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NPI 1720572415 · Amarillo, TX · Ambulatory Surgical Clinic/Center
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Apc-amarillo Surgical Operating Company, LLC is a ambulatory surgical clinic/center provider located in Amarillo, Texas. This profile covers 19 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 | Apc-amarillo Surgical Operating Company, LLC |
| Address | 1901 Medi Park Dr Ste 1 |
| City | Amarillo |
| State | TX |
| ZIP | 79106 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 18, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.8M |
| Medicaid | $380 |
APC-AMARILLO SURGICAL OPERATING COMPANY, LLC is an ambulatory surgical clinic/center in Amarillo, TX, with NPI enumeration since 2018-06-18 (~8 years ago), indicating a multi-year operating presence in the market and an established Medicare billing history. Its service mix—dominated by spinal neurostimulation and spinal procedures—aligns with an interventional pain/spine-focused ambulatory surgery center rather than a general outpatient clinic.
Medicare revenue totals $4.8M while Medicaid revenue is negligible at $384, signifying an overwhelmingly Medicare-centric payer mix and effectively a single-payer commercial footprint for public programs. The provider’s Medicare volume dwarfs its Medicaid activity, so payer-specific strategies or competitive comparisons should focus primarily on Medicare performance.
Revenue concentration on Medicare is very high: the precomputed top 3 Medicare codes account for 73.8% of the provider’s total Medicare revenue, indicating the business is highly dependent on a small set of high-value spine/stimulation procedures for its financial base. This concentration suggests operational specialization and potential vulnerability to reimbursement or utilization shifts for those key codes.
The single dominant Medicare code is 63685 ($1.9M, 38.7% of Medicare revenue). The provider ranks #6 of 1281 nationally for 63685 and is labeled an "extreme outlier," signaling an unusually large national footprint for pulse generator implantation relative to peers. That high rank and descriptor point to market leadership in spinal neurostimulator implant procedures.
Two additional high-value Medicare codes—63650 ($952.9K, 19.9%) and 63655 ($731.2K, 15.3%)—together with 63685 make up the top three Medicare revenue contributors. Both codes are also extreme outliers in national rank (63650 at #10, 63655 at #3), reinforcing that the facility’s core business is spinal cord stimulation and related epidural/paddle electrode services delivered at scale compared with national peers.
Beyond the top three, the provider reports multiple other high-volume interventional pain codes reported as extreme outliers (for example 64635, 64483, 64493), which further supports the profile of a high-volume interventional pain/spine center rather than a routine ambulatory surgery practice. These patterns suggest deep procedural expertise and a referral stream concentrated on spine and pain management services.
Competitive standing on select device codes is also notable: the supplier-level code C1827 appears with $200.8K revenue and ranks #1 of 3 nationally, which—while a small claimant pool nationally—shows the facility participates in implantable non-rechargeable neurostimulator supply at least relative to a very limited set of providers. However, many other codes also show extreme outlier status in national percentile, indicating outsized activity compared to typical national volumes.
On Medicaid the entire $384 of revenue comes from code 64483 (35 claims); that code represents 100.0% of the provider’s Medicaid revenue and ranks #22 of 30 in-state (28th percentile). This low statewide rank and minimal Medicaid dollars indicate the provider is not a meaningful Medicaid participant and that Medicaid does not materially contribute to its procedural business or competitive positioning.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 110 | $17,020 | $1.9M |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 280 | $3,440 | $952.9K |
| 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… | 60 | $12,830 | $731.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 520 | $460 | $238.8K |
| 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). | 940 | $250 | $237.9K |
| C1827 | Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller | 20 | $9,560 | $200.8K |
| 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… | 760 | $240 | $179.6K |
| 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… | 50 | $2,180 | $109K |
| 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… | 170 | $460 | $78K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 270 | $240 | $64.1K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 4 | 160 | 20 | $8,330 | $216.7K |
| C1827 | 1 | 10 | 20 | $8,940 | $152.1K |
| 63650 | 5 | 160 | 50 | $1,960 | $147K |
| 63655 | 1 | 20 | 10 | $4,670 | $88.8K |
| G0260 | 45 | 70 | 70 | $210 | $19.8K |
| 64635 | 1 | 540 | 40 | $370 | $19.1K |
| 64483 | 2 | 690 | 60 | $190 | $18.3K |
| 63047 | 27 | 340 | 20 | $510 | $13.2K |
| 64633 | 3 | 210 | 30 | $390 | $12.8K |
| 64493 | 1 | 640 | 50 | $180 | $12.3K |
Showing 1–10 of 19
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 40 | $10 | $390 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 22 | 30 | 110 | $100 | $35.9K |
Other providers in the same ZIP code as Apc-amarillo Surgical Operating Company, LLC, ranked by combined Medicare and Medicaid revenue.
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