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NPI 1528553559 · Plattsburgh, NY · Ambulatory Surgical Clinic/Center
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Surgical Pain Center Of The Adirondacks, LLC is a ambulatory surgical clinic/center provider located in Plattsburgh, New York. This profile covers 13 Medicare and 11 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 | Surgical Pain Center Of The Adirondacks, LLC |
| Address | 470 Tom Miller Rd |
| City | Plattsburgh |
| State | NY |
| ZIP | 12901 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 22, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $930K |
| Medicaid | $225.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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… | 20 | $17,480 | $279.6K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 40 | $3,470 | $135.4K |
| 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. | 20 | $6,980 | $118.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 200 | $440 | $86.6K |
| 22869 | Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous… | 10 | $7,740 | $85.1K |
| 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… | 340 | $230 | $79.5K |
| 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)… | 160 | $220 | $35.7K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 120 | $260 | $31.2K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 110 | $230 | $25K |
| 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). | 80 | $280 | $22.4K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 9 | 20 | 20 | $5,140 | $87.4K |
| 63650 | 8 | 20 | 40 | $1,880 | $79.1K |
| 22869 | 5 | 10 | 10 | $4,670 | $70K |
| 64628 | 5 | 10 | 20 | $3,010 | $57.2K |
| G0260 | 7 | 20 | 60 | $230 | $24.2K |
| 64635 | 6 | 240 | 30 | $430 | $19.9K |
| 64483 | 141 | 410 | 50 | $220 | $17.9K |
| 62323 | 54 | 390 | 50 | $190 | $15.4K |
| 64633 | 8 | 60 | 20 | $440 | $13.3K |
| 64493 | 6 | 370 | 40 | $200 | $13.2K |
Showing 1–10 of 13
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 430 | $290 | $123.5K |
| 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)… | 160 | $310 | $49.5K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 90 | $290 | $25.7K |
| 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). | 60 | $320 | $18.4K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 10 | $250 | $3.2K |
| 77002 | The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to… | 20 | $150 | $2.4K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 40 | $40 | $1.5K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 40 | $30 | $1.4K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 10 | $0 | $0 |
| 64494 | In this add–on procedure, 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… | 100 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
11 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). | 73 | 120 | 130 | $230 | $104.1K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 17 | 30 | 70 | $290 | $87.9K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 17 | 40 | 80 | $350 | $83.4K |
| 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)… | 37 | 100 | 80 | $210 | $73.3K |
| 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… | 13 | 60 | 80 | $220 | $64.9K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 63 | 70 | 170 | $110 | $49.7K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 278 | 380 | 100 | $70 | $45.1K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 7 | 10 | 50 | $140 | $40.2K |
| 77002 | The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to… | 72 | 80 | 110 | $40 | $19.7K |
| 64494 | In this add–on procedure, 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… | 20 | 50 | 70 | $50 | $13K |
Showing 1–10 of 11
Other providers in the same ZIP code as Surgical Pain Center Of The Adirondacks, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | NY | General Acute Care Hospital | $0 | $35.9M |
| Champlain Valley Brace And Limb, L.L.C. | NY | Durable Medical Equipment & Medical Supplies | $0 | $21M |
| Roy Arogyasami | NY | Ophthalmology Physician | $4.7M | $1.1M |
| Plattsburgh Asc LLC | NY | Ambulatory Surgical Clinic/Center | $623.9K | $21.1K |
| Craig Hurwitz | NY | Nephrology Physician | $445K | $178.5K |
| Joseph Rini | NY | Ophthalmology Physician | $543K | $51.2K |
| Champlain Toxicology Lab, LLC | NY | Clinical Medical Laboratory | $228.2K | $269K |
| Afterhours Imaging, LLC | NY | Diagnostic Radiology Physician | $371.4K | $16.4K |
| Walgreen Co | NY | Pharmacy | $330.9K | $0 |
| Richard Webber | NY | Internal Medicine Physician | $278.6K | $10.6K |
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