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NPI 1467920389 · Overland Park, KS · Ambulatory Surgical Clinic/Center
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Ku Medwest Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Overland Park, Kansas. This profile covers 44 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 | Ku Medwest Ambulatory Surgery Center, LLC |
| Address | 10720 Nall Avenue |
| City | Overland Park |
| State | KS |
| ZIP | 66211 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 8, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.6M |
| Medicaid | $5.7K |
KU MEDWEST AMBULATORY SURGERY CENTER, LLC is operating as an Ambulatory Surgical Clinic/Center with a billing mix heavily weighted toward interventional spine and pain-management procedures, including neurostimulator implantation (63685, 63650) and transforaminal/epidural injections (64483). The top three Medicare codes are dominated by these spine/pain services, consistent with an ASC that has organized workflows and facilities to support imaging-guided injections and implantable device procedures.
Revenue concentration on Medicare is high: the provider reports $4.6M in total Medicare revenue and the precomputed top-3 Medicare codes account for 58.3% of that Medicare revenue, with 63685 representing 26.2%, 63650 representing 23.4%, and 64483 representing 8.7%. This indicates that a small set of interventional spine procedures drive the majority of Medicare reimbursement to the facility.
Payer mix is effectively Medicare-dominant: total Medicare revenue of $4.6M dwarfs total Medicaid revenue of $5.7K, so the facility functions as a de facto single-payer practice in scale, with Medicaid activity negligible relative to Medicare. Analysts should treat Medicaid as a limited data signal for this site and focus competitive analysis primarily on Medicare billing patterns.
On competitive standing for key Medicare codes, KU MEDWEST ranks nationally as a high-volume provider in interventional spine care: 63650 ranks #9 of 1371 providers nationally (99th percentile, labeled an "extreme outlier"), 64483 ranks #7 of 8202 providers (100th percentile, "extreme outlier"), and 63685 ranks #28 of 1281 (98th percentile, "notably above typical"). These ranks suggest that the facility is a nationally prominent center for selected neurostimulation and image-guided spine procedures rather than a modest-volume ASC.
Medicaid activity is concentrated entirely in a single code: 64483 accounts for 100.0% of the provider's Medicaid revenue ($5.7K from 119 claims at $48 avg paid/claim) and ranks #4 of 6 in-state (40th percentile). That statewide rank indicates modest Medicaid market share for this specific transforaminal epidural service despite high national Medicare volumes for the same code.
The facility’s service mix includes smaller but meaningful non-spine procedures, indicating some multispecialty throughput: examples include 22612 (spinal fusion) at $310.9K (7.0% of Medicare revenue) and colonoscopy polypectomy 45385 at $126.4K (2.9% of Medicare revenue). These secondary revenue lines suggest the ASC supports both interventional pain/neurosurgical implants and some general surgical or GI endoscopy cases, but they are secondary to the core spine/pain suite.
Multiple individual codes are labeled as statistical outliers or notably above typical national volume, reinforcing the specialty concentration: examples include 64635 (99th percentile, "extreme outlier"), 64493 (99th percentile, "extreme outlier"), 64490 (100th percentile, "extreme outlier"), 62321 (99th percentile, "extreme outlier"), and 36590 (99th percentile, "extreme outlier"). The repeated pattern of high-percentile rankings across imaging-guided pain procedures and device-related codes supports characterization of the center as a high-volume regional/national specialist for these services.
The provider has been enumerated since 2018-11-08 (~8 years ago), giving it several years of billing history to establish the concentrated spine/pain service line evident in the Medicare data. Given that tenure, the current high concentration and national ranks likely reflect an intentional specialty positioning rather than a very recent change in practice profile.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
44 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… | 70 | $17,810 | $1.2M |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 280 | $3,690 | $1M |
| 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). | 1,430 | $270 | $384.9K |
| 22612 | The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone… | 30 | $11,960 | $310.9K |
| 64555 | A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a… | 60 | $4,210 | $248.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 350 | $480 | $170.6K |
| 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… | 560 | $250 | $141K |
| 0775T | N/A | 10 | $10,240 | $133.2K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 300 | $430 | $126.4K |
| 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)… | 330 | $240 | $78.5K |
Showing 1–10 of 44
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
44 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 0775T | 1 | 10 | 10 | $10,240 | $133.2K |
| 64555 | 1 | 10 | 50 | $2,510 | $128.1K |
| 63650 | 1 | 30 | 50 | $1,500 | $103.7K |
| 63685 | 1 | 30 | 20 | $4,800 | $100.8K |
| 22612 | 16 | 40 | 30 | $1,720 | $56.9K |
| 0275T | 5 | 10 | 20 | $1,720 | $46.5K |
| 14301 | 14 | 10 | 20 | $880 | $35K |
| 64483 | 1 | 80 | 110 | $170 | $27K |
| 45385 | 5 | 160 | 60 | $260 | $23.7K |
| 15823 | 9 | 30 | 30 | $500 | $21.1K |
Showing 1–10 of 44
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 |
|---|---|---|---|---|
| 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). | 120 | $50 | $5.7K |
How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kansas median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 4 | 10 | 180 | $90 | $21.6K |
Other providers in the same ZIP code as Ku Medwest Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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