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NPI 1407964950 · Enid, OK · Clinic/Center
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Surgery Center Of Enid Inc is a clinic/center provider located in Enid, Oklahoma. This profile covers 31 Medicare and 1 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 | Surgery Center Of Enid Inc |
| Address | 1133 West Willow Rd |
| City | Enid |
| State | OK |
| ZIP | 73703 |
| Taxonomy | Clinic/Center |
| NPI Enumerated | August 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $62.4K |
This facility is Medicare-dominant by scale: reported Total Medicare revenue is $2.2M versus Total Medicaid revenue of $62.4K, making Medicare the overwhelmingly larger payer for this site and Medicaid effectively a minor contributor to overall revenue. The Medicaid program activity is narrowly concentrated (see below), so operational dependence is clearly on Medicare volumes and reimbursements.
Medicare revenue is concentrated in a small number of high-impact procedures: the precomputed top-3 Medicare codes account for 43.4% of the provider's Medicare revenue, driven primarily by 63685 (16.5%), 66984 (15.3%), and 64590 (11.6%). This concentration indicates that a plurality of Medicare dollars come from a mix of neurostimulation implant procedures and lens replacement cataract surgery rather than a broad, evenly distributed case mix.
The code mix implies an ambulatory surgery center model that supports both high-cost implantable device work and high-volume ophthalmology. High-reimbursement implant codes such as 63685 and 64590 (implant or replacement of spinal and peripheral/sacral neurostimulators) sit alongside a high-claim cataract code, 66984, and a range of pain/spine procedures (e.g., 64628, 64561, 22869) as well as endoscopy/colorectal services (e.g., 45385, 45380), consistent with a multi-specialty ASC platform hosting spine/pain and ophthalmology services.
Competitive standing across Medicare codes is mixed and generally non-dominant: 66984 ranks #3244 of 15965 providers nationally (80th percentile), indicating an above-typical national presence for cataract work, while 63685 ranks #458 of 1281 (61st percentile) and 64590 ranks #221 of 561 (57th percentile), each described as typical or unremarkable volume for those codes. In short, the center shows stronger-than-average activity in cataract surgery nationally but is a modest participant for its neuromodulation implant codes at the national level.
Medicaid billing is extremely narrow and modest in scale: the single listed Medicaid code D9999 accounts for 100.0% of Medicaid revenue and the provider ranks #25 of 42 in-state (41st percentile), characterized as typical, unremarkable volume for that code. This pattern reflects both a lack of Medicaid service-line diversification and a limited competitive position within the state Medicaid market.
Reimbursement profile differs by service type: high-dollar, low-claim implant services (63685 avg paid/claim $17973 with 20 claims; 64590 avg paid/claim $14058 with 18 claims) generate substantial revenue with relatively few encounters, while 66984 (cataract) produces comparable revenue through much higher claim volume (422 claims at $789 avg paid/claim). This suggests operational priorities split between capital- and device-intensive implant episodes and throughput-dependent ophthalmic surgery.
The provider has long tenure in the NPI system (NPI enumerated 2006-08-25 (~20 years ago)), indicating an established operation that could reasonably support the staffing and capital needs implied by neuromodulation implants and a sustained cataract volume over time. Longevity supports the interpretation that observed code mix and revenue patterns reflect sustained service lines rather than a short-term program.
The procedural portfolio includes multiple device and implant codes (for example, 63685, 64590, 63650, 22869) and a range of interventional pain codes (e.g., 64628, 64561, 64635), implying capital-intensive workflows and specialized clinical staffing. From an operational risk and contracting perspective, payers and network managers should view this as an ASC with specialized implant/device capabilities and targeted volume drivers rather than a general outpatient clinic.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 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… | 20 | $17,970 | $359.5K |
| 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… | 420 | $790 | $333K |
| 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 | $14,060 | $253K |
| 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 | $7,180 | $172.4K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 50 | $3,630 | $166.9K |
| 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… | 20 | $7,970 | $151.4K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 30 | $5,250 | $136.5K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,400 | $80 | $107.5K |
| 0275T | N/A | 30 | $3,500 | $98.1K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,570 | $92.9K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 15 | 30 | 20 | $7,450 | $238.5K |
| 63650 | 22 | 30 | 70 | $1,510 | $158.8K |
| C9740 | 2 | 10 | 30 | $5,080 | $127K |
| J1097 | 4 | 10 | 1,410 | $80 | $111.4K |
| 64590 | 10 | 30 | 20 | $4,440 | $88.8K |
| 66984 | 39 | 350 | 40 | $430 | $69.3K |
| 64561 | 3 | 20 | 20 | $1,750 | $54.2K |
| 0275T | 3 | 10 | 30 | $1,210 | $43.7K |
| J2403 | 3 | 10 | 56,800 | $1 | $41.8K |
| 22869 | 5 | 10 | 20 | $1,940 | $40.8K |
Showing 1–10 of 31
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D9999 | N/A | 150 | $410 | $62.4K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D9999 | N/A | 25 | 40 | 310 | $690 | $591.7K |
Other providers in the same ZIP code as Surgery Center Of Enid Inc, ranked by combined Medicare and Medicaid revenue.
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