Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Surgical Clinic Solutions, LLC (NPI 1669031886)

Field	Value
Entity Type	Organization
Organization	Surgical Clinic Solutions, LLC
Address	1021 Montgomery Hwy
City	Vestavia Hills
State	AL
ZIP	35216
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 11, 2019

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only operator at present: lifetime Medicare revenue on file is $2.2M and there is no Medicaid billing on file, so payer mix is highly concentrated toward Medicare with no Medicaid activity recorded. Analysts should treat this entity as a single-payer (Medicare) billing profile when modeling payer-dependent volumes or access implications.

Revenue is highly concentrated in a small set of procedures: the precomputed top-3 Medicare codes by revenue account for 53.0% of this provider's total Medicare revenue, driven by 63685 ($454.6K, 20.3%), 22612 ($382.4K, 17.1%), and 27447 ($347.7K, 15.5%). This concentration suggests that a few high-revenue services largely determine overall financial performance.

The taxonomy (Ambulatory Surgical Clinic/Center) combined with the code mix indicates a surgical specialty profile focused on spine and large-joint procedures plus neuromodulation: notable codes include spinal neurostimulator implantation 63685 (avg paid/claim $17484), lumbar fusion 22612 (avg paid/claim $11248), and knee replacement 27447 (avg paid/claim $6561). These unit values and procedure types are consistent with a center performing complex, device-driven surgeries in an ambulatory setting.

The provider’s activity blends high-cost implant surgeries with high-volume, low-reimbursement pain procedures: for example, 62323 shows 248 claims at $224 avg paid/claim totaling $55.6K in revenue, while peak surgical codes produce much larger per-claim payments. That mix implies both episodic high-margin surgical episodes and frequent lower-revenue interventional pain services contributing to overall throughput.

Competitive standing across Medicare is mixed: the top surgical codes place the provider in solid but not dominant national percentiles (63685 ranks #287 of 1281, 77th percentile; 22612 ranks #276 of 1984, 85th percentile; 27447 ranks #3093 of 12089, 74th percentile), indicating modest-to-strong activity relative to peers rather than market leadership. One procedure shows more concentrated activity within a smaller national cohort—63655 ranks #33 of 245 (84th percentile)—which suggests relative specialization on certain spinal neuromodulation techniques.

There are clear statistical outlier signals worth noting for utilization profiling: 62323 is labeled notably above typical national volume (rank #451 of 7397, 94th percentile), and 22551 appears at a high national percentile (rank #111 of 1286, 90th percentile), indicating above-typical use of cervical fusion and diagnostic/therapeutic epidural procedures compared with most providers. These above-typical volumes on select spine/injection codes could reflect referral patterns or a local concentration of pain/spine case mix.

The provider’s NPI was enumerated on 2019-06-11 (~7 years ago), indicating roughly seven years of billing history since initial registration; this tenure is sufficient to have established recurring procedural volumes but still represents a relatively recent entrant compared with long-established surgical centers. Observed code mix and rankings suggest the clinic has built a focused spine/orthopedic and neuromodulation practice within that timespan.

Medicare: Complete Services Breakdown

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

16 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	$17,480	$454.6K
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	30	$11,250	$382.4K
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	$6,560	$347.7K
63655	In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall…	30	$12,700	$330.1K
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	$6,200	$186K
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	30	$6,040	$169.1K
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	30	$5,820	$157.1K
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)…	250	$220	$55.6K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	30	$1,190	$40.5K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$1,520	$33.5K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Surgical Clinic Solutions, LLC — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	4	20	20	$3,490	$62.9K
63655	1	10	20	$2,240	$46.9K
27446	3	10	30	$1,630	$43.9K
22612	8	40	20	$1,000	$25.1K
27447	29	210	30	$710	$23.4K
64483	53	120	60	$160	$19K
27130	30	110	20	$620	$16.8K
62323	21	140	60	$130	$16K
22551	4	50	10	$960	$15.3K
29881	20	20	20	$680	$14.4K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Surgical Clinic Solutions, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Family Care, LLC	AL	Primary Care Clinic/Center	$0	$12.9M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$2.7M
Alacare Home Health Services, Inc.	AL	Community Based Hospice Care Agency	$0	$1.6M
Upperline Healthcare, PC	AL	Foot & Ankle Surgery Podiatrist	$0	$1.4M
Drs. Koslin & Kahn, P.C.	AL	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M
Child's Play Therapy LLC	AL	Rehabilitation Hospital Unit	$0	$1.2M
Nephrology Vascular Lab Of Central Alabama Asc LLC	AL	Ambulatory Surgical Clinic/Center	$706.8K	$0
Scott Rooney	AL	Interventional Pain Medicine Physician	$333.4K	$0
Donald Walters	AL	Dermatology Physician	$289.8K	$0
Daniel Bergman	AL	MOHS-Micrographic Surgery Physician	$274.6K	$0

Surgical Clinic Solutions, LLC — Billing Profile & Reimbursement Data

Sign up for Surgical Clinic Solutions, LLC — Billing Profile & Reimbursement Data policy alerts

Surgical Clinic Solutions, LLC — Billing Profile & Reimbursement Data

Sign up for Surgical Clinic Solutions, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References