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 Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon 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. Oregon (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.

Crater Lake Surgery Center LLC (NPI 1679939318)

Key Findings

Field	Value
Entity Type	Organization
Organization	Crater Lake Surgery Center LLC
Address	833 Bennett Ave
City	Medford
State	OR
ZIP	97504
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 11, 2016

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

CRATER LAKE SURGERY CENTER LLC is listed as an Ambulatory Surgical Clinic/Center and its Medicare code mix is concentrated in spinal and interventional pain procedures, including neuromodulator implantation (63685), epidural electrode placement (63650), and basivertebral nerve ablation (64628). This combination of implantable spinal neurostimulator work and multiple image‑guided neurolytic/ablation codes signals a specialty ambulatory surgery practice focused on advanced spine and pain‑management interventions rather than general outpatient surgery.

Medicare accounts for the entirety of documented public-payer revenue with Total Medicare revenue of $1.4M and no Medicaid billing on file, meaning the provider is effectively single‑payer in public claims data. The absence of Medicaid activity increases the provider’s exposure to changes in Medicare reimbursement or referral patterns because there is no Medicaid revenue to diversify public‑payer risk.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 62.3% of this provider's total Medicare revenue, with 63685 contributing $341.4K (24.5%), 63650 contributing $317.3K (22.8%), and 64628 contributing $207.7K (14.9%). This indicates the practice’s financial performance is driven primarily by a small set of high‑value spine and neuromodulation procedures.

Competitive standing across those top codes is mixed: 63685 ranks #590 of 1281 nationally (48th percentile; typical, unremarkable volume for this code), 63650 ranks #244 of 1371 nationally (82th percentile; typical, unremarkable volume for this code), and 64628 ranks #60 of 247 nationally (74th percentile; typical, unremarkable volume for this code). In plain terms, CRATER LAKE is a modest to strong national participant on electrode placement and basivertebral ablation (higher percentiles) while its generator/receiver implant volume for 63685 is around the middle of the national distribution.

Several other codes show unusually high relative activity, flagging a high procedural throughput in image‑guided pain services: 64635 (266 claims, $134.3K) is an extreme outlier at the 99th percentile, and 64493 (378 claims, $100.2K) is an extreme outlier at the 98th percentile. These extreme outlier labels suggest the center performs far more facet and neurolytic procedures than most peers, consistent with a busy interventional pain suite that handles high volumes of injections and denervation procedures.

Beyond the extreme outliers, multiple additional spine and injection codes are notably above typical national volume for this provider: G0260 ranks in the 95th percentile, 64633 in the 95th, 64490 in the 94th, 62321 in the 94th, 64483 in the 90th, and 64624 in the 90th. This broader pattern of high or notably above‑typical percentiles across many pain and facet procedure codes indicates a diversified but still spine‑focused procedural portfolio rather than dependence on a single procedure type.

The claim counts and revenues attached to high‑volume, low‑unit‑payment injections (e.g., 378 claims for 64493 producing $100.2K, 280 claims for G0260 producing $57.4K) alongside fewer, higher‑value device procedures (e.g., 17 claims for 63685 producing $341.4K) suggest operational throughput that pairs high-frequency injection clinics with episodic higher‑revenue implant work. For payer or network analysts this combination implies both recurring clinic volume and periodic device‑driven revenue spikes, which have different utilization and contracting implications.

CRATER LAKE’s NPI was enumerated on 2016-01-11 (~10 years ago), indicating an established presence in the Medford market; when viewed with the high percentiles on many spine/pain codes, this tenure supports characterization as a stable, specialized ambulatory surgery/service center rather than a newly emergent operation. Given its Medicare‑only public billing profile and concentrated spine/pain service mix, payers should treat this provider as a specialized procedural vendor whose performance is highly sensitive to shifts in referral patterns, Medicare policy, or local competitor activity.

Medicare: Complete Services Breakdown

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

12 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	$20,080	$341.4K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	80	$3,970	$317.3K
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	$7,990	$207.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	270	$510	$134.3K
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…	380	$270	$100.2K
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).	250	$290	$72.1K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	280	$210	$57.4K
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	$570	$45.9K
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)…	120	$250	$31.2K
64624	The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it…	50	$660	$29.5K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante	OR	General Acute Care Hospital	$0	$29.7M
Addictions Recovery Center, Inc.	OR	Substance Abuse Rehabilitation Facility	$0	$29.2M
Asante Physician Partners	OR	Family Medicine Physician	$0	$27.2M
Mercy Flights Incorporated	OR	Ambulance	$3.6M	$19.4M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$20.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$193K	$13M
James Kolby Robinson, Dmd	OR	Pediatric Dentistry	$0	$11.6M
Valley Immediate Care, LLC	OR	Urgent Care Clinic/Center	$0	$9.4M
Lincare Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Southern Oregon Pediatrics, LLP	OR	Pediatric Hospice and Palliative Medicine Physician	$0	$6.5M

Crater Lake Surgery Center LLC — Billing Profile & Reimbursement Data

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Crater Lake Surgery Center LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	11	20	20	$11,390	$239.2K
64628	3	10	30	$5,220	$125.2K
63650	5	40	40	$2,140	$117.8K
64635	1	80	40	$430	$24K
G0260	3	20	60	$220	$23.9K
64483	9	100	50	$220	$19K
64493	3	90	50	$210	$16.9K
64633	3	30	30	$430	$14.7K
64624	1	10	30	$420	$11.7K
64490	8	50	40	$220	$11.2K