Loading...
NPI 1669585964 · Las Vegas, NV · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
West Las Vegas Surgery Center,llc is a ambulatory surgical clinic/center provider located in Las Vegas, Nevada. This profile covers 14 Medicare and 26 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 | West Las Vegas Surgery Center,llc |
| Address | 1330 S Valley View Blvd |
| City | Las Vegas |
| State | NV |
| ZIP | 89102 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6M |
| Medicare | $1.2M |
Business profile: As an Ambulatory Surgical Clinic/Center, the facility’s highest Medicare revenue items are device-intensive spinal procedures and cataract surgery — the top three Medicare codes by revenue are 63685, 63655, and 66984 and together account for 60.7% of the provider’s $1.2M Medicare revenue. This mix indicates the ASC performs implantable neurostimulator and spinal cord stimulation procedures alongside routine ophthalmologic cases, consistent with a mixed specialty ambulatory surgery operation rather than a pure endoscopy center.
Medicaid service-line concentration: Medicaid revenue is dominated by high-volume GI endoscopy work — codes 43239, 45380, and 45378 together account for 76.7% of the provider’s $6M Medicaid revenue, with reported counts of 11.3K claims for 43239, 6.9K claims for 45380, and 5.1K claims for 45378. Those volumes signal an operational emphasis on diagnostic and therapeutic upper endoscopy and colonoscopy for the Medicaid population.
Payer mix and scale: This provider is Medicaid-dominant on scale, reporting $6M in Medicaid revenue versus $1.2M in Medicare revenue, showing the bulk of its billed activity and revenue is driven by Medicaid payers. Analysts should treat Medicaid performance as the primary business driver when assessing contracts, utilization, or population access implications.
Medicaid competitive standing: The center is a statewide leader for several GI codes — 45380 ranks #1 of 40 in-state (100th percentile; extreme outlier) and 45378 ranks #1 of 30 in-state (100th percentile; extreme outlier), while 43239 ranks #2 of 81 in-state (99th percentile; extreme outlier). Those rankings indicate the provider is a dominant Medicaid-volume performer in Nevada for colonoscopy and upper endoscopy services.
Medicare competitive standing: Medicare volumes are more mixed — 63685 is the top Medicare revenue driver at $426.1K (35.0% of Medicare revenue) and ranks #383 of 1281 nationally (67th percentile; typical), while GI measures such as 45380 and 43239 appear notably above typical national volume (both at the 97th percentile for those codes). In short, the provider is a major regional GI volume outlier on Medicare for some endoscopy codes but a more typical-volume participant nationally for spinal implant procedures.
Revenue concentration and operational risk: Both payers show high revenue concentration in a small set of codes: the top three Medicare codes account for 60.7% of Medicare revenue and the top three Medicaid codes account for 76.7% of Medicaid revenue. This concentration means changes in reimbursement, referral patterns, or clinical practice around the small set of high-volume codes (notably 43239, 45380, 45378, and 63685) would disproportionately affect overall revenue.
Procedure-level throughput: The Medicaid claim counts signal extremely high procedural throughput for endoscopy at this center (11.3K claims for 43239; 6.9K for 45380; 5.1K for 45378), supporting the interpretation of a high-volume endoscopy operation with substantial downstream revenue contribution. Even on Medicare the center reports elevated national percentiles for endoscopic codes (45380 and 43239 at the 97th percentile), suggesting consistent high-volume endoscopy across payers.
Tenure and continuity: The provider’s NPI was enumerated on 2006-08-17 (~20 years ago), indicating long-standing enrollment and operational continuity in the market. That tenure, combined with the high Medicaid volumes, suggests established referral relationships and sustained procedural capacity in Nevada.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 20 | $19,370 | $426.1K |
| 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… | 10 | $15,380 | $184.6K |
| 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… | 150 | $890 | $129.3K |
| 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… | 310 | $410 | $128.6K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 380 | $250 | $94.5K |
| 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… | 190 | $480 | $93.5K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 120 | $360 | $44.4K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 90 | $460 | $40.6K |
| 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). | 90 | $300 | $28K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 20 | $890 | $14.2K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 12 | 20 | 20 | $9,360 | $224.7K |
| 66984 | 39 | 120 | 80 | $590 | $121.4K |
| 63655 | 6 | 10 | 20 | $6,050 | $90.7K |
| 45385 | 14 | 100 | 60 | $320 | $32.5K |
| 66982 | 31 | 30 | 30 | $710 | $29.7K |
| 45380 | 9 | 90 | 70 | $250 | $28.7K |
| 64483 | 26 | 100 | 60 | $230 | $20.3K |
| 64721 | 23 | 30 | 40 | $420 | $19.9K |
| 43239 | 7 | 110 | 90 | $150 | $19.5K |
| G0105 | 33 | 50 | 30 | $300 | $13.3K |
Showing 1–10 of 14
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.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 11,320 | $160 | $1.9M |
| 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… | 6,930 | $210 | $1.5M |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 5,060 | $250 | $1.3M |
| 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… | 2,780 | $210 | $575.3K |
| 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). | 2,270 | $140 | $322.3K |
| 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)… | 380 | $230 | $87.2K |
| 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). | 560 | $150 | $82.6K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 1,130 | $70 | $82.4K |
| 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… | 290 | $250 | $72.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 160 | $440 | $70.5K |
Showing 1–10 of 26
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
26 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 11 | 20 | 150 | $360 | $234.5K |
| 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… | 15 | 30 | 340 | $280 | $158K |
| 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). | 6 | 40 | 250 | $140 | $144.9K |
| 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… | 1 | 40 | 130 | $200 | $139.6K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 1 | 30 | 80 | $220 | $123.3K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 2 | 80 | 160 | $140 | $122.2K |
| 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… | 13 | 30 | 120 | $190 | $108.7K |
| 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… | 2 | 20 | 180 | $190 | $96.5K |
| 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… | 12 | 30 | 130 | $140 | $71.7K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 6 | 20 | 160 | $100 | $66.9K |
Showing 1–10 of 26
Other providers in the same ZIP code as West Las Vegas Surgery Center,llc, ranked by combined Medicare and Medicaid revenue.
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.