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    OpenPayerNPI Medicare & MedicaidTwin Cities Surgery Center, PA
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    Twin Cities Surgery Center, PA — Billing Profile & Reimbursement Data

    NPI 1790145480 · Edina, MN · Ambulatory Surgical Clinic/Center

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    Twin Cities Surgery Center, PA is a ambulatory surgical clinic/center provider located in Edina, Minnesota. This profile covers 15 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)

    FieldValue
    Entity TypeOrganization
    OrganizationTwin Cities Surgery Center, PA
    Address7211 Ohms Ln
    CityEdina
    StateMN
    ZIP55439
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 24, 2016

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$127.8K

    Key Findings

    TWIN CITIES SURGERY CENTER presents a focused ambulatory surgical clinic profile concentrated on interventional pain and neuromodulation procedures: its top Medicare codes are 63685, 63650, and 62362, which correspond to spinal neurostimulator pulse generator insertion, epidural electrode placement, and programmable pump implantation. This code mix indicates the center operates as a specialty outpatient hub for implantable pain devices and device-based pain management rather than a broad multi‑specialty ASC service line.

    The provider’s Medicare revenue is $1.9M and is highly concentrated: the precomputed top 3 Medicare codes account for 81.7% of Medicare revenue, led by 63685 ($804.4K, 42.6% of Medicare revenue) and 63650 ($584.5K, 31.0% of Medicare revenue). These two device-focused codes together dominate the center’s Medicare billing, signaling reliance on high-value implant procedures for financial performance.

    Medicaid activity is much smaller in scale with total Medicaid revenue of $127.8K and an even tighter concentration: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue. The Medicaid mix mirrors Medicare in clinical focus (63650 and injection codes such as 64483 and 62321) but represents a minor share of the provider’s overall payer mix, indicating Medicare is the primary commercial driver.

    Competitive standing on Medicare is mixed by code: 63650 ranks #67 of 1371 providers nationally (95th percentile) and is described as notably above typical national volume, implying the center is a comparatively high-volume national performer for epidural electrode placement. By contrast, 63685 ranks #110 of 1281 (91th percentile) and is characterized as typical, unremarkable volume; together this suggests strong specialty volume for certain neuromodulation services but not dominance across all device procedures.

    On Medicaid, peer comparisons are limited: 63650 is listed as #1 of 1 providers in-state (0th percentile) with no state peer volume comparison available, so statewide competitive interpretation is not possible from available data. Medicaid ranks for 64483 (10 of 22, 57th percentile) appear typical, reinforcing that the facility’s Medicaid footprint is modest and constrained to the same interventional pain services seen in Medicare billing.

    The center demonstrates high utilization of image-guided diagnostic and therapeutic injection services on Medicare, with codes such as 64493 at the 95th percentile (notably above typical), 64490 at the 94th percentile (notably above typical), and 62321 at the 93th percentile (notably above typical). This pattern shows a substantial procedural volume in fluoroscopy/CT-guided injections and facet/joint procedures that complements its device implantation business.

    Revenue mix between implantation and revision favors initial implants: 63685 (generator insertion) accounts for $804.4K (42.6% of Medicare revenue) while 63688 (revising or removing a generator) contributes $18.7K (1.0% of Medicare revenue) and ranks lower nationally (29th percentile). The disparity suggests the center performs substantially more initial implantations than generator revisions or removals.

    The NPI was enumerated on 2016-02-24 (~10 years ago), indicating roughly a decade of recorded billing activity; the sustained, device-heavy Medicare billing pattern across high-revenue CPTs suggests an established specialty service line rather than a recent or transient practice shift.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The 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…40$20,110$804.4K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.150$3,920$584.5K
    62362The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as…10$10,840$151.8K
    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).260$280$74.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.120$530$61.1K
    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…220$270$59.2K
    64490The 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…110$320$34.2K
    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…50$660$30.9K
    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)…100$260$25.9K
    63688The provider revises or removes a spinal neurostimulator pulse generator or receiver. The system is one that has a detachable connection between the electrode array and the pulse generator or…10$1,440$18.7K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    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

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368532020$8,770$210.4K
    6365033070$2,030$170.4K
    6236271020$5,130$138.5K
    G0260102080$210$24.2K
    6368821010$1,350$19K
    64635610030$370$16.2K
    64483717040$200$14.1K
    6463365020$400$11.9K
    64493512050$180$10.7K
    6449047030$200$8.3K

    Showing 1–10 of 15

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.20$2,730$65.4K
    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).170$340$58K
    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)…10$370$4.4K
    77003The provider uses fluoroscopic guidance to place a needle or catheter in the spine or area adjacent to the spinal column to perform procedures to detect the extent or cause of a disease or to treat…60$0$0
    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…570$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis570$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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).1020140$170$79.1K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.11020$2,730$65.4K
    77003The provider uses fluoroscopic guidance to place a needle or catheter in the spine or area adjacent to the spinal column to perform procedures to detect the extent or cause of a disease or to treat…21060$70$23.3K
    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)…1110110$140$19K
    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…320130$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis21080$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Twin Cities Surgery Center, PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew J Will Md PAMNPhysical Medicine & Rehabilitation Physician$0$5.1M
    Burnsville Surgery Center, P.A.MNAmbulatory Surgical Clinic/Center$1.8M$0
    David LindenbergCAPain Medicine (Physical Medicine & Rehabilitation) Physician$1.3M$320
    Sally KangasMNAdult Health Nurse Practitioner$131.1K$0
    Daniel NguyenMNPhysician Assistant$113.3K$0
    Sherri HaasMNPain Medicine (Physical Medicine & Rehabilitation) Physician$113.1K$0
    Austin HenemanMNPhysician Assistant$96.6K$0
    Andrew PisanskyMNPain Medicine (Anesthesiology) Physician$91.9K$0
    Anne KokayeffMNPain Medicine (Psychiatry & Neurology) Physician$83K$0
    Katherine Le-banhMNNurse Practitioner$64.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Twin Cities Surgery Center, PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Customcare Cbc, LLCMNCustodial Care Facility$0$63.8M
    Kang Le LLCMNAdult Day Care Clinic/Center$0$12.7M
    Intrepid Of Golden Valley IncMNHome Health Agency$0$11.8M
    Recover Health Of Minnesota, Inc.MNHome Health Agency$0$10.7M
    Opportunity Partners Inc.MNDevelopmentally Disabled Services Day Training Agency$0$5.2M
    Robert TuttleMNOrthopaedic Surgery Physician$153.6K$0
    Mohammad KassirMNDiagnostic Radiology Physician$139.5K$0
    Bishoy GadMNOrthopaedic Surgery Physician$139.3K$0
    Dirk HalversonMNPodiatrist$135.2K$0
    Darcy McbrideMNRadiation Oncology Physician$134.1K$0

    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. Minnesota Distribution
    Twin Cities Surgery Center, PA — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota
    Medicaid Revenue by Year vs. Minnesota Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Twin Cities Surgery Center, PA — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota