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NPI 1730191651 · Cheyenne, WY · Ambulatory Surgical Clinic/Center
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Cheyenne Surgical Center LLC is a ambulatory surgical clinic/center provider located in Cheyenne, Wyoming. This profile covers 18 Medicare and 3 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 | Cheyenne Surgical Center LLC |
| Address | 2301 House Ave Suite 200 |
| City | Cheyenne |
| State | WY |
| ZIP | 82001 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.5M |
| Medicare | $567.4K |
Payer mix and scale: CHEYENNE SURGICAL CENTER LLC reports $567.4K in lifetime Medicare revenue and $4.5M in lifetime Medicaid revenue, indicating Medicaid is the dominant payer by dollar volume for this entity. The facility is effectively Medicaid-focused from a revenue perspective while maintaining a meaningful, smaller Medicare presence.
Medicaid revenue concentration and state standing: Medicaid billing is almost entirely concentrated in a single procedure code—41899—which accounts for $4.5M and 2.4K claims; the precomputed top-3 Medicaid codes together account for 100.0% of Medicaid revenue. The provider ranks #1 of 8 in-state for 41899 (100th percentile; notably above typical state volume), signaling a dominant in-state position for this non-specific dental/surgical code.
Medicare revenue concentration and service-line implication: The precomputed top-3 Medicare codes (64635, 64628, 64493) account for 44.8% of the provider's total Medicare revenue, reflecting a concentrated revenue base within image-guided spine and nerve procedures. The prominence of 64635 and 64493 (both image-guided facet/neurolytic or injection procedures) indicates the ASC operates with a strong interventional pain/spine service line that relies on imaging-guided injections and neurolysis.
National competitive standing on key Medicare spine codes: For Medicare, 64635 (16.4% of Medicare revenue) ranks #182 of 5957 providers nationally (97th percentile; notably above typical national volume) and 64493 (14.1% of Medicare revenue) ranks #184 of 7519 providers nationally (98th percentile; notably above typical national volume), marking the provider as a high-volume outlier nationally for those interventional spine services. By contrast, 64628 (14.3% of Medicare revenue) ranks #227 of 247 providers nationally (0th percentile; typical, unremarkable volume), so not all spine-related codes show the same national concentration.
Service mix breadth beyond pain services: While interventional spine and injection procedures drive a large share of Medicare revenue, the provider also bills for a range of ambulatory surgical services—C9740 (transprostatic implant), 29881 (knee arthroscopy/meniscectomy), hernia repairs (49591/49505), and central line placement (36561)—showing the center performs diversified outpatient surgical procedures in addition to pain management. This mix suggests an ASC that combines a spine/pain specialty with episodic general ambulatory surgical case types.
Revenue concentration risk and operational implications: The Medicaid business is highly concentrated in a single code (41899), and Medicare revenue is partially concentrated in three spine/injection codes (top-3 = 44.8%), which together create asymmetric exposure: state Medicaid policy or coding/auditing changes for dental/surgical codes could materially affect overall revenue, while shifts in payer mix or utilization for image-guided spine services would disproportionately impact Medicare receipts. This pattern argues for focused payer-contract management and monitoring of coding/policy changes in both dental and interventional spine categories.
Tenure and institutional profile: The provider’s NPI was enumerated 2006-08-12 (~20 years ago), indicating a long-established ambulatory surgical clinic/center. Combined with the high national percentiles on select interventional spine codes and a dominant in-state position on Medicaid dental coding, the profile is consistent with an established ASC that has developed both a high-volume niche (image-guided spine care) and a Medicaid-facing dental/surgical revenue stream.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 200 | $480 | $93K |
| 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. | 10 | $7,370 | $81.1K |
| 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… | 330 | $250 | $80.1K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 10 | $5,390 | $75.4K |
| 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)… | 180 | $240 | $41.6K |
| 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). | 130 | $280 | $37.9K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 160 | $190 | $31.1K |
| 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… | 20 | $1,040 | $21.8K |
| 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… | 80 | $250 | $20.9K |
| 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… | 40 | $560 | $20.8K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 2,440 | $1,860 | $4.5M |
| 70320 | Dental X–rays show a normal number, structure, and position of the teeth and jaw bones .Dental X–rays can reveal dental cavities (tooth decay) before they are visible even to the dentist. There are… | 220 | $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… | 70 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wyoming providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wyoming median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 1 | 10 | 110 | $1,770 | $828.4K |
| 70320 | Dental X–rays show a normal number, structure, and position of the teeth and jaw bones .Dental X–rays can reveal dental cavities (tooth decay) before they are visible even to the dentist. There are… | 1 | 10 | 220 | $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… | 1 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Cheyenne Surgical Center LLC, ranked by combined Medicare and Medicaid revenue.
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