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

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

Northwest Spine And Laser Surgery Center LLC (NPI 1578817078)

Field	Value
Entity Type	Organization
Organization	Northwest Spine And Laser Surgery Center LLC
Address	8995 Sw Miley Rd
City	Wilsonville
State	OR
ZIP	97070
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	November 5, 2012

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

The provider’s revenue mix shows a narrow specialty focus: three spinal cord stimulation and neurostimulator implantation codes (63650, 63685, 63655) drive the business. These three codes account for $293.4K, $280.8K, and $172.6K in Medicare revenue respectively and together comprise 74.1% of the provider’s total Medicare revenue, indicating an operation concentrated on device-based spinal pain interventions rather than broad multiservice ambulatory care.

Medicare revenue totals $1M while there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in scale. This concentrated payer exposure means revenue risk and growth are tied primarily to Medicare policy and beneficiary demand for spinal stimulation and related procedures.

Despite the high share of revenue from implantation codes, the provider does not appear to be a dominant national player for those services; reported comparisons list 63650 at rank #320 of 1371 (75th percentile) and labeled as "typical, unremarkable volume," 63685 at rank #904 of 1281 (21th percentile) labeled "typical, unremarkable volume," and 63655 at rank #210 of 245 (0th percentile) also labeled "typical, unremarkable volume." These rankings suggest modest national participation rather than market-leading volume for the top revenue-driving procedures.

Per-claim reimbursement is highly skewed toward the implantation procedures: 63685 has an average paid/claim of $21,603 and 63655 averages $15,692 per claim, while 63650 averages $4,191 per claim. By contrast, frequent injection services such as 64483 average $314 per claim, indicating that a relatively small number of high-reimbursement surgical/device claims generate the bulk of revenue.

Non-surgical pain-management activity is still present: 64483 appears with 319 claims and $100.2K revenue (9.9% of Medicare revenue) and ranks #501 of 8202 (94th percentile) with the label "typical, unremarkable volume." This suggests the center offers a meaningful volume of imaging-guided epidural injections alongside its implantation work, supporting a mixed model of surgical and interventional pain services.

The claim counts and mix imply an operational model combining episodic, high-reimbursement surgical implants with higher-frequency, lower-reimbursement injection visits. For example, the provider reported 70 claims for 63650 and only 13 claims for 63685, reflecting differing procedure frequencies even as those codes contribute large shares of revenue due to high per-claim payments.

No top-code entries are characterized as statistical outliers in the supplied labels; most top codes are explicitly described as "typical, unremarkable volume." Although percentile positions vary (up to the 94th percentile for 64483), the plain-English labels indicate the provider’s volumes fall within expected national ranges rather than representing extreme deviations.

The provider has an established presence in Medicare billing with an NPI enumerated on 2012-11-05 (~14 years ago), indicating multi-year tenure that supports continuity in this spine/pain-specialty billing profile.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	70	$4,190	$293.4K
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…	10	$21,600	$280.8K
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…	10	$15,690	$172.6K
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).	320	$310	$100.2K
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	$2,740	$57.5K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	60	$540	$32.6K
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).	80	$320	$24.9K
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…	80	$300	$24.9K
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)…	40	$290	$10.8K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	40	$250	$9.8K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Northwest Spine And Laser Surgery Center LLC — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	19	20	20	$11,390	$239.2K
63655	7	10	20	$7,140	$121.4K
63650	9	40	40	$2,140	$117.8K
64635	22	80	40	$430	$24K
G0260	13	20	60	$220	$23.9K
63047	39	70	20	$820	$23.9K
64483	5	100	50	$220	$19K
64493	28	90	50	$210	$16.9K
64479	4	20	30	$240	$9.9K
62323	29	60	40	$170	$8.8K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Synergy Medical Systems, LLC.	OR	Durable Medical Equipment & Medical Supplies	$0	$8.7M
Exiges Imaging, LLC	OR	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$227.4K	$239.4K
Shirley Hanley	OR	Family Nurse Practitioner	$292.3K	$0
Gabriel Currie	OR	Dermatopathology Physician	$175.3K	$0
Adam Abraham	OR	Occupational Therapist	$160K	$0
Costco Wholesale Corporation	OR	Community/Retail Pharmacy	$130.4K	$0
Michael Bevilacqua	OR	Vascular & Interventional Radiology Physician	$121.3K	$0
Benjamin Parker	OR	Physical Therapist	$95.5K	$0
Exiges Ultrasound, LLC	OR	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$26.8K	$41.4K
Brant Ullery	OR	Vascular Surgery Physician	$55.1K	$0

Northwest Spine And Laser Surgery Center LLC — Billing Profile & Reimbursement Data

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Northwest Spine And Laser 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