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NPI 1720334097 · Omaha, NE · Ambulatory Surgical Clinic/Center
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Pacific Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Omaha, Nebraska. This profile covers 22 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 | Pacific Surgery Center, LLC |
| Address | 10707 Pacific St Ste 100 |
| City | Omaha |
| State | NE |
| ZIP | 68114 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 24, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.4M |
| Medicaid | $3.2K |
Practice profile and tenure: PACIFIC SURGERY CENTER, LLC is an Ambulatory Surgical Clinic/Center with an NPI enumerated on 2012-07-24 (~14 years ago), indicating more than a decade of operation in the Omaha market. Its specialty billing profile is focused on procedures consistent with urology and neuromodulation services rather than broad primary-care or multispecialty outpatient procedures.
Medicare-driven revenue scale and payer mix: The provider’s Medicare revenue ($3.4M) overwhelmingly dominates its payer mix compared with Medicaid ($3.2K), making this effectively a Medicare-focused ambulatory surgical operation. Analysts should treat Medicaid as negligible in scale for this entity when modeling payer exposure or negotiating Medicare-focused contracts.
Revenue concentration on a few high-revenue codes: The top three Medicare codes account for 67.8% of Medicare revenue, driven primarily by 64590 ($1.2M, 36.1%), 64561 ($862.2K, 25.3%), and C9740 ($217.4K, 6.4%). This high concentration indicates that a small set of implant and neuromodulation procedures are the principal revenue drivers for the facility.
Service-line implication — neurostimulation and urology focus: The dominant codes (64590 and 64561) describe insertion and implantation of peripheral/sacral neurostimulator hardware and electrodes, while high-volume cystoscopy-related codes (52000, 52287, C9740) point to a strong urology procedural footprint. Together these codes imply the center operates as a specialized ambulatory surgical center with a procedural mix concentrated on sacral neuromodulation and endoscopic urologic interventions.
Statistical outlier and competitive standing nationally: The provider ranks at or near the top nationally for several high-revenue Medicare codes — 64561 ranks #7 of 564 (99th percentile; extreme outlier, far above typical national volume) and 64590 ranks #8 of 561 (99th percentile; notably above typical national volume). Additionally, 52287 ranks #2 of 1443 (100th percentile; extreme outlier), signaling that for specific bladder injection and neuromodulation procedures this site is a major national-volume outlier rather than a modest local participant.
Operational detail from claim/count patterns: The practice reports 41.2K claims for J0585 with $5 avg paid/claim totaling $205.8K (6.0% of Medicare revenue), suggesting very high unit-based billing activity for onabotulinumtoxinA across many encounters. Separately, 52000 shows large Medicare volume (730 claims, $151.1K, 4.4%) and is also a national outlier (100th percentile), reinforcing high endoscopic procedure throughput.
Medicaid footprint and in-state competitive position: Medicaid billing is minimal and concentrated in a single code — 52000 accounts for 100.0% of Medicaid revenue ($3.2K from 14 claims) and ranks #3 of 4 providers in-state (33th percentile; typical, unremarkable volume). This contrast between national prominence on Medicare for key codes and a very limited Medicaid footprint suggests the provider’s market influence is Medicare-centric and not reflected in state Medicaid volumes.
Risk and contracting implications: Given the heavy revenue concentration in a few implant and cystoscopy codes and the provider’s national outlier status on several of those codes, payers should treat this center as a specialty procedural hub for sacral neuromodulation and urologic endoscopy when designing network access, utilization management, or prior-auth protocols. Medicaid negotiations or capitation strategies are unlikely to materially affect total spend given the provider’s $3.2K Medicaid revenue relative to $3.4M in Medicare revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 80 | $14,610 | $1.2M |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 230 | $3,820 | $862.2K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 40 | $5,580 | $217.4K |
| 52287 | The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the… | 330 | $640 | $213.1K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 41,150 | $10 | $205.8K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 730 | $210 | $151.1K |
| 55700 | Code deleted December 31, 2025. | 150 | $650 | $94.8K |
| C9769 | Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts | 10 | $5,620 | $67.4K |
| 51715 | In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a… | 40 | $1,540 | $61.6K |
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 80 | $650 | $49.9K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64590 | 1 | 10 | 20 | $7,720 | $231.7K |
| C9740 | 1 | 10 | 30 | $5,440 | $157.7K |
| 64561 | 1 | 10 | 30 | $2,510 | $145.4K |
| J0585 | 2 | 30 | 8,400 | $1 | $69.1K |
| C9769 | 1 | 10 | 10 | $5,620 | $67.4K |
| 52214 | 1 | 10 | 40 | $1,070 | $47.2K |
| 64595 | 1 | 10 | 10 | $1,800 | $23.5K |
| 52000 | 3 | 50 | 120 | $120 | $20.7K |
| 52287 | 1 | 20 | 30 | $340 | $20.2K |
| 51715 | 1 | 10 | 20 | $690 | $17.3K |
Showing 1–10 of 22
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 10 | $230 | $3.2K |
| 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 Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 3 | 10 | 20 | $240 | $50.6K |
| 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… | 16 | 20 | 40 | $1 | $10 |
Other providers in the same ZIP code as Pacific Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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