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

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

NPI Surgery Center LLC (NPI 1578208435)

Field	Value
Entity Type	Organization
Organization	NPI Surgery Center LLC
Address	7350 Willowbrook Ln Ste 100
City	Lincoln
State	NE
ZIP	68516
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 4, 2022

Payer Source	Total Paid
Medicare	$834.5K
Medicaid	$0

Key Findings

NPI SURGERY CENTER LLC is an ambulatory surgical clinic/center in LINCOLN, NE with an NPI enumerated date of 2022-05-04 (~4 years ago). Its lifetime Medicare revenue on file is $834.5K and it has no Medicaid billing on file, making its recorded business effectively single-payer (Medicare) in scale.

The provider’s code mix points to a focused interventional pain and neuromodulation practice: the leading procedures are 63685 (spinal neurostimulator pulse generator implantation), 63650 (placement of epidural electrodes), and 64635 (neurolysis of a lower back joint). These codes imply the center performs device-based implant procedures, trial/lead placements and radiofrequency or chemical neurolytic interventions consistent with a specialized pain/neuromodulation service line.

Revenue is highly concentrated: the top 3 Medicare codes account for 86.8% of this provider’s total Medicare revenue, with 63685 contributing 38.7%, 63650 contributing 35.3%, and 64635 contributing 12.7%. This concentration signals dependence on a small set of high-revenue procedures rather than a broad mix of outpatient services.

Competitive standing varies by code. For 63685 the provider ranks #590 of 1281 (48th percentile; typical, unremarkable volume for this code), indicating a modest national presence for pulse-generator implantation. For 63650 it ranks #258 of 1371 (81th percentile; typical, unremarkable volume for this code), showing relatively higher procedural volume versus peers. For 64635 it ranks #256 of 5957 (96th percentile; notably above typical national volume for this code), marking this code as a clear area of above-typical activity and a potential differentiator.

Operational implications of the service mix include requirements for operating-room capability, device inventory and vendor relationships to support spinal neurostimulator implantation and lead placement. The reliance on device-driven and technologic procedures can drive higher average payments per claim (e.g., 63685 and 63650 have materially larger avg paid/claim values reflected in the revenue shares) and also concentrate reimbursement risk if those specific codes or device reimbursement change.

Payer mix is effectively single-payer with Medicare only on file; the practice reports no Medicaid billing (none). That absence of Medicaid activity reduces diversification of revenue sources and may limit access to dual-payer contracting opportunities common for centers that treat a broader commercial/Medicaid mix.

Other billed codes contribute smaller portions of revenue but clarify service breadth: 0275T accounts for $70.4K (8.4% of Medicare revenue) and ranks #311 of 597 (45th percentile; typical), 64633 accounts for $27.3K (3.3%) and ranks #408 of 2262 (81th percentile; typical), 64624 accounts for $11.5K (1.4%) and ranks #281 of 521 (41th percentile; typical), and 64640 is a minimal contributor at $1.2K (0.1%) and ranks #556 of 619 (8th percentile; typical). These entries reinforce a concentrated but technically varied interventional pain portfolio.

Given the NPI tenure (~4 years) and the provider’s concentrated Medicare revenue of $834.5K, the pattern suggests a relatively young, specialized center that has achieved notable national standing on select interventional pain codes (especially 64635) while remaining modest in overall Medicare scale. Analysts should treat the practice as a niche neuromodulation/pain operator with concentrated code risk and limited Medicaid exposure when benchmarking competitive positioning or projecting payer impact.

Medicare: Complete Services Breakdown

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

7 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	$19,010	$323.2K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	80	$3,780	$294.8K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	170	$640	$106.1K
0275T	N/A	20	$3,710	$70.4K
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…	40	$650	$27.3K
64624	The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it…	20	$640	$11.5K
64640	Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.	20	$70	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

NPI Surgery Center LLC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	4	10	20	$8,770	$157.9K
63650	2	10	40	$2,120	$101.9K
0275T	9	20	20	$2,280	$57K
64635	2	40	40	$360	$19.6K
64633	2	20	20	$350	$9.8K
64640	9	10	110	$70	$8.5K
64624	3	10	20	$200	$6K

Nearby Providers

Other providers in the same ZIP code as NPI Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melvin Churchill	NE	Rheumatology Physician	$4.8M	$0
Lincoln Radiology Group PC	NE	Diagnostic Radiology Physician	$0	$4.5M
Elite Professionals Home Care LLC	NE	Home Health Agency	$0	$4.2M
Rick Chatwell	NE	Rheumatology Physician	$3.5M	$0
Lincoln Pediatric Group LLC	NE	Pediatrics Physician	$0	$2.3M
Scott Mcham	NE	Hematology & Oncology Physician	$1.9M	$0
Nebraska House Call Physicians, P.C.	NE	Internal Medicine Physician	$0	$1.7M
Steven Dunder	NE	Hematology & Oncology Physician	$1.7M	$0
Urology Surgical Center LLC	NE	Ambulatory Surgical Clinic/Center	$1.4M	$190.5K
Wallace Peterson	NE	Hematology & Oncology Physician	$1.5M	$0

NPI Surgery Center LLC — Billing Profile & Reimbursement Data

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NPI Surgery Center 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