Loading...
NPI 1447329990 · Memphis, TN · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Semmes-murphey Clinic PC is a ambulatory surgical clinic/center provider located in Memphis, Tennessee. This profile covers 15 Medicare and 3 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 | Semmes-murphey Clinic PC |
| Address | 6325 Humphreys Blvd |
| City | Memphis |
| State | TN |
| ZIP | 38120 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.1M |
| Medicaid | $11K |
Semmes-Murphey Clinic PC operates as an Ambulatory Surgical Clinic/Center and its Medicare code mix is concentrated in spine/neurostimulation and image-guided pain procedures — most prominently 63685 (spinal neurostimulator pulse generator insertion) and 63650 (epidural electrode placement), with supporting work in transforaminal and perineural injections such as 62323 and 64483. The procedure descriptions and the clinic taxonomy together indicate a specialized, procedure-heavy ambulatory practice focused on interventional pain management and neuromodulation rather than general outpatient medicine.
Revenue is highly concentrated within a very small set of Medicare codes: the precomputed top 3 Medicare codes account for 73.9% of the provider's total Medicare revenue, driven chiefly by 63685 (37.8% of Medicare revenue), 63650 (30.1%), and 64483 (6.0%). This concentration means a handful of procedures determine the majority of Medicare financial performance for the clinic.
Per-claim reimbursement is high for the leading neuromodulation procedures: 63685 reports an average paid/claim of $16937 with $1.5M in Medicare revenue (91 claims), and 63650 reports an average paid/claim of $3425 with $1.2M in Medicare revenue (358 claims). Those two codes alone produce the bulk of the clinic's Medicare receipts and underscore the financial importance of device- and implant-based procedures to the business model.
National competitive standing on core Medicare codes is markedly strong: 63685 ranks #11 of 1281 providers nationally (99th percentile; extreme outlier), and 63650 ranks #4 of 1371 providers nationally (100th percentile; extreme outlier). In addition, multiple image-guided injection codes such as 62323 (1K claims, $232 avg paid/claim, $232.2K revenue) and 62321 (332 claims, $235 avg paid/claim, $78K revenue) also appear at the very top of national rank distributions (62323 ranks #5 of 7397, 100th percentile; 62321 ranks #2 of 4493, 100th percentile), signaling the clinic is a national high-volume outlier for several spine-intervention procedures.
Payer mix is effectively single-payer dominated: Total Medicare revenue is $4.1M compared with total Medicaid revenue of $11K, so Medicare overwhelmingly drives the provider's billed volumes and revenue. For practical analysis of scale, the clinic should be treated as primarily Medicare-focused with negligible Medicaid financial impact.
Medicaid billing is narrowly concentrated and modest in-state: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and that revenue is entirely from 62323 (26 claims, $423 avg paid/claim, $11K revenue). In-state rank for Medicaid 62323 is #42 of 51 providers (18th percentile; typical, unremarkable volume), indicating the clinic is not a leading Medicaid player despite being a national outlier in Medicare for some of the same procedures.
Beyond the two highest-revenue implant codes, the clinic reports consistently elevated national standing across multiple injection and facet-joint procedures — for example, 64483 (870 claims, $282 avg paid/claim, $245.3K revenue) ranks #43 of 8202 (99th percentile; extreme outlier) and 64493 (469 claims, $241 avg paid/claim, $113K revenue) ranks #77 of 7519 (99th percentile; extreme outlier). This pattern reflects a high-volume interventional practice that pairs neurostimulation implants with a steady stream of diagnostic/therapeutic injections and neurolytic treatments.
The provider has an established operational tenure with NPI enumerated 2006-11-07 (~20 years ago), suggesting a long-running ambulatory surgical operation. Given the clinic's reliance on a concentrated set of high-revenue procedures, analysts should note that reimbursement or utilization changes for a few codes could have outsized impacts on overall revenue, while the minimal Medicaid footprint limits diversification by payer.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 90 | $16,940 | $1.5M |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 360 | $3,430 | $1.2M |
| 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). | 870 | $280 | $245.3K |
| 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)… | 1,000 | $230 | $232.2K |
| 22551 | A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae. | 30 | $5,900 | $200.6K |
| 63030 | This procedure is laminotomy of one lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral… | 70 | $2,230 | $145K |
| 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… | 470 | $240 | $113K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 170 | $480 | $82.4K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 330 | $240 | $78K |
| 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… | 30 | $2,120 | $59.2K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 1 | 40 | 20 | $6,810 | $170.2K |
| 63650 | 1 | 40 | 50 | $1,650 | $123.8K |
| 64483 | 4 | 150 | 70 | $190 | $25.8K |
| 64635 | 10 | 150 | 40 | $360 | $25.6K |
| 63030 | 1 | 10 | 10 | $1,230 | $23.4K |
| G0260 | 3 | 20 | 60 | $190 | $20K |
| 22551 | 1 | 50 | 10 | $1,240 | $18.6K |
| 64721 | 22 | 90 | 30 | $400 | $16.9K |
| 64493 | 4 | 160 | 60 | $180 | $16.9K |
| 62323 | 1 | 150 | 50 | $150 | $14.8K |
Showing 1–10 of 15
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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)… | 30 | $420 | $11K |
| 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… | 100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 90 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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)… | 42 | 50 | 120 | $110 | $42.7K |
| 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… | 39 | 70 | 160 | $1 | $10 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 25 | 50 | 100 | $0 | $0 |
Other providers in the same ZIP code as Semmes-murphey Clinic PC, 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.