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

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

Central Oregon Surgical Institute, LLC (NPI 1457826125)

Field	Value
Entity Type	Organization
Organization	Central Oregon Surgical Institute, LLC
Address	1550 Ne 27th St Ste 110
City	Bend
State	OR
ZIP	97701
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 9, 2018

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

CENTRAL OREGON SURGICAL INSTITUTE, LLC presents as a spine-focused ambulatory surgical center with a heavy clinical emphasis on spinal cord stimulation and related spine procedures; its top revenue codes are 63685, 63655, and 63650, which correspond to neurostimulator pulse generator insertion/replacement, paddle electrode placement via lamina removal, and epidural electrode placement respectively. These three codes together account for 75.1% of the provider's total Medicare revenue, supporting a specialized, procedure-driven service line centered on neuromodulation and spine decompression/fusion work.

Revenue concentration is pronounced: the practice reports $2.4M in total Medicare revenue and the single code 63685 generates $1M (44.0% of Medicare revenue) while 63655 and 63650 generate $434.2K (18.5%) and $297K (12.6%) respectively. High average payments per claim for those top codes — $20301 avg paid/claim for 63685 and $14974 avg paid/claim for 63655 — amplify the financial impact of a relatively small set of high-intensity procedures.

From a public-payer mix standpoint the provider is effectively single-payer: Medicare revenue is $2.4M and there is no Medicaid billing on file. This absence of Medicaid activity means analysts cannot assess in-state Medicaid competitiveness from claims data and suggests the provider’s public-payer exposure is concentrated in Medicare.

Competitive standing varies by code: for its highest-revenue procedure 63685 the provider ranks #57 of 1281 nationally (95th percentile) and is described as notably above typical national volume, indicating the practice is a national high-volume performer for neurostimulator generator work. The provider also shows notably strong national volume for 63047 (laminectomy) with a rank of #136 of 4170 (97th percentile), signaling meaningful capability and market presence in certain spine decompression procedures as well.

For other commonly billed codes the provider sits in more typical ranges: 63655 ranks #23 of 245 (90th percentile; typical, unremarkable volume) and 63650 ranks #282 of 1371 (79th percentile; typical, unremarkable volume), while 64628 ranks #60 of 247 (74th percentile; typical, unremarkable volume). This mix—exceptional national standing for a subset of neurostimulation and laminectomy codes alongside generally typical volumes for the remainder—suggests the center concentrates expertise and likely referral flow around a few high-volume procedures rather than broad high-volume spine services across the board.

The center’s NPI was enumerated on 2018-10-09 (~8 years ago), providing several years of billing history to support these patterns; tenure at this scale is consistent with an established ambulatory surgical clinic/center focused on specialized spine interventions. That duration of activity plus the concentrated code mix suggests the operation has matured around its neuromodulation service line.

Operational and strategic implications are clear: with 75.1% of Medicare revenue driven by the top three codes and no Medicaid billing on file, the provider’s financial performance is sensitive to volume and reimbursement for a narrow set of high-paying spine/neurostimulation procedures. For payers and competitive analysts, this means utilization management, network negotiations, and bundle-based payment strategies targeting neurostimulation implants and related perioperative care could materially affect the provider’s revenue profile.

Medicare: Complete Services Breakdown

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

8 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…	50	$20,300	$1M
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…	30	$14,970	$434.2K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	70	$4,010	$297K
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.	30	$8,240	$214.2K
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…	60	$2,570	$164.2K
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.	20	$7,140	$114.2K
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…	30	$2,430	$70.5K
63688	The provider revises or removes a spinal neurostimulator pulse generator or receiver. The system is one that has a detachable connection between the electrode array and the pulse generator or…	10	$1,520	$21.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Central Oregon Surgical Institute, LLC — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	1	20	20	$11,390	$239.2K
64628	3	10	30	$5,220	$125.2K
63655	1	10	20	$7,140	$121.4K
63650	8	40	40	$2,140	$117.8K
22551	8	20	20	$1,650	$31.3K
63047	3	70	20	$820	$23.9K
63030	3	10	20	$1,030	$21.7K
63688	1	10	10	$890	$11.6K

Nearby Providers

Other providers in the same ZIP code as Central Oregon Surgical Institute, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ortc, LLC	OR	Substance Abuse Rehabilitation Facility	$747.3K	$16.2M
Telecare Mental Heatlh Service Of Oregon, Inc	OR	Mental Illness Community Based Residential Treatment Facility	$0	$12.8M
Bend Memorial Clinic PC	OR	Family Medicine Physician	$0	$11.7M
Pfeifer & Associates	OR	Community/Behavioral Health Agency	$0	$11.6M
Grants Pass Treatment Center	OR	Substance Abuse Rehabilitation Facility	$0	$9.5M
St. Charles Health System, Inc.	OR	Family Medicine Physician	$0	$8.6M
Deschutes County Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.9M
Central Oregon Pediatric Associates	OR	Pediatrics Physician	$0	$7.2M
Bend Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$4.8M	$1.7M
Adam Angeles	OR	Plastic and Reconstructive Surgery Physician	$6.5M	$0

Central Oregon Surgical Institute, LLC — Billing Profile & Reimbursement Data

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Central Oregon Surgical Institute, 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