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NPI 1669720397 · Post Falls, ID · Ambulatory Surgical Clinic/Center
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Pleasant View Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Post Falls, Idaho. This profile covers 17 Medicare and 1 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 | Pleasant View Surgery Center, LLC |
| Address | 4171 West Expo Parkway |
| City | Post Falls |
| State | ID |
| ZIP | 83854 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 28, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $0 |
PLEASANT VIEW SURGERY CENTER, LLC operates as an Ambulatory Surgical Clinic/Center in POST FALLS, ID and has an NPI enumerated (registered) 2012-08-28 (~14 years ago). The center’s Medicare billing mix is concentrated in implantable neurostimulator and orthopedic surgery codes (notably 63685, 64590, 27447), which indicates an ambulatory surgical practice that performs device implantation and image-guided pain/spine procedures rather than primary care or broad outpatient services.
Revenue for this provider is heavily concentrated in a small set of Medicare codes: the precomputed top 3 Medicare codes (63685, 64590, 27447) account for 57.7% of its total Medicare revenue. Individually those codes generated $242.8K (63685, 23.2%), $219.2K (64590, 20.9%), and $142.4K (27447, 13.6%) of the reported $1M in Medicare revenue, so payers should view reimbursement changes to those services as materially impactful to the center’s topline.
This provider is effectively single-payer in the dataset provided: lifetime Medicare revenue is $1M while reported Medicaid revenue is $0, indicating Medicare is the dominant commercial payer exposure on file and that state Medicaid claims do not materially contribute to its revenue profile. Analysts evaluating network adequacy or Medicaid contracting should note the absence of billed Medicaid volume rather than assuming mixed-payer activity.
Competitive standing on the provider’s highest-revenue Medicare codes is modest to mid-tier nationally: 63685 ranks #904 of 1281 providers (21th percentile; typical, unremarkable volume for this code), 64590 ranks #303 of 561 providers (39th percentile; typical, unremarkable volume for this code), and 27447 ranks #8330 of 12089 providers (29th percentile; typical, unremarkable volume for this code). None of these top revenue drivers place the center among national leaders for those procedures, so it appears to be a localized, specialty-focused operator rather than a dominant national center of excellence for these implants.
There are pockets of relatively higher standing on some secondary codes that suggest niche strengths: 64721 (70 claims, $44K) ranks #372 of 3206 providers (88th percentile; typical, unremarkable volume for this code) and C9290 (15.8K claims, $15.8K) ranks #102 of 451 providers (78th percentile; typical, unremarkable volume for this code). These placements imply the center performs carpal tunnel surgery and uses bupivacaine liposome injections at rates above many peers, which could reflect local demand or specific clinician skill sets that complement the center’s implant and pain-management work.
Service mix details reinforce an implant- and image-guided procedure focus: high-revenue implant codes (63685, 64590, 64555, 63650) appear alongside fluoroscopy (76000) and multiple spine/epidural injection codes (64493, 64483, 62321), indicating routine use of imaging and device implantation workflows characteristic of ambulatory spine and pain-management surgery centers. This mix suggests staffing, supply chains, and capital equipment investments aligned to implants and intraoperative imaging rather than high-volume minor ambulatory procedures.
Many billed codes are described as "typical, unremarkable volume for this code" relative to national peers, and several specific codes sit in low national percentiles (for example 63650 at 12th percentile and 62321 at 3th percentile), indicating limited national scale for several spine injection and electrode-placement services. In short, payer reviewers should treat the center as a specialized, Medicare-focused ambulatory surgical site with concentrated exposure to a few high-revenue implant codes and otherwise modest national volumes for most procedures.
For payer and provider analysts, the operational implication is that changes to reimbursement or utilization management for implantable neurostimulators and select orthopedic implants could materially affect this center’s Medicare revenue; monitoring utilization patterns for top codes 63685 and 64590 (which together represent a large share of device-driven revenue) is warranted given the $1M Medicare revenue base and the 57.7% concentration in the top three codes. Any network decisions or prior authorization strategies should account for the center’s specialization and its lack of reported Medicaid volume.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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… | 10 | $18,680 | $242.8K |
| 64590 | The 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… | 20 | $14,610 | $219.2K |
| 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… | 20 | $6,780 | $142.4K |
| 64555 | A 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… | 30 | $4,150 | $112K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,710 | $96.5K |
| 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… | 70 | $630 | $44K |
| 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… | 20 | $1,900 | $34.2K |
| 29828 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps… | 10 | $2,370 | $33.2K |
| 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… | 20 | $1,580 | $31.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 40 | $490 | $21.6K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64590 | 1 | 10 | 20 | $14,610 | $219.2K |
| 63685 | 6 | 10 | 10 | $7,310 | $117K |
| 63650 | 12 | 10 | 50 | $1,670 | $81.9K |
| 64555 | 1 | 10 | 20 | $2,750 | $57.7K |
| 27447 | 73 | 110 | 30 | $640 | $25.1K |
| 28285 | 8 | 10 | 50 | $440 | $20.5K |
| 64635 | 20 | 40 | 50 | $340 | $19.1K |
| 64721 | 3 | 20 | 30 | $380 | $15.5K |
| C9290 | 1 | 10 | 12,440 | $1 | $13.4K |
| 26055 | 13 | 20 | 50 | $250 | $12.2K |
Showing 1–10 of 17
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 20 | 20 | 210 | $1 | $680 |
Other providers in the same ZIP code as Pleasant View Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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