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.

Silver State Surgery Center West LLC (NPI 1447991138)

Field	Value
Entity Type	Organization
Organization	Silver State Surgery Center West LLC
Address	5950 S Durango Dr Ste 101
City	Las Vegas
State	NV
ZIP	89113
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 5, 2022

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This entity is an Ambulatory Surgical Clinic/Center (taxonomy) that has focused its Medicare activity on spinal cord stimulation and related neuromodulation procedures, as evidenced by its top CPTs: 63685 (implant/replace pulse generator), 63650 (epidural electrode placement), and 63655 (laminotomy/paddle electrode placement). The code descriptions and the provider’s claim mix indicate the center performs device implantation and surgical electrode placement rather than primarily delivering routine injections or conservative pain care. The pattern is consistent with an ASC that offers specialized implant procedures for chronic pain management.

Medicare revenue is concentrated in a very narrow set of services: the precomputed top-3 Medicare codes account for 98.7% of this provider’s total Medicare revenue, and lifetime Medicare revenue is listed as $1.8M. That concentration implies the center’s financial performance is highly dependent on a small number of high-reimbursement implant procedures rather than a broad suite of low-reimbursement visits or injections.

63685 is the dominant single driver of Medicare dollars for this provider: the code shows 60 claims, $21182 avg paid/claim, and $1.3M revenue (69.1% of the provider’s Medicare revenue) and the provider ranks #35 of 1281 nationally (97th percentile). The dataset labels this as “notably above typical national volume,” signaling the center is a major national participant for generator/receiver implant or replacement procedures relative to peers.

63650 also contributes materially but to a lesser degree: 90 claims, $4163 avg paid/claim, $374.7K revenue (20.4% of Medicare revenue) and a national rank of #190 of 1371 providers (86th percentile). The ranking and the descriptive label “typical, unremarkable volume” indicate the provider’s trial or electrode-placement activity is higher-than-average but not an extreme outlier in the national market.

63655 represents a modest revenue contributor by count and dollars (11 claims, $15383 avg paid/claim, $169.2K revenue; 9.2% of Medicare revenue) and is ranked #210 of 245 providers nationally (0th percentile; labeled “typical, unremarkable volume for this code”). Given the small denominator of reporting providers for 63655, this code’s presence shows capability for paddle implantation when needed but does not position the center as a national leader for that specific technique.

The provider shows almost no activity in common injection codes by share of revenue — 64493 (45 claims, $287 avg paid/claim, $12.9K) and 64483 (35 claims, $296 avg paid/claim, $10.4K) each represent well under 1% of Medicare revenue. This reinforces the interpretation that the facility’s service mix prioritizes implant-based neuromodulation over frequent diagnostic or therapeutic injections.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.8M while there is no Medicaid billing on file. The absence of Medicaid activity suggests the center either does not enroll with state Medicaid, serves a beneficiary population skewed to Medicare, or structures services in a way that has resulted in no reported Medicaid claims to date — any contracting or access analysis should treat Medicare as the primary revenue channel.

The provider is relatively new on the NPI file with enumeration on 2022-04-05 (~4 years ago), yet it has established a concentrated implant business that produces sizable Medicare receipts. Tenure plus the national ranking for 63685 implies rapid development of a specialized implant practice within a short operating window, a point of interest for competitive-intelligence and network-construction efforts.

Medicare: Complete Services Breakdown

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

5 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…	60	$21,180	$1.3M
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	90	$4,160	$374.7K
63655	In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…	10	$15,380	$169.2K
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…	50	$290	$12.9K
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).	40	$300	$10.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Silver State Surgery Center West LLC — 2 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	1	20	20	$9,360	$224.7K
63650	2	30	40	$2,380	$109.4K
63655	9	10	20	$6,050	$90.7K
64483	66	100	60	$230	$20.3K
64493	47	80	50	$210	$17.1K

Nearby Providers

Other providers in the same ZIP code as Silver State Surgery Center West LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Inc	NV	Ambulance	$5.1M	$47.2M
Fielden Hanson Isaacs Miyada Robison Yeh Ltd	NV	Anesthesiology Physician	$0	$13.9M
Dignity Health	NV	General Acute Care Hospital	$0	$8M
Vituity - Nevada Koury & Partners PLLC	NV	Emergency Medicine Physician	$0	$6.7M
Center For Wellness And Pain Care Of Las Vegas Inc	NV	Pain Medicine (Anesthesiology) Physician	$0	$6.5M
Independent Life LLC	NV	Home Health Agency	$0	$5.4M
Bess Chang	NV	Neurology Physician	$5.2M	$0
Fresenius Medical Care Spring Valley, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Doctor's Health Network, Inc.	NV	Endocrinology, Diabetes & Metabolism Physician	$0	$4.5M
Childrens Urology Associates, LLC	NV	Pediatric Urology Physician	$0	$2.7M

Silver State Surgery Center West LLC — Billing Profile & Reimbursement Data

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Silver State Surgery Center West 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