatient pain program where image-guided injections and radiofrequency ablations are core services.

Competitive standing is mixed across codes: for some high-revenue services the center is a major outlier (62323 and 64493 at the top national percentiles), while for implantable device work it sits at typical national volumes (63685 described as typical, 63650 notably above typical). Payer and provider analysts should interpret the center as a strong regional performer in image-guided pain procedures and an active, but not dominant, participant in implantable spinal neurostimulation.

Operational maturity is relatively recent: the NPI was enumerated 2021-03-23 (~5 years ago), indicating the center has accumulated its $2.2M in Medicare revenue over a short tenure. That timeline, paired with the concentrated code mix, implies a focused service rollout that quickly achieved high volumes in specific interventional spine procedures.

From a risk and network planning lens, the absence of Medicaid billing simplifies payer exposure but also limits the provider's utility for Medicaid access networks; any partnerships or network inclusion decisions by state plans should note there is "no Medicaid billing on file." Conversely, Medicare-focused contractors and device manufacturers may view the center as an attractive partner given its outsized volumes in certain neurostimulation and injection codes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

16 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…	40	$17,470	$681.4K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	150	$3,600	$529.8K
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)…	580	$240	$136.5K
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…	20	$7,080	$120.3K
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.	20	$7,350	$117.6K
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…	10	$9,730	$116.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	230	$480	$111.1K
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…	350	$250	$89.2K
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…	10	$6,920	$76.1K
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).	200	$280	$57.7K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sparks Behavioral Services LLC	MI	Behavior Analyst	$0	$6.9M
Abul Shamsuddoha	MI	Internal Medicine Physician	$24.5K	$761.3K
Township Of Bloomfield	MI	Land Ambulance	$396.6K	$296.8K
Darius Karimipour	MI	Dermatology Physician	$529.2K	$0
Leslie Grosinger	MI	Ophthalmology Physician	$392.7K	$0
Diego Hernandez	MI	Vascular Surgery Physician	$384.2K	$0
Alan Spigelman	MI	Ophthalmology Physician	$308.7K	$0
David Grey	MI	Ophthalmology Physician	$284.7K	$0
Hazem Nassif	MI	Infectious Disease Physician	$231.8K	$0
Marc Wittenberg	MI	Pain Medicine Physician	$228.4K	$0

Bloomfield Hills Surgery Center — Billing Profile & Reimbursement Data

Sign up for Bloomfield Hills Surgery Center — Billing Profile & Reimbursement Data policy alerts

Bloomfield Hills Surgery Center — Billing Profile & Reimbursement Data

Sign up for Bloomfield Hills Surgery Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	1	40	20	$6,790	$108.7K
63650	1	30	40	$1,760	$80.9K
27447	346	360	30	$1,470	$50.1K
64628	2	10	20	$2,850	$42.7K
62362	3	10	10	$2,770	$41.6K
27130	166	240	20	$1,410	$40.8K
0275T	10	10	10	$1,970	$39.5K
G0260	1	10	70	$200	$14.6K
64635	1	150	30	$380	$14.4K
64483	10	220	40	$180	$11.9K