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NPI 1629675285 · Little Rock, AR · Ambulatory Surgical Clinic/Center
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Orthoarkansas Spine Institute Procedure Center LLC is a ambulatory surgical clinic/center provider located in Little Rock, Arkansas. This profile covers 13 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 | Orthoarkansas Spine Institute Procedure Center LLC |
| Address | 800 Fair Park Blvd Ste 300 |
| City | Little Rock |
| State | AR |
| ZIP | 72204 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 7, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $273.8K |
Service-line profile: Billing is concentrated in interventional spine and pain-management procedures consistent with an Ambulatory Surgical Clinic/Center. The top billed services are targeted spinal injections and neurolytic/ablation procedures — examples include 64483 (transforaminal epidural injection), 64493 (lumbar/sacral paravertebral facet injection), 64635 (destruction of lower back joint nerve tissue), and 64628 (basivertebral nerve ablation) — indicating the center operates as a high-volume spine intervention clinic rather than a general surgical center.
Medicare revenue concentration: This facility reports $1.9M in total Medicare revenue with its top three Medicare codes accounting for 65.3% of that total. The three highest-revenue Medicare codes are 64483 ($662.2K, 34.7% of Medicare revenue), 64493 ($303.8K, 15.9%), and 64635 ($282.6K, 14.8%), showing heavy dependence on a narrow set of spine intervention services for Medicare income.
Medicaid revenue concentration: The provider reports $273.8K in total Medicaid revenue and its top three Medicaid codes account for 100.0% of Medicaid revenue. Medicaid billing is overwhelmingly dominated by 64483 ($235.2K, 85.6%), with 64493 ($31.9K, 11.6%) and 62321 ($7.6K, 2.8%) making up the remainder, which signals an effectively mono-line Medicaid case-mix centered on transforaminal epidural injections.
Payer mix and scale: The practice is Medicare-dominant in scale, reporting $1.9M in Medicare revenue versus $273.8K in Medicaid revenue, while still maintaining Medicaid activity focused on the same spine-injection services. Analysts should view Medicaid as a secondary payer stream for this facility with concentrated service overlap rather than a separate service line.
National competitive standing on Medicare: For several core codes the center is a national outlier — 64483 and 64493 both rank #2 nationally and are labeled extreme outlier (100th percentile), and 64635 ranks #5 nationally (100th percentile). Additional codes such as 62321 (rank #8 of 4493, 100th percentile) and 64490 (rank #26 of 3759, 99th percentile) reinforce that this provider achieves much higher-than-typical national volumes across multiple spine injection and facet/neurolytic procedures.
State competitive standing on Medicaid: Within Arkansas the provider is a dominant in-state performer for transforaminal epidural injections: 64483 ranks #1 of 19 providers in-state (100th percentile; extreme outlier). By contrast, 64493 ranks #20 of 43 in-state (55th percentile; typical, unremarkable volume), indicating state-level dominance is concentrated in a single high-volume Medicaid service.
High-cost procedure mix and margin implications: The presence of high average paid-per-claim services such as 64628 ($7145 avg paid/claim, $228.6K revenue, 12.0% of Medicare revenue) and 0275T ($3488 avg paid/claim, $146.5K revenue, 7.7% of Medicare revenue) suggests the center performs higher-cost, procedure-driven spine interventions in addition to high-volume injections. While 64628’s rank (#41 of 247, 83th percentile) is described as typical, unremarkable volume nationally, its per-claim reimbursement elevates its revenue impact relative to claim count.
Tenure and operational footprint: The NPI was enumerated on 2020-10-07 (~6 years ago) and the facility is located in Little Rock, AR, operating under the Ambulatory Surgical Clinic/Center taxonomy. Despite relatively recent enumeration, the center has already established high national and in-state volumes for core interventional spine codes, indicating rapid scale-up in a focused service niche.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 2,480 | $270 | $662.2K |
| 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… | 1,250 | $240 | $303.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 600 | $470 | $282.6K |
| 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. | 30 | $7,150 | $228.6K |
| 0275T | N/A | 40 | $3,490 | $146.5K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 280 | $230 | $63.5K |
| 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… | 250 | $260 | $63.2K |
| 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… | 80 | $600 | $47.7K |
| 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). | 130 | $290 | $38K |
| 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)… | 160 | $230 | $37.2K |
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.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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 |
|---|---|---|---|---|
| 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). | 1,990 | $120 | $235.2K |
| 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… | 270 | $120 | $31.9K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 70 | $100 | $7.6K |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas 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… | 20 | 40 | 190 | $120 | $138.6K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 7 | 10 | 160 | $150 | $49.5K |
| 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). | 1 | 20 | 80 | $120 | $29.1K |
Other providers in the same ZIP code as Orthoarkansas Spine Institute Procedure Center LLC, ranked by combined Medicare and Medicaid revenue.
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