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NPI 1477178879 · Fayetteville, AR · Ambulatory Surgical Clinic/Center
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Surgcenter Of Fayetteville, LLC is a ambulatory surgical clinic/center provider located in Fayetteville, Arkansas. This profile covers 21 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 | Surgcenter Of Fayetteville, LLC |
| Address | 1905 E Mission Blvd Ste 5 |
| City | Fayetteville |
| State | AR |
| ZIP | 72703 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 11, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.1M |
| Medicaid | $19.8K |
Scale and payer mix: SURGCENTER OF FAYETTEVILLE reports $3.1M in lifetime Medicare revenue versus $19.8K in lifetime Medicaid revenue, indicating Medicare is the overwhelmingly dominant payer for this facility and Medicaid is effectively a very small share of overall billing. The provider therefore functions operationally as a Medicare-focused ambulatory surgical clinic/center rather than a Medicaid-dependent entity.
Revenue concentration on a narrow set of Medicare services: the provider’s top three Medicare codes account for 82.3% of its total Medicare revenue, driven primarily by high-revenue spinal/neurostimulation procedures. This concentration signals a focused service line where a small number of complex interventions produce the majority of Medicare receipts.
Neuromodulation specialization at scale: code 63685 (spinal neurostimulator pulse generator insertion) alone generates $1.4M in Medicare revenue (45.9% of the provider’s Medicare revenue) with an average paid per claim of $18029, and the provider ranks #16 of 1281 nationally (99th percentile; extreme outlier). That combination of high average allowance and top-tier national rank indicates the ASC is performing a large volume of high-value device implant procedures relative to peers.
Complementary high-volume neurostimulation activity: code 63650 (epidural electrode placement) contributes $899.1K (29.4% of Medicare revenue) at $3568 avg paid/claim and ranks #13 of 1371 nationally (99th percentile; extreme outlier). Together with 63685, the presence of both electrode placement and generator implantation implies an integrated neuromodulation care pathway performed on-site, consistent with a center that handles both lead placement and device implantation.
Significant procedural spine/injection volume across payers: transforaminal epidural injection 64483 accounts for $214.5K (7.0% of Medicare revenue) and ranks #53 of 8202 nationally (99th percentile; extreme outlier) on Medicare, and the same code represents $19.7K (100.0% of this provider’s total Medicaid revenue) on Medicaid where it ranks #4 of 19 in-state (83th percentile; typical, unremarkable volume). This shows the practice delivers high volumes of image-guided spinal injections to Medicare patients and also bills that same injection code to Medicaid, though Medicaid revenue remains small in absolute terms.
Broader interventional and orthopedic mix beyond neuromodulation: additional codes with notable standing include 28750 (metatarsophalangeal joint fusion) at $95K and ranked #10 of 311 nationally (97th percentile; notably above typical), and 64635 (destruction of lower back joint nerve tissue) at $83.1K ranked #303 of 5957 (95th percentile; notably above typical). These entries suggest the center also provides a mix of foot/orthopedic and other spine ablation procedures that supplement its core neuromodulation business.
Operational capabilities implied by code mix and unit values: high average paid/claim values for device implantation (e.g., $18029 for 63685) and the presence of imaging/fluoroscopy codes (76000 reported) indicate the ASC has operating-room level and imaging guidance capacity required for complex spinal implants and interventional pain procedures. The combination of high-value device work and imaging-dependent injections supports an ASC model built for advanced spine/interventional pain services rather than only low-acuity ambulatory procedures.
Tenure and growth signal: the NPI was enumerated on 2020-06-11 (~6 years ago), so the facility is relatively recent but has already achieved top-tier national ranks on multiple high-complexity Medicare codes. That rapid emergence into the 99th-percentile ranks for procedures like 63685 and 63650 suggests concentrated growth in a specialized service line rather than a long-established, broadly diversified outpatient surgical practice.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 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… | 80 | $18,030 | $1.4M |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 250 | $3,570 | $899.1K |
| 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). | 830 | $260 | $214.5K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 30 | $3,070 | $95K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 160 | $530 | $83.1K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 40 | $1,840 | $71.8K |
| 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… | 260 | $250 | $64.5K |
| 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… | 20 | $2,280 | $43.3K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 20 | $2,160 | $32.4K |
| 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)… | 130 | $240 | $29.5K |
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 1 | 20 | 20 | $6,330 | $152K |
| 63650 | 1 | 20 | 60 | $1,620 | $121.7K |
| 64635 | 10 | 90 | 70 | $350 | $29.5K |
| 28750 | 1 | 10 | 30 | $1,250 | $28.8K |
| 64483 | 2 | 70 | 50 | $180 | $28.2K |
| 64493 | 7 | 100 | 70 | $170 | $18.3K |
| 29827 | 3 | 50 | 20 | $780 | $16.5K |
| 63047 | 32 | 50 | 20 | $610 | $14.6K |
| 62323 | 55 | 90 | 60 | $130 | $13.1K |
| 64721 | 12 | 50 | 30 | $360 | $13K |
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Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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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). | 250 | $80 | $19.7K |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas 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 | 20 | 80 | $120 | $29.1K |
Other providers in the same ZIP code as Surgcenter Of Fayetteville, LLC, ranked by combined Medicare and Medicaid revenue.
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