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NPI 1689652638 · Las Vegas, NV · Ambulatory Surgical Clinic/Center
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Institute Of Orthopaedic Surgery LLC is a ambulatory surgical clinic/center provider located in Las Vegas, Nevada. This profile covers 35 Medicare and 2 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 | Institute Of Orthopaedic Surgery LLC |
| Address | 2800 E Desert Inn Rd |
| City | Las Vegas |
| State | NV |
| ZIP | 89121 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $0 |
INSTITUTE OF ORTHOPAEDIC SURGERY LLC’s Medicare billing mix is concentrated in spine-focused interventional procedures and orthopaedic surgery: the largest single revenue contributors are 63685, 63650, and 64635, which together drive a large share of the practice’s Medicare income and suggest a hybrid model that performs neuromodulation/epidural electrode work alongside image-guided neurolytic and traditional orthopaedic procedures. The presence of high-revenue arthroplasty and arthroscopy CPTs (for example 27447 and 29827) indicates the practice also delivers joint reconstruction and minimally invasive joint repairs in addition to pain interventions.
Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 46.7% of this provider's total Medicare revenue, and lifetime Medicare revenue is reported at $2.2M. The provider reports Total Medicaid revenue: $0, so its billings are effectively single-payer (Medicare) on file, which has implications for payer mix, network access, and Medicaid contracting strategies.
Competitive standing is mixed by code: the provider is an extreme outlier on 64635 (379 claims; ranks #34 of 5957 nationally, 99th percentile), and similarly high for several facet/neurolytic codes (for example 64633 ranks in the 98th percentile). At the same time the high-revenue neuromodulation code 63685 (22 claims, $466K revenue) ranks at the 67th percentile nationally and 63650 ranks at the 80th percentile; these figures portray a practice that is exceptionally high-volume for specific interventional pain services while being more typical on some higher-dollar device implantation services.
Procedure-level utilization shows heavy throughput for image-guided injections and neuroablative procedures: for example 64483 has 391 claims ($119.6K, 96th percentile), 64635 has 379 claims ($205.8K, 99th percentile), 64493 has 151 claims ($44.7K), and 64633 has 107 claims ($61.1K, 98th percentile). These claim counts and percentile positions indicate the clinic performs a high volume of repeatable, image-guided spine and facet interventions relative to national peers.
Orthopaedic procedural breadth is evident beyond spinal pain care: the practice bills notable volumes and revenue for major joint interventions including knee arthroplasty 27447 (23 claims, $171.3K, 8.0% of Medicare revenue) and multiple arthroscopy codes such as 29827 (50 claims, $104.9K) and 29881 (49 claims, $56.5K). Several arthroscopy and synovectomy codes rank in high percentiles versus national peers (29827 at the 94th percentile; 29881 at the 97th percentile), demonstrating meaningful capacity for surgical shoulder/knee services alongside interventional pain offerings.
The practice’s tenure and operational longevity are notable: NPI enumerated 2006-01-09 (~20 years ago), which indicates an established billing history. Coupled with lifetime Medicare revenue of $2.2M, this suggests a stable, specialized outpatient surgical/ambulatory clinic that has developed concentrated service lines over time rather than rapid expansion across multiple payers.
From a payer/contracting perspective, the zero Medicaid revenue (Total Medicaid revenue: $0) combined with concentrated Medicare volume means payers should treat this entity as primarily a Medicare-focused specialist for network adequacy and utilization management. Medicare payers evaluating cost and utilization trends should pay particular attention to the very high-volume interventional codes (e.g., 64635, 64483, 64633) where this provider sits well above typical national volumes and may represent a locus of high per-procedure throughput within its market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
35 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 | $21,180 | $466K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 80 | $4,210 | $324K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 380 | $540 | $205.8K |
| 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 | $7,450 | $171.3K |
| 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). | 390 | $310 | $119.6K |
| 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… | 50 | $2,100 | $104.8K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 20 | $3,670 | $62.5K |
| 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… | 110 | $570 | $61.1K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 50 | $1,150 | $56.5K |
| 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.… | 20 | $3,320 | $53K |
Showing 1–10 of 35
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
35 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 12 | 20 | 20 | $9,360 | $224.7K |
| 63650 | 3 | 30 | 40 | $2,380 | $109.4K |
| 27447 | 55 | 90 | 30 | $1,490 | $71.5K |
| 25609 | 1 | 10 | 20 | $3,670 | $62.5K |
| 29827 | 6 | 40 | 20 | $1,110 | $31K |
| 64635 | 1 | 80 | 40 | $440 | $25.2K |
| 28740 | 1 | 10 | 10 | $2,150 | $23.7K |
| 29880 | 6 | 30 | 30 | $570 | $23.3K |
| 64483 | 5 | 100 | 60 | $230 | $20.3K |
| 29828 | 5 | 10 | 20 | $1,120 | $20.2K |
Showing 1–10 of 35
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 140 | $0 | $0 |
| 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… | 90 | $0 | $0 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99152 | The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or… | 32 | 50 | 370 | $20 | $27.9K |
| 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… | 21 | 40 | 190 | $0 | $0 |
Other providers in the same ZIP code as Institute Of Orthopaedic Surgery LLC, ranked by combined Medicare and Medicaid revenue.
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