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NPI 1649534843 · Wasilla, AK · Ambulatory Surgical Clinic/Center
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Surgery Center Of Wasilla, LLC is a ambulatory surgical clinic/center provider located in Wasilla, Alaska. This profile covers 31 Medicare and 7 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 | Surgery Center Of Wasilla, LLC |
| Address | 3190 E Meridian Park Loop Ste 111 |
| City | Wasilla |
| State | AK |
| ZIP | 99654 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 2, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $316K |
Scale and payer mix: This ambulatory surgical clinic reports $2.8M in total Medicare revenue versus $316K in total Medicaid revenue, indicating Medicare is the dominant payer for the facility’s billed services. Medicaid activity is present but materially smaller in scale, so strategy and revenue risk are disproportionately tied to Medicare volumes and reimbursement.
Revenue concentration differences by payer: The provider’s top 3 Medicare codes by revenue account for 56.6% of its total Medicare revenue, while the top 3 Medicaid codes account for 90.6% of its total Medicaid revenue. This highlights a moderate concentration on Medicare and a very high concentration in Medicaid, where a few codes — particularly L8699 — drive most receipts.
Service-line footprint inferred from codes: The top Medicare codes (63685, 66984, 63650) and supporting codes (27447, 27130, 23430) indicate the ASC performs high-cost device and implant procedures (spinal neurostimulators and joint arthroplasties), routine ophthalmic lens implantation (cataract surgery), and orthopedic/arthroscopic procedures. High avg paid/claim values such as $21255 for 63685 and $7390 for 27447 are consistent with device-heavy, operating-room procedures rather than only minor outpatient interventions.
Medicare competitive standing: For neuromodulation and related spine procedures the provider appears to be a meaningful national participant: 63650 ranks #151 of 1371 providers nationally (89th percentile; typical, unremarkable volume) and 63685 ranks #217 of 1281 (82th percentile; typical, unremarkable volume). Cataract surgery (66984) similarly shows typical volume at the national level (rank #2850 of 15965, 82th percentile; typical, unremarkable volume), suggesting the ASC runs multiple established surgical lines at rates comparable to many peers.
Medicaid competitive standing and in-state dominance for pain procedures: On Medicaid the facility shows in-state strength for image-guided lumbar neurolytic procedures: 64635 ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume) and the add-on 64636 ranks #1 of 2 (100th percentile; typical, unremarkable volume). Administrative codes also show unusually high state documentation volume: G8907 is listed at 1.9K claims and is described as notably above typical state volume, indicating intensive reporting of the listed safety/discharge events relative to peers.
Concentration risk in Medicaid prosthetic billing: Medicaid revenue is heavily concentrated in L8699 (Prosthetic implant, not otherwise specified), which comprises $188.2K or 59.6% of the provider’s Medicaid revenue and is described as typical, unremarkable volume in-state. Because a single miscellaneous prosthetic code accounts for the majority of Medicaid receipts, the provider’s Medicaid revenue could be sensitive to payer-level edits or policy changes around L8699 billing and documentation.
Tenure and operational continuity: The NPI was enumerated on 2012-07-02 (~14 years ago), indicating the ASC has an established operating history in the market. That tenure supports the interpretation that the mix of device implants, ophthalmic procedures, and pain interventions represent sustained lines of business rather than a short-term fluctuation.
Differences in payer payment profiles and unit economics: Procedural reimbursements illustrate a disparity in unit economics across payers and services — for example, Medicare’s single largest-code contribution is 63685 at $637.7K in revenue with an avg paid/claim of $21255 (23.5% of Medicare revenue), whereas Medicaid’s largest single-code contribution is L8699 at $188.2K with an avg paid/claim of $1238 (59.6% of Medicaid revenue). This pattern points to Medicare funding of high-cost device procedures while Medicaid revenues are dominated by high-volume, lower-dollar prosthetic line items.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 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 | $21,260 | $637.6K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 520 | $930 | $482.7K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 100 | $4,140 | $418.1K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 50 | $7,390 | $354.7K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 30 | $7,970 | $247.2K |
| 23430 | In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.… | 40 | $3,540 | $130.9K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 40 | $1,590 | $62K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 100 | $420 | $41.3K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 80 | $510 | $39K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 50 | $660 | $32.3K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 1 | 10 | 30 | $11,900 | $321.3K |
| 63650 | 1 | 10 | 90 | $2,500 | $222.1K |
| 66984 | 3 | 60 | 40 | $640 | $86.7K |
| 27447 | 9 | 50 | 30 | $1,350 | $48.6K |
| 66982 | 12 | 10 | 40 | $820 | $34.5K |
| 23430 | 2 | 10 | 10 | $1,690 | $33.7K |
| 29827 | 1 | 10 | 20 | $1,230 | $28.4K |
| 27130 | 9 | 40 | 20 | $1,090 | $28.4K |
| 45385 | 13 | 50 | 40 | $370 | $27.1K |
| 29881 | 2 | 10 | 20 | $1,170 | $25.7K |
Showing 1–10 of 31
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| L8699 | Prosthetic implant, not otherwise specified | 150 | $1,240 | $188.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 150 | $530 | $79.4K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 20 | $820 | $18.8K |
| 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 | $410 | $18K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 60 | $210 | $11.5K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 1,850 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 170 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 4 | 10 | 170 | $630 | $709.3K |
| L8699 | Prosthetic implant, not otherwise specified | 5 | 10 | 330 | $930 | $376.2K |
| 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)… | 6 | 10 | 150 | $300 | $41.1K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 1 | 10 | 30 | $490 | $32.9K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 1 | 10 | 40 | $190 | $7.7K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 1 | 10 | 90 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 2 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Surgery Center Of Wasilla, LLC, ranked by combined Medicare and Medicaid revenue.
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