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NPI 1588254791 · Lafayette, IN · Ambulatory Surgical Clinic/Center
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Lafayette Surgery Center LLC is a ambulatory surgical clinic/center provider located in Lafayette, Indiana. This profile covers 12 Medicare and 3 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 | Lafayette Surgery Center LLC |
| Address | 3738 Landmark Dr Ste C |
| City | Lafayette |
| State | IN |
| ZIP | 47905 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 21, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $19.3K |
LAFAYETTE SURGERY CENTER LLC’s Medicare revenue is heavily driven by implantable neurostimulation and related procedures: 63685 generated $627.4K (41.7% of Medicare revenue), 63650 generated $430.4K (28.6%), and 64555 generated $292.7K (19.4%). Together these three CPTs account for 89.7% of the provider’s total Medicare revenue, indicating the ASC’s operations are concentrated on surgical neurostimulator implantation and electrode placement rather than broad outpatient surgical services.
The Medicaid billing profile is narrowly concentrated into a small set of interventional spine procedures: 62323 produced $10.3K (53.7%), 64493 produced $7.4K (38.4%), and 64494 produced $1.5K (7.9%). Those top three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, showing the provider’s Medicaid activity is almost entirely composed of image-guided spinal injection services.
Payer mix is sharply Medicare-dominant: Total Medicare revenue is $1.5M versus Total Medicaid revenue of $19.3K, so the provider’s book of business is effectively driven by Medicare patients and procedures. Medicaid represents a very small absolute share of billed revenue and does not appear to be a material portion of overall volume.
National competitive standing on the core Medicare implant codes is above median but characterized as within typical ranges: 63685 ranks #167 of 1281 providers (86th percentile; typical, unremarkable volume), 63650 ranks #121 of 1371 (91th percentile; typical, unremarkable volume), and 64555 ranks #26 of 211 (87th percentile; typical, unremarkable volume). These ranks indicate the ASC performs implant-focused procedures at volumes higher than many peers nationally, but the data labels these volumes as typical rather than extreme outliers.
State-level competitive position for the provider’s Medicaid services is modest. For key Medicaid codes the provider ranks around the middle to lower half of in-state peers (62323 #49 of 83, 40th percentile; 64493 #36 of 73, 51th percentile; 64494 #36 of 66, 46th percentile), suggesting it is a moderate participant in the state market for image-guided spinal injections rather than a dominant Medicaid provider.
Several other Medicare codes reflect lower or routine volumes compared with peers: 0275T ranks #558 of 597 (0th percentile; typical, unremarkable volume) and commonly billed injection codes such as 64483 and 64490 sit in mid-to-lower percentiles nationally (34th and 42th percentiles respectively). This pattern reinforces a narrow, procedure-focused practice profile with few high-volume ancillary services.
The provider’s NPI was enumerated on 2021-01-21 (~5 years ago), indicating relatively recent enrollment compared with longer-established centers. Given the short tenure and the concentrated code mix, the entity appears to have developed a specialized ambulatory surgical center model focused quickly on neurostimulation and targeted spine procedures.
Revenue concentration and code mix imply operational specialization: the preponderance of high-revenue implant codes on Medicare and concentrated injection codes on Medicaid point to an ASC that prioritizes device implantation and pain-management interventions over a broad mix of outpatient surgeries. For payers and network planners, this indicates the facility is a specialist resource for neurostimulator implantation and interventional spine care rather than a generalist ambulatory surgical partner.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 30 | $18,450 | $627.4K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 120 | $3,710 | $430.4K |
| 64555 | A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a… | 70 | $4,300 | $292.7K |
| 0275T | N/A | 10 | $3,710 | $40.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 40 | $630 | $27.9K |
| 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)… | 90 | $250 | $21.3K |
| 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… | 80 | $260 | $21.2K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 80 | $220 | $17.4K |
| 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). | 40 | $290 | $11.1K |
| 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… | 30 | $260 | $7.6K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 5 | 50 | 20 | $8,700 | $174.1K |
| 64555 | 3 | 10 | 50 | $2,650 | $135.1K |
| 63650 | 4 | 50 | 50 | $1,870 | $110.5K |
| 0275T | 16 | 20 | 20 | $2,530 | $55.6K |
| 64483 | 131 | 190 | 60 | $180 | $17.8K |
| G0260 | 14 | 30 | 70 | $210 | $16.7K |
| 64635 | 56 | 150 | 30 | $360 | $16.1K |
| 64493 | 42 | 180 | 50 | $180 | $12.2K |
| 62323 | 59 | 190 | 50 | $150 | $10.8K |
| 64490 | 45 | 90 | 30 | $190 | $6.7K |
Showing 1–10 of 12
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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)… | 70 | $160 | $10.3K |
| 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… | 100 | $80 | $7.4K |
| 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… | 90 | $20 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 36 | 70 | 90 | $120 | $62K |
| 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)… | 49 | 80 | 80 | $160 | $45.3K |
| 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… | 36 | 70 | 110 | $40 | $21.5K |
Other providers in the same ZIP code as Lafayette Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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