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NPI 1780218115 · Fort Wayne, IN · Ambulatory Surgical Clinic/Center
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Surgery Center Of Fort Wayne is a ambulatory surgical clinic/center provider located in Fort Wayne, Indiana. This profile covers 14 Medicare and 14 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 | Surgery Center Of Fort Wayne |
| Address | 1721 Magnavox Way |
| City | Fort Wayne |
| State | IN |
| ZIP | 46804 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 25, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $601.3K |
Service-line mix shows a dual focus on high-cost spine/orthopedic implant procedures and routine interventional spine care: Medicare top revenue drivers are led by 63685 (implant/replacement of a spinal neurostimulator pulse generator, $18960 avg paid/claim, $436.1K revenue) and 27279 (sacroiliac joint fusion, $13124 avg paid/claim, $354.3K revenue), with 63650 (epidural electrode placement, $3768 avg paid/claim, $218.5K revenue) also prominent. These Medicare items indicate the center performs complex implant and fusion procedures in addition to neuromodulation, while the Medicaid billing is concentrated in high-volume interventional pain injections.
Medicaid activity is concentrated in interventional pain procedures with high claim counts but lower per-claim payments: 64635 appears with 653 claims ($272 avg paid/claim, $177.6K revenue), 64483 with 829 claims ($137 avg paid/claim, $113.6K revenue), and 64633 with 271 claims ($293 avg paid/claim, $79.4K revenue). This mix suggests the facility operates substantial procedural throughput for steroid/transforaminal and neurolytic injections under Medicaid, contrasting with the higher per-claim implant and fusion work seen on Medicare.
Revenue concentration is high within each payer: the precomputed top‑3 Medicare codes account for 66.3% of this provider's total Medicare revenue, and the precomputed top‑3 Medicaid codes account for 61.5% of total Medicaid revenue. These shares indicate that a small set of procedures—implant/fusion on Medicare and interventional spine injections on Medicaid—drive the majority of payment flows for this center.
Payer scale and mix: Medicare revenue on file is $1.5M compared with Medicaid revenue of $601.3K, so Medicare is the larger source of billed revenue for this provider. Both payers are active on file, but the center’s highest-dollar individual services are concentrated on the Medicare side while Medicaid shows higher claim volumes for injection-based services.
Competitive standing on Medicare is mixed: the center’s top Medicare revenue codes (63685 and 27279) are characterized as "typical, unremarkable volume" in national comparisons despite accounting for the largest shares of Medicare revenue, while several interventional codes (64635, 64633, 64490) are labeled "notably above typical national volume." In other words, the site is a typical national participant for its implant/fusion work but shows above-typical activity for select neurolytic and facet injection procedures.
Competitive standing in-state for Medicaid shows above-average placement for multiple pain-management codes: 64635 ranks #5 of 29 in-state (86th percentile) and 64490 ranks #4 of 15 in-state (79th percentile), with other injection codes also appearing in upper state percentiles. The dataset labels for these in-state comparisons remain "typical, unremarkable volume" for many codes, but the ranking positions indicate the center is among the higher-volume in-state providers for several interventional spine services.
Statistical outliers and notable percentiles to watch: Medicare codes 64635, 64633, and 64490 are explicitly labeled "notably above typical national volume," highlighting sustained, above-typical activity in neurolytic and facet-joint procedures on the Medicare side. These elevated national-percentile labels contrast with the "typical, unremarkable" characterization of the high-dollar implant/fusion codes, signaling a differentiated profile between high-cost implants and high-volume injection services.
Tenure and operational window: the center’s NPI was enumerated on 2020-02-25 (~6 years ago), indicating several years of observable billing history in the datasets and enough tenure to establish the observed specialization in both implant/fusion procedures (Medicare) and interventional pain services (Medicaid).
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 20 | $18,960 | $436.1K |
| 27279 | The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic… | 30 | $13,120 | $354.3K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 60 | $3,770 | $218.5K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 10 | $7,290 | $102.1K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 10 | $7,150 | $100.1K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 190 | $490 | $90.6K |
| 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… | 80 | $600 | $46.5K |
| 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… | 170 | $250 | $42K |
| 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 | $35.9K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 170 | $200 | $34.4K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 13 | 50 | 20 | $8,700 | $174.1K |
| 63650 | 16 | 50 | 50 | $1,870 | $110.5K |
| 27279 | 1 | 10 | 20 | $5,030 | $95.5K |
| 27447 | 322 | 340 | 40 | $1,130 | $51.1K |
| 27130 | 188 | 220 | 30 | $1,280 | $40.9K |
| 64483 | 45 | 190 | 60 | $180 | $17.8K |
| G0260 | 2 | 30 | 70 | $210 | $16.7K |
| 64635 | 1 | 150 | 30 | $360 | $16.1K |
| 64493 | 14 | 180 | 50 | $180 | $12.2K |
| 62323 | 93 | 190 | 50 | $150 | $10.8K |
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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.
14 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. | 650 | $270 | $177.6K |
| 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). | 830 | $140 | $113.6K |
| 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… | 270 | $290 | $79.4K |
| 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… | 560 | $100 | $57.7K |
| 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… | 560 | $100 | $53.9K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 620 | $50 | $29K |
| 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… | 560 | $50 | $28.4K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 130 | $170 | $21.5K |
| 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… | 490 | $40 | $18.1K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 100 | $80 | $7.8K |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 5 | 30 | 140 | $230 | $100.9K |
| 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). | 12 | 50 | 310 | $140 | $94.7K |
| 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… | 19 | 70 | 90 | $120 | $62K |
| 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)… | 62 | 80 | 80 | $160 | $45.3K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 6 | 30 | 140 | $90 | $42.9K |
| 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… | 3 | 10 | 170 | $150 | $36.5K |
| 27096 | The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to… | 15 | 30 | 80 | $70 | $24.3K |
| 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 | 20 | 120 | $80 | $23.7K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 6 | 20 | 50 | $100 | $22.4K |
| 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… | 17 | 70 | 110 | $40 | $21.5K |
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Other providers in the same ZIP code as Surgery Center Of Fort Wayne, ranked by combined Medicare and Medicaid revenue.
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