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NPI 1750528717 · Round Rock, TX · Ambulatory Surgical Clinic/Center
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Round Rock Surgery Center LLC is a ambulatory surgical clinic/center provider located in Round Rock, Texas. This profile covers 27 Medicare and 6 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 | Round Rock Surgery Center LLC |
| Address | 2000 S Mays St Ste 400 |
| City | Round Rock |
| State | TX |
| ZIP | 78664 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 13, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6.6M |
| Medicaid | $1.9K |
Business profile: The billing mix is consistent with an ambulatory surgical center specializing in implantable neuromodulation and interventional spine/pain services — the top Medicare codes are dominated by spinal and peripheral neurostimulator implantation and management procedures (63685, 63650, 64555, 64590) alongside high-volume image-guided injections and neurolytic procedures (e.g., 64635, 64493). This combination of device/implant codes and imaging-guided injections indicates the center operates as a procedure-focused ASC handling complex implant cases rather than routine office-based pain management.
Medicare revenue concentration: Medicare is the clear revenue driver and is highly concentrated in a few services — the precomputed top 3 Medicare codes by revenue account for 74.8% of total Medicare revenue, with 63685 representing 43.6%, 63650 representing 26.0%, and 64555 representing 5.2% of Medicare revenue. Those three codes together explain the bulk of the $6.6M in Medicare revenue reported.
National competitive standing on implant services: ROUND ROCK SURGERY CENTER ranks at the top nationally for several high-revenue implant codes, with 63685 ranking #3 of 1281 providers (100th percentile, labeled an extreme outlier) and 63650 ranking #2 of 1371 providers (100th percentile, extreme outlier). Additional Medicare codes related to facet/neurolytic procedures (e.g., 64635, 64493, 64633, 64490) are also flagged as extreme outliers or notably above typical national volume, signaling unusually high national volume and a dominant role in these specialized procedures.
Payer mix and scale: The provider is effectively Medicare-dominant in scale — total Medicare revenue is $6.6M while total Medicaid revenue is only $1.9K, indicating Medicaid is negligible as a revenue source. This payer skew means any analysis of the center’s business risk, growth, or utilization should focus primarily on Medicare activity and reimbursement trends.
Medicaid activity and in-state competitive position: Medicaid billing is almost entirely concentrated in two codes, 64493 and 64483, which together account for 100.0% of the provider’s Medicaid revenue (64493 at 51.5% and 64483 at 48.5%). For these Medicaid codes the provider’s in-state ranks are modest (64493 ranks #15 of 26, 44th percentile; 64483 ranks #19 of 30, 38th percentile), so the center is only a modest participant in Medicaid for image-guided facet and transforaminal epidural services.
Revenue drivers by unit price: A substantial portion of Medicare revenue is driven by high paid-per-claim values for implantable device procedures — for example, 63685 has an average paid/claim of $17768 and 63650 has $3690 avg paid/claim, while device-related supply code C1827 shows $8957 avg paid/claim and 64590 shows $14784 avg paid/claim. These high unit payments, combined with concentrated claim volume on those codes, explain the outsized Medicare revenue footprint relative to other procedure lines.
Tenure and operational implication: The NPI was enumerated on 2009-01-13 (~17 years ago), indicating an established operating history that aligns with sustained high-volume specialty procedures. That tenure supports the interpretation that the center has developed referral relationships and clinical pathways to sustain a concentrated implant and interventional spine practice.
Service-line risk/operational note: Given the heavy reliance on a narrow set of high-revenue implant and interventional codes (top 3 Medicare codes = 74.8% of Medicare revenue) the provider’s financial performance and utilization metrics are particularly sensitive to changes in reimbursement, device supply costs, or referral patterns for neurostimulation and spine interventions. Monitoring utilization trends and policy changes affecting neurostimulator implantation and imaging-guided spine procedures will be critical for payers and analysts assessing downside risk.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 160 | $17,770 | $2.9M |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 470 | $3,690 | $1.7M |
| 64555 | A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a… | 80 | $4,280 | $346.6K |
| 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… | 20 | $14,780 | $340K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 480 | $490 | $235.7K |
| C1827 | Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller | 20 | $8,960 | $161.2K |
| 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… | 10 | $13,720 | $150.9K |
| 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). | 510 | $280 | $141.5K |
| 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… | 520 | $260 | $133.9K |
| 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… | 230 | $490 | $113.2K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 2 | 160 | 20 | $8,330 | $216.7K |
| C1827 | 2 | 10 | 20 | $8,940 | $152.1K |
| 63650 | 1 | 160 | 50 | $1,960 | $147K |
| 64590 | 13 | 60 | 20 | $6,710 | $134.3K |
| 64555 | 5 | 40 | 40 | $2,170 | $106.6K |
| 63655 | 16 | 20 | 10 | $4,670 | $88.8K |
| 63663 | 4 | 10 | 20 | $2,260 | $43K |
| G0260 | 6 | 70 | 70 | $210 | $19.8K |
| 64635 | 2 | 540 | 40 | $370 | $19.1K |
| 64483 | 11 | 690 | 60 | $190 | $18.3K |
Showing 1–10 of 27
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.
6 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… | 50 | $20 | $990 |
| 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). | 60 | $20 | $930 |
| 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… | 30 | $0 | $0 |
| 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,… | 20 | $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… | 60 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 50 | $0 | $0 |
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
6 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). | 19 | 30 | 110 | $100 | $35.9K |
| 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… | 15 | 30 | 60 | $60 | $14.8K |
| 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… | 17 | 20 | 130 | $30 | $7.8K |
| 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,… | 9 | 10 | 120 | $20 | $4.2K |
| 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… | 80 | 140 | 110 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 51 | 80 | 100 | $0 | $0 |
Other providers in the same ZIP code as Round Rock Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Curative Labs Inc. | TX | Clinical Medical Laboratory | $0 | $20.2M |
| Lone Star Circle Of Care | TX | Federally Qualified Health Center (FQHC) | $0 | $18M |
| Bluebonnet Trails Community Mhmr Center | TX | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $16.1M |
| Tejas Next Health | TX | General Practice Physician | $0 | $15M |
| Quick Labs Texas LLC | TX | Clinical Medical Laboratory | $1.5M | $1.5K |
| Ara/st. David's Imaging, LP | TX | Radiology Clinic/Center | $1.2M | $8.8K |
| Michael Cosimeno | TX | Podiatrist | $130.4K | $0 |
| Anthony Henry | TX | Allergy & Immunology Physician | $73.5K | $0 |
| John Eckford | TX | Surgery Physician | $31.1K | $0 |
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