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NPI 1578918124 · Fargo, ND · Ambulatory Surgical Clinic/Center
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Center For Pain Medicine Surgery Center LLC is a ambulatory surgical clinic/center provider located in Fargo, North Dakota. This profile covers 13 Medicare and 0 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 | Center For Pain Medicine Surgery Center LLC |
| Address | 2401 41st St S Ste 102 |
| City | Fargo |
| State | ND |
| ZIP | 58104 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 2, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $0 |
CENTER FOR PAIN MEDICINE SURGERY CENTER LLC operates as an Ambulatory Surgical Clinic/Center in FARGO, ND and its Medicare billing profile is concentrated in interventional spine and neuromodulation procedures. The top revenue-driving codes are 27279 (sacroiliac joint fusion), 63685 (spinal neurostimulator pulse generator insertion/replacement), and 63650 (epidural electrode placement), which together point to a procedural practice that performs both minimally invasive spine surgery and device-based pain management.
Revenue concentration on Medicare is high: total Medicare revenue is $1.2M and the precomputed top-3 codes account for 67.2% of that Medicare revenue. Individually, 27279 generated $311.3K (25.8%), 63685 generated $276.8K (22.9%), and 63650 generated $223.5K (18.5%), indicating the business is heavily dependent on a small number of high-reimbursement procedural codes.
Payer mix is effectively single-payer: the provider reports $1.2M in Medicare revenue and none for Medicaid (no Medicaid billing on file), so analytics or contracting work should treat Medicare as the primary commercial exposure and recognize near-zero Medicaid footprint. This single-payer skew increases sensitivity to Medicare policy and reimbursement changes for spine and neuromodulation services.
Competitive standing by code is mixed. For 27279 the provider ranks #27 of 161 nationally (81th percentile; typical, unremarkable volume), suggesting relatively higher national placement for sacroiliac fusion despite the supplied label of typical volume, while 63685 ranks #662 of 1281 (42th percentile; typical, unremarkable volume) and 63650 ranks #385 of 1371 (71th percentile; typical, unremarkable volume), which together indicate modest national presence in neuromodulation and electrode placement.
There are specific procedure-level outliers to note: G0260 (injection procedure for sacroiliac joint) shows 248 claims, $230 avg paid/claim, $57K revenue (4.7%) and ranks #71 of 967 providers nationally (93th percentile; notably above typical national volume), signaling unusually high relative utilization of SI joint injections. By contrast, 62323 (lumbar/sacral epidural injection) also shows high claim count (226 claims) and ranks #535 of 7397 (93th percentile; typical, unremarkable volume), so some high-percentile codes are nevertheless characterized in the data as typical rather than exceptional.
The provider’s service mix extends beyond implants to image-guided and neurolytic procedures: notable billed codes include 64628 (basivertebral nerve ablation) with $96.8K revenue (8.0%), 64635 and 64633 (facet denervation) and multiple image-guided injection codes (64493, 64490, 62321, 64483). This blend of surgical implant work and repeatable injection/ablation services is consistent with an ASC model that combines episodic higher-reimbursement device cases with higher-volume, lower-reimbursement pain management visits.
Operational tenure is established but not long-standing: the NPI was enumerated on 2016-05-02 (~10 years ago). Given $1.2M in lifetime Medicare revenue and the concentration in a few high-value spine/neuromodulation codes, the entity presents as a small, specialized ASC with a focused service line rather than a broad multispecialty center.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 27279 | The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic… | 30 | $11,970 | $311.3K |
| 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 | $17,300 | $276.8K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 70 | $3,440 | $223.5K |
| 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. | 10 | $6,910 | $96.8K |
| 0275T | N/A | 20 | $3,370 | $70.8K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 250 | $230 | $57K |
| 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)… | 230 | $230 | $52K |
| 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… | 130 | $310 | $39.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 60 | $590 | $34.2K |
| 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… | 30 | $540 | $18.3K |
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.
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Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 2 | 10 | 20 | $7,780 | $140K |
| 27279 | 1 | 10 | 20 | $5,270 | $110.7K |
| 63650 | 2 | 10 | 50 | $1,470 | $79.3K |
| 64628 | 1 | 10 | 10 | $3,620 | $50.6K |
| G0260 | 1 | 10 | 100 | $220 | $27.9K |
| 0275T | 1 | 10 | 20 | $1,320 | $22.5K |
| 62323 | 8 | 20 | 160 | $110 | $22.3K |
| 64635 | 2 | 10 | 40 | $330 | $12.8K |
| 64483 | 11 | 10 | 40 | $140 | $9K |
| 64633 | 1 | 10 | 30 | $310 | $8.4K |
Showing 1–10 of 13
Other providers in the same ZIP code as Center For Pain Medicine Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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