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    OpenPayerNPI Medicare & MedicaidOklahoma Spine Surgery Center
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    Oklahoma Spine Surgery Center — Billing Profile & Reimbursement Data

    NPI 1609465269 · Oklahoma City, OK · Ambulatory Surgical Clinic/Center

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    Oklahoma Spine Surgery Center is a ambulatory surgical clinic/center provider located in Oklahoma City, Oklahoma. This profile covers 9 Medicare and 2 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)

    FieldValue
    Entity TypeOrganization
    OrganizationOklahoma Spine Surgery Center
    Address13313 N Meridian Ave Ste B
    CityOklahoma City
    StateOK
    ZIP73120
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 18, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$6.8M
    Medicaid$708.6K

    Key Findings

    OKLAHOMA SPINE SURGERY CENTER is classified as an Ambulatory Surgical Clinic/Center and its top billed services are implantable neuromodulation and intrathecal delivery procedures. The Medicare top codes (63685, 63650, 62362) correspond to spinal neurostimulator pulse generator insertion/replacement, epidural electrode placement, and implantable programmable pumps, indicating the center operates as a specialized spine/neurostimulation implant practice rather than a broad ambulatory surgery mix.

    Medicare revenue is highly concentrated: the provider reports $6.8M in total Medicare revenue and the precomputed top-3 Medicare codes account for 93.2% of that Medicare revenue. Within that concentration, 63685 represents $3.8M (56.3% of Medicare revenue) and 63650 represents $2.3M (34.0%), with 62362 contributing $200.8K (3.0%).

    Medicaid billing is exclusively driven by two neuromodulation codes: the practice reports $708.6K in total Medicaid revenue and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue. For Medicaid specifically, 63650 accounts for $491.7K (69.4%) and 63685 accounts for $217K (30.6%), indicating the same neuromodulation focus across payers.

    The payer mix is heavily Medicare-weighted in scale: lifetime Medicare revenue of $6.8M far exceeds lifetime Medicaid revenue of $708.6K, making Medicare the dominant source of billed dollars for this center. This scale disparity suggests operational dependence on Medicare patient volumes and reimbursement for financial performance.

    OKLAHOMA SPINE SURGERY CENTER is a national leader for its two highest-revenue Medicare procedures: 63650 ranks #1 of 1371 providers nationally (100th percentile; extreme outlier) and 63685 ranks #2 of 1281 providers nationally (100th percentile; extreme outlier). By contrast, related services such as 62362 rank #29 of 138 providers (74th percentile; typical), indicating exceptional dominance specifically in spinal cord stimulation implantation and trial volume rather than across all implantable pain-device procedure codes.

    On the Medicaid side the practice is the sole in-state reporter for its two top codes (63650 and 63685 each rank #1 of 1 providers in-state), so there is no in-state peer volume distribution for benchmarking. That lack of state peer comparison should be interpreted as absence of comparable publicly reported Medicaid volume in-state rather than evidence about clinical practice patterns relative to local competitors.

    The provider’s NPI was enumerated 2021-01-18 (~5 years ago), so the high national ranks for 63650 and 63685 were achieved within a relatively short operational window. This rapid emergence to top-ranked volume for specialized neuromodulation procedures suggests focused service-line buildout or referral capture since enumeration.

    Revenue concentration around neuromodulation is operationally and reimbursement-sensitive: with 93.2% of Medicare revenue and 100.0% of Medicaid revenue driven by a very small set of implant/device codes, changes in utilization, device availability, or payer policy for 63685 and 63650 could materially affect topline performance. Analysts should monitor claim counts and payer-level payment trends for 63685 and 63650 to track financial and utilization stability.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The 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…220$17,800$3.8M
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.650$3,560$2.3M
    62362The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as…20$9,560$200.8K
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…10$14,180$198.5K
    64555A 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…40$4,100$155.8K
    63663The provider revises and or replaces a previous placed permanent percutaneous electrode array for spinal cord stimulation. This service includes fluoroscopy when necessary. This procedure is…20$2,970$47.5K
    63688The provider revises or removes a spinal neurostimulator pulse generator or receiver. The system is one that has a detachable connection between the electrode array and the pulse generator or…20$1,330$28K
    62350The provider implants, replaces, or repositions a previously implanted and tunneled intrathecal or epidural catheter. This procedure does not include a laminectomy. This service is done to instill…10$1,220$17.1K
    63661The provider removes one or more spinal neurostimulator electrode percutaneous arrays. The provider may use fluoroscopy to guide the procedure.20$630$11.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368513020$7,450$238.5K
    6365013070$1,510$158.8K
    64590183020$4,440$88.8K
    6455551040$1,970$82.7K
    6366311020$2,970$47.5K
    6236211020$2,490$42.4K
    6368811020$880$15.9K
    6235031020$500$7.5K
    6366111020$420$6.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.110$4,350$491.7K
    63685The 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$8,350$217K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oklahoma median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.110110$4,350$491.7K
    63685The 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…11030$8,340$217K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Clinic Oklahoma CommunitiesOKFamily Medicine Physician$0$45.4M
    Mercy Hospital Oklahoma City, IncOKGeneral Acute Care Hospital$0$14.2M
    Osu Center For Health SciencesOKClinic/Center$0$11.6M
    The Perinatal Center, PLLCOKMaternal & Fetal Medicine Physician$0$7.6M
    Childrens Eye Care P L L COKOphthalmology Physician$0$5.8M
    Marquis Labs, LLCOKClinical Medical Laboratory$718.2K$4.8M
    Beacon Pointe, LLCOKCommunity/Behavioral Health Agency$0$3.5M
    Ohh Physicians, LLCOKCardiovascular Disease Physician$0$3.4M
    Caring Home Health Agency IncOKHome Health Agency$0$2.8M
    Okc Dental Health Associates, P.C.OKGeneral Practice Dentistry$0$2.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Oklahoma Spine Surgery Center — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma
    Medicaid Revenue by Year vs. Oklahoma Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Oklahoma Spine Surgery Center — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma