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NPI 1487039517 · Lees Summit, MO · Ambulatory Surgical Clinic/Center
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Kc Pain Asc, LLC is a ambulatory surgical clinic/center provider located in Lees Summit, Missouri. This profile covers 15 Medicare and 2 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 | Kc Pain Asc, LLC |
| Address | 200 Ne Missouri Rd |
| City | Lees Summit |
| State | MO |
| ZIP | 64086 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 30, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $12.5K |
KC PAIN ASC, LLC operates as an Ambulatory Surgical Clinic/Center in LEES SUMMIT, MO and its Medicare billing profile is dominated by interventional pain and neuromodulation procedures. The top Medicare codes — 63685, 63650, and 64555 — represent implantation and placement of neurostimulators and epidural electrodes, indicating the ASC is configured to perform surgical device implantation alongside image-guided spinal procedures.
Medicare revenue is concentrated: the practice reported $2.5M in total Medicare revenue and its top 3 Medicare codes account for 71.0% of that Medicare revenue. Individually, 63685 generated $911K (37.0%), 63650 generated $625.7K (25.4%), and 64555 generated $211.1K (8.6%), showing a heavy dependence on neurostimulation-related services for Medicare income.
On competitive standing for key device codes, KC PAIN ASC ranks well above peers nationally for several high-value services. 63685 ranks #65 of 1281 providers nationally (95th percentile; notably above typical national volume for this code) and 63650 ranks #41 of 1371 providers nationally (97th percentile; notably above typical national volume for this code), while 64555 ranks #40 of 211 providers nationally (81th percentile; typical, unremarkable volume for this code).
Although the ASC bills a variety of image-guided injection procedures, several injection codes also show unusually high national volume relative to peers. Codes such as 64483 (535 claims, $152.5K revenue; ranks #160 of 8202 providers nationally, 98th percentile; notably above typical national volume for this code), 64493 (374 claims, $95.4K revenue; ranks #129 of 7519 providers nationally, 98th percentile; extreme outlier), and 62323 (373 claims, $89.9K revenue; ranks #180 of 7397 providers nationally, 98th percentile; notably above typical national volume for this code) point to a high-throughput practice model for epidural and facet-related injections.
Payer mix is highly Medicare-dominant: Medicare revenue of $2.5M vastly outweighs reported Medicaid revenue of $12.5K, so the facility is effectively single-payer in scale with Medicare as the primary revenue source. Medicaid receipts are de minimis in comparison, indicating limited Medicaid utilization or contracting at this ASC.
Medicaid billing is concentrated in a single procedure: 62323 accounts for 100.0% of the provider's total Medicaid revenue and appears as 182 claims with $12.6K revenue (ranks #21 of 53 providers in-state, 62th percentile; typical, unremarkable volume for this code). An administrative code, G8907, appears on the Medicaid file but shows $0 revenue, indicating little to no Medicaid-paid ancillary billing.
Several specific codes are labeled as statistical outliers compared with national peers, reinforcing a focused service line: 64635 (240 claims, $121.2K revenue) ranks #101 of 5957 providers nationally (98th percentile; extreme outlier) and both 64493 and 62321 likewise sit at very high percentiles for national volume (98th percentile labels). These outlier designations suggest the ASC performs certain image-guided neurolytic and injection procedures at volumes well above typical providers.
The provider has an established enrollment history with NPI enumeration on 2015-07-30 (~11 years ago), which—combined with concentrated revenue from neuromodulation and high-throughput spinal injection codes—suggests an established, specialized interventional pain ASC business model rather than a general outpatient surgical center.
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… | 50 | $18,590 | $911K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 170 | $3,620 | $625.7K |
| 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… | 50 | $4,140 | $211.1K |
| 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). | 540 | $290 | $152.5K |
| 0275T | N/A | 40 | $3,620 | $133.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 240 | $510 | $121.2K |
| 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… | 370 | $260 | $95.4K |
| 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)… | 370 | $240 | $89.9K |
| 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)… | 150 | $240 | $37.4K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 60 | $520 | $29K |
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 | 4 | 30 | 20 | $6,300 | $144.9K |
| 63650 | 3 | 30 | 50 | $1,480 | $112.4K |
| 64555 | 1 | 10 | 30 | $1,890 | $56.6K |
| 0275T | 6 | 20 | 30 | $1,650 | $49.6K |
| G0260 | 2 | 10 | 80 | $210 | $18.6K |
| 64483 | 1 | 130 | 60 | $150 | $13.1K |
| 64635 | 1 | 90 | 30 | $290 | $12.9K |
| 62323 | 5 | 140 | 60 | $120 | $11.9K |
| 64493 | 1 | 110 | 50 | $140 | $8.9K |
| 64633 | 2 | 40 | 20 | $290 | $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.
2 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)… | 180 | $70 | $12.6K |
| 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… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
2 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)… | 21 | 50 | 90 | $120 | $56.3K |
| 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… | 19 | 30 | 100 | $0 | $0 |
Other providers in the same ZIP code as Kc Pain Asc, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rediscover | MO | Community/Behavioral Health Agency | $0 | $213.9M |
| Children's Mercy-community Choice Pediatrics | MO | Pediatrics Physician | $0 | $9M |
| Saint Luke's Surgicenter - Lee's Summit | MO | Ambulatory Surgical Clinic/Center | $2.3M | $0 |
| David Fieleke | MO | Dermatology Physician | $823.2K | $0 |
| Sarah Foster | MO | Family Nurse Practitioner | $675.5K | $0 |
| Kevin Skelsey | MO | Ophthalmology Physician | $479.1K | $0 |
| Zhineng Yang | MO | Hematology & Oncology Physician | $413.4K | $6.9K |
| Gary Mcewen | MO | Dermatology Physician | $379.6K | $0 |
| Michael Hellman | MO | Orthopaedic Surgery Physician | $313K | $0 |
| Wesley Frevert | MO | Sports Medicine (Orthopaedic Surgery) Physician | $232.3K | $0 |
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