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

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

Woodward Ave., LLC (NPI 1568752202)

Key Findings

Field	Value
Entity Type	Organization
Organization	Woodward Ave., LLC
Address	9920 W Cheyenne Ave
City	Las Vegas
State	NV
ZIP	89129
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 14, 2011

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Service-line profile: The provider’s Medicare code mix is dominated by spinal implant and spinal cord stimulation procedures — notably 63685, 63655, and 63650 — which, together with high counts of epidural and facet injection codes, indicate an ambulatory surgical clinic structured around interventional pain management and device implantation rather than primary ambulatory procedures. Supporting codes such as 64483, 64635, 64493 and 64479 show a consistent suite of image-guided injections and neurolytic ablations that align with a specialty pain practice.

Revenue concentration: WOODWARD AVE., LLC reports $1.8M in lifetime Medicare revenue and its top three Medicare codes (63685, 63655, 63650) account for 75.2% of that Medicare revenue, demonstrating a high dependence on a small set of high-value spinal procedures for the bulk of billing. This concentration suggests that changes in reimbursement or utilization for these codes would have outsized impact on the practice’s revenue.

Payer mix and market exposure: The entity appears effectively single-payer at the claims level — Medicare revenue of $1.8M is on file while there is no Medicaid billing on file — which concentrates commercial and operational risk around Medicare reimbursement patterns and limits visibility into Medicaid volumes or access. For contracting and network strategy, analysts should treat the practice as Medicare-centric unless additional payer data emerges.

Competitive standing for implant procedures: For the highest-revenue implant code 63685 the provider ranks #127 of 1281 nationally (89th percentile) and is described as having “typical, unremarkable volume” for that code; similar characterizations hold for 63655 (rank #54 of 245, 75th percentile) and 63650 (rank #440 of 1371, 67th percentile). In plain terms, the clinic performs these device procedures at a measurable but not market-leading level nationally — a credible regional operator for implants but not a dominant national center.

High-volume outpatient pain services: Several injection and ablation codes are far above typical national volume — 64483 ranks #232 of 8202 (97th percentile, notably above typical), 64635 ranks #233 of 5957 (96th percentile, notably above typical), and 64493 and 64479 each rank in the 95th percentile (notably above typical). These high percentiles indicate the clinic delivers a heavy throughput of image-guided injections and neuroablative procedures, consistent with a busy interventional pain service line that likely generates recurring patient visits.

Procedure-level economics: The top implant codes carry high per-claim payments that drive revenue concentration — 63685 reports $21095 avg paid/claim, 63655 reports $15380 avg paid/claim, and 63650 reports $4210 avg paid/claim — which, combined with the claims counts on file, explains why a few codes produce most of the $1.8M Medicare total. Analysts should note that high average paid/claim for implants amplifies the financial impact of utilization changes in those codes.

Breadth of services and lower-revenue items: In addition to high-value implants and high-throughput injections, the provider bills lower-revenue items such as 64490 (85 claims, $287 avg paid/claim, $24.4K revenue, 1.4%) and G0260 (44 claims, $237 avg paid/claim, $10.4K revenue, 0.6%), indicating a mix of both high-margin device procedures and lower-margin injection visits that together comprise the operational footprint. This range suggests some diversification of service types despite the heavy revenue concentration in three implant codes.

Tenure and operational stability: The NPI was enumerated on 2011-04-14 (~15 years ago), indicating an established clinic history in the market; combined with the concentrated Medicare revenue pattern and strong volumes in image-guided injections/ablations, this tenure supports the view of a stable, specialty-focused ambulatory surgical center oriented to Medicare-funded interventional pain and spinal device care.

Medicare: Complete Services Breakdown

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

10 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…	40	$21,100	$780.5K
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…	20	$15,380	$323K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	60	$4,210	$252.6K
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).	470	$320	$149.4K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	180	$730	$126.9K
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…	240	$290	$68.3K
64479	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 cervical or thoracic).	110	$320	$36.2K
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…	40	$730	$31.3K
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…	90	$290	$24.4K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	40	$240	$10.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Nevada Specialty Prada, PLLC	NV	Pediatric Dentistry	$0	$35.5M
Stephen Dubin	NV	Family Medicine Physician	$33.2M	$0
Everyday Miracles	NV	Attendant Care Provider	$0	$10.8M
Sherman Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.3M
Carla Lalande Dmd Msd PC	NV	Dental Clinic/Center	$0	$4.9M
Healing Touch Home Care LLC	NV	In Home Supportive Care Agency	$0	$4.1M
Frontier Dialysis, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
Nephrology & Endocrine Associates Inc	NV	Ambulatory Surgical Clinic/Center	$1.7M	$1.4M
Southwest Healthcare Solutions, LLC	NV	Home Health Agency	$0	$2.7M
Dana Forte D O Ltd	NV	Family Medicine Physician	$0	$2.2M

Woodward Ave., LLC — Billing Profile & Reimbursement Data

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Woodward Ave., 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	2	20	20	$9,360	$224.7K
63650	5	30	40	$2,380	$109.4K
63655	1	10	20	$6,050	$90.7K
64635	5	80	40	$440	$25.2K
64483	1	100	60	$230	$20.3K
64493	4	80	50	$210	$17.1K
64633	8	30	30	$450	$16.2K
G0260	5	10	40	$250	$15.1K
64479	2	30	40	$240	$12.7K
64490	8	50	30	$220	$10.5K