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    OpenPayerNPI Medicare & MedicaidSpine And Pain Physicians Surgery Center, LLC
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    Spine And Pain Physicians Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1770837866 · Smyrna, TN · Ambulatory Surgical Clinic/Center

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    Spine And Pain Physicians Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Smyrna, Tennessee. This profile covers 9 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)

    FieldValue
    Entity TypeOrganization
    OrganizationSpine And Pain Physicians Surgery Center, LLC
    Address1177 Rock Springs Rd
    CitySmyrna
    StateTN
    ZIP37167
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 29, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$324.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.50$3,470$183.9K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.110$490$54.7K
    64493The 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…110$240$27K
    64483This 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).70$270$19.4K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography70$200$13.7K
    64633In 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…20$470$9K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…30$240$7.7K
    62323The 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)…30$230$6.4K
    64640Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.40$70$2.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63650194050$1,650$123.8K
    644836815070$190$25.8K
    646351715040$360$25.6K
    G026092060$190$20K
    644934016060$180$16.9K
    6232311315050$150$14.8K
    64633436030$350$13.1K
    6464051030$120$7.8K
    623214910030$160$7.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient 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…170$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis170$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8907Patient 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…3470160$1$10
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis2050100$0$0

    Nearby Providers

    Other providers in the same ZIP code as Spine And Pain Physicians Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spark Dental Tn, PLLCTNOrthodontics and Dentofacial Orthopedics Dentistry$0$33.8M
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$28.2M
    Spero Health Of Tennessee, LLCTNSubstance Use Disorder Rehabilitation Clinic/Center$0$23.4M
    Grace Pediatrics PLLCTNPediatrics Physician$0$12M
    Feltz Therapy Services, LLCTNRehabilitation Clinic/Center$0$11.1M
    Children's Dentistry Of SmyrnaTNPediatric Dentistry$0$8.2M
    Nurture Pediatrics, PLLCTNPediatrics Physician$0$5M
    Cumberland Pediatric Dentistry And Orthodontics Of Murfreesboro, PLLCTNPediatric Dentistry$0$4.1M
    Smyrna Pediatrics PLLCTNPediatrics Physician$0$3.7M
    Newberry Emergency Physicians PLLCTNEmergency Medicine Physician$0$3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Spine And Pain Physicians Surgery Center, LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Spine And Pain Physicians Surgery Center, LLC — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee