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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Quail Surgical And Pain Management Center, LLC (NPI 1386749943)

Field	Value
Entity Type	Organization
Organization	Quail Surgical And Pain Management Center, LLC
Address	6630 S Mccarran Blvd # C25
City	Reno
State	NV
ZIP	89509
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

The provider’s procedure mix is concentrated in implantable neuromodulation and pain-management services, with high-revenue device procedures dominant on the claim list (notably codes 63685, 64590, 64561 and 62362). These codes correspond to spinal and peripheral neurostimulator pulse generator insertions and programmable intrathecal pumps, consistent with an ambulatory surgical center that specializes in device-based pain interventions rather than primary medical management.

Revenue is highly concentrated: the precomputed top-3 Medicare codes (63685, 64590, 64561) account for 67.0% of this provider’s total Medicare revenue, signaling dependency on a small set of high-value procedures to generate the $1.9M in Medicare lifetime revenue. This concentration suggests business sensitivity to changes in reimbursement or referral patterns for those specific implant procedures.

Per-claim reimbursement is elevated for the core device procedures, which helps explain their outsized revenue contribution despite modest claim counts—63685 reports 36 claims with $18887 avg paid/claim and $679.9K revenue, 64590 reports 24 claims with $14774 avg paid/claim and $354.6K revenue, and 62362 reports 17 claims with $10192 avg paid/claim and $173.3K revenue. These high average payments for device implant codes contrast with much lower avg paid/claim amounts for common ambulatory procedures such as 29848 ($530 avg paid/claim) and 26055 ($426 avg paid/claim).

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.9M and there is no Medicaid billing on file. The absence of Medicaid billing increases concentration risk and means network access, regulatory changes, or Medicare rate adjustments would disproportionately affect this provider’s revenue.

Competitive standing on national tables is mixed but generally above average for the neurostimulation services: 63685 ranks #146 of 1281 providers (88th percentile), 64561 ranks #75 of 564 (87th percentile), and 64590 ranks #122 of 561 (76th percentile). At the same time, the dataset characterizes these volumes as "typical, unremarkable volume" for the codes, implying the provider has stronger-than-average placement in national rankings without being an extreme outlier.

The provider shows a durable market presence: the NPI was enumerated on 2006-09-14 (~20 years ago), indicating long tenure in the Reno, NV market which may correspond to established referral relationships for interventional pain and ambulatory orthopedic procedures. This longevity supports the observed implant-focused case mix and revenue history.

The practice performs a mix of implant-focused pain work alongside outpatient musculoskeletal and hand procedures—27447 (knee resurfacing) generated $150.9K (7.9% of Medicare revenue) with 23 claims, while ambulatory procedures like 29848 (wrist endoscopic carpal tunnel) and 26055 (trigger finger release) contributed $33.4K (1.8%) and $22.6K (1.2%), respectively. This breadth suggests the center supplements its core neuromodulation volume with routine orthopedic and hand cases to utilize OR capacity and diversify procedural throughput.

No Medicaid codes or state-level Medicaid volumes are available for benchmarking, and no Medicare codes are flagged as extreme outliers in the provided descriptions—most entries are labeled "typical, unremarkable volume." From an analytics perspective, the operations look specialized and moderately nationally competitive on key device implants, but financially concentrated and dependent on continued referrals for a small set of high-value procedures.

Medicare: Complete Services Breakdown

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

11 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	$18,890	$679.9K
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…	20	$14,770	$354.6K
64561	The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.	60	$3,810	$240K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	60	$3,700	$214.7K
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…	20	$10,190	$173.3K
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…	20	$6,560	$150.9K
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.	60	$530	$33.4K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	50	$430	$22.6K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	10	$1,040	$12.4K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	20	$510	$10.8K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Quail Surgical And Pain Management Center, LLC — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	4	20	20	$9,360	$224.7K
64590	2	10	20	$3,860	$119.8K
64561	2	10	60	$2,250	$117.2K
63650	6	30	40	$2,380	$109.4K
27447	55	90	30	$1,490	$71.5K
62362	1	10	10	$4,240	$59.4K
64635	60	80	40	$440	$25.2K
29848	4	10	40	$370	$18K
29881	12	10	20	$750	$15.1K
26055	7	20	40	$280	$12.9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Quail Surgical And Pain Management Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Nevada General Dentistry Prada, PLLC	NV	General Practice Dentistry	$0	$38.4M
Northern Nevada Specialty Prada, PLLC	NV	Pediatric Dentistry	$0	$8.2M
American Home Companion, Inc.	NV	In Home Supportive Care Agency	$0	$6M
Renown Medical School Associates North, Inc.	NV	Family Medicine Physician	$0	$5.4M
Sierra Home Health Care	NV	Home Health Agency	$0	$5M
Kid Dental, LLC	NV	General Practice Dentistry	$0	$4.1M
Northern Nevada General Dentistry Prada, PLLC	NV	General Practice Dentistry	$0	$3.2M
As The Sun	NV	Professional Counselor	$0	$2.6M
Philip Malinas Md & Associates PLLC	NV	Psychiatry Physician	$0	$2.6M
Aaron Adamson	NV	Oral and Maxillofacial Surgery (Dentist)	$0	$2.5M

Quail Surgical And Pain Management Center, LLC — Billing Profile & Reimbursement Data

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Quail Surgical And Pain Management Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References