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NPI 1730296997 · Charleston, WV · Ambulatory Surgical Clinic/Center
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Day Surgery Limited Liability is a ambulatory surgical clinic/center provider located in Charleston, West Virginia. This profile covers 15 Medicare and 9 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 | Day Surgery Limited Liability |
| Address | 2335 Chesterfield Ave |
| City | Charleston |
| State | WV |
| ZIP | 25304 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $569.1K |
Day Surgery Limited Liability in Charleston, WV operates as an ambulatory surgical clinic/center focused heavily on interventional spine procedures and endoscopy based on its top billing codes; Medicare revenue is dominated by neuromodulation and spinal injection services (63685, 63650, 64493) while Medicaid billing shows a concentrated portfolio of lumbar/sacral facet injections (64493, 64494, 64495) and related spinal injections (62323).
Revenue concentration is high for both payers: the top 3 Medicare codes account for 73.2% of the provider's total Medicare revenue, indicating reliance on a small set of high-value procedures, and the top 3 Medicaid codes account for 78.5% of total Medicaid revenue, signaling a similar dependence on a narrow set of injection-based services.
On scale, Medicare receipts ($1.1M) exceed Medicaid receipts ($569.1K), so the provider derives a larger share of lifetime revenue from Medicare than from Medicaid, but both payers are material to the business with six-figure totals reported for each.
For Medicare, the single largest revenue line is 63685 ($537.1K, 48.4% of Medicare revenue), where the provider ranks #180 of 1281 nationally (85th percentile); this placement indicates the center has meaningful national volume for spinal neurostimulator generator placement but is not an outlier or dominant national hub for that code.
Medicaid competitive standing is pronounced for facet joint injections: the provider ranks #1 in-state for 64493, 64494, and 64495 (each described as "notably above typical state volume"), making it a statewide leader in lumbar/sacral facet injection volume and positioning the clinic as a major local provider of fluoroscopy/CT-guided facet injection services.
Several codes are statistical outliers in different contexts: Medicare 64493 is described as "notably above typical national volume" (253 claims, $61K), reflecting stronger-than-typical performance on that diagnostic/therapeutic lumbar facet injection nationally, while multiple Medicaid facet codes are state-level outliers (100th percentile rank) reflecting concentrated procedural volume in the state Medicaid market.
The mix of high-dollar device implantation (63685) alongside frequent image-guided injection procedures (63650, 64493, 64494, 64495, 62323) suggests operational capabilities that include surgical implantation suites as well as fluoroscopy/CT-guided pain management services; this hybrid profile is consistent with an ambulatory surgery center that provides both device-based interventions and outpatient pain procedures.
Tenure data shows the provider NPI was enumerated on 2006-08-24 (~20 years ago), indicating long-standing presence in the market which may support established referral relationships for the specialized spine and pain interventions it bills most heavily.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 30 | $16,280 | $537.1K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 60 | $3,450 | $213.9K |
| 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… | 250 | $240 | $61K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 110 | $540 | $58.6K |
| 0275T | N/A | 20 | $3,470 | $55.6K |
| 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 | $230 | $40.9K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 100 | $400 | $40.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 100 | $220 | $23.1K |
| 43249 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter. | 50 | $490 | $22.7K |
| 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). | 50 | $290 | $14K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,160 | $120 | $252.4K |
| 64494 | In this add–on procedure, 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… | 1,840 | $60 | $103.3K |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 1,330 | $70 | $93K |
| 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)… | 560 | $120 | $68.8K |
| 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… | 310 | $100 | $31.9K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 30 | $420 | $14.4K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 30 | $180 | $5.8K |
| 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… | 30 | $50 | $1.2K |
| 64491 | In this add–on procedure, 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… | 30 | $30 | $810 |
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 57 | 70 | 530 | $170 | $183.7K |
| 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… | 1 | 20 | 300 | $170 | $91.4K |
| 64494 | In this add–on procedure, 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… | 1 | 10 | 410 | $90 | $48.1K |
| 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)… | 4 | 20 | 240 | $110 | $34.7K |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 1 | 10 | 180 | $90 | $33.7K |
| 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 | 220 | $100 | $22.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 10 | 10 | 40 | $140 | $16.1K |
| 64491 | In this add–on procedure, 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… | 3 | 10 | 30 | $120 | $4.7K |
| 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… | 4 | 10 | 30 | $130 | $4.5K |
Other providers in the same ZIP code as Day Surgery Limited Liability, ranked by combined Medicare and Medicaid revenue.
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