Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cascade Spine Center, LLC (NPI 1801891668)

Key Findings

Field	Value
Entity Type	Organization
Organization	Cascade Spine Center, LLC
Address	6464 Sw Borland Rd
City	Tualatin
State	OR
ZIP	97062
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 17, 2005

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

CASCADE SPINE CENTER, LLC is registered as an Ambulatory Surgical Clinic/Center in TUALATIN, OR with an NPI enumerated on 2005-06-17 (~21 years ago). Its lifetime Medicare revenue on file is $1.1M and there is no Medicaid billing on file, indicating the practice operates effectively as a Medicare-focused provider in the available datasets.

Revenue is highly concentrated in a small set of spine/interventional-pain procedures: the precomputed top three Medicare codes (63685, 63650, 64483) account for 77.7% of the provider's total Medicare revenue. Individually, 63685 represents $432.9K (40.3%), 63650 represents $263.3K (24.5%), and 64483 represents $138.3K (12.9%) of Medicare revenue, so changes in utilization or reimbursement for these codes would materially affect overall revenue.

The reported code mix—63685 (spinal neurostimulator pulse generator insertion/replacement), 63650 (epidural electrode placement), and 64483 (lumbar/sacral transforaminal epidural injection)—points to a clinical focus on spinal interventions and neuromodulation. Average paid-per-claim figures reinforce this distinction between higher-cost device/surgical work and lower-cost injection procedures: $20616 avg paid/claim for 63685, $4179 for 63650, and $318 for 64483.

For national competitive standing, the practice is a modest participant on its higher-revenue implant codes: 63685 ranks #422 of 1281 providers (64th percentile; typical, unremarkable volume) and 63650 ranks #412 of 1371 providers (69th percentile; typical, unremarkable volume). Those percentiles suggest the center performs these implant and electrode procedures at volumes comparable to many peers rather than as a dominant national center.

In contrast, the provider is a clear high-volume outlier for transforaminal epidural injections: 64483 ranks #273 of 8202 providers (97th percentile; notably above typical national volume). That elevated percentile for 64483 indicates the practice has unusually high throughput for lumbar/sacral transforaminal epidural injections compared with the national pool.

The absence of any Medicaid billing on file makes the payer mix effectively single-payer (Medicare) in the available records, which concentrates payer risk and reduces revenue diversification. Analysts should treat the center as Medicare-dependent for benchmarking and contracting discussions unless supplemental non-public Medicaid activity is documented elsewhere.

The operational profile implied by the codes—high-cost device implantation combined with high-volume image-guided injections—suggests the center requires infrastructure for implant procedures (sterile operating capacity, device inventory) alongside repeated, image-guided outpatient pain procedures. This dual profile has implications for staffing, capital equipment, and referral relationships with spine surgeons and pain-management physicians.

Because the top three codes produce 77.7% of Medicare revenue and one of those codes (64483) is notably above typical national volume while the others are typical, analysts should prioritize monitoring utilization and reimbursement trends for 63685, 63650, and especially 64483 when assessing financial stability and competitive dynamics for this provider. Any payer policy or coding changes affecting these specific services could disproportionately impact the practice's Medicare revenue.

Medicare: Complete Services Breakdown

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

10 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	$20,620	$432.9K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	60	$4,180	$263.3K
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).	440	$320	$138.3K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	60	$960	$57.6K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	80	$590	$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…	150	$300	$45.6K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	110	$240	$27.3K
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…	80	$320	$24.5K
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…	40	$650	$23.4K
64479	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 cervical or thoracic).	40	$340	$14.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Meridian Park Hospital	OR	General Acute Care Hospital	$0	$13.3M
Danny Sadakah	OR	Dentist	$0	$11.8M
United Seating And Mobility LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Tualatin Imaging P C	OR	Diagnostic Radiology Physician	$0	$2.8M
Legacy Meridian Park Hospital	OR	Hospitalist Physician	$0	$2.4M
Gso Equipment Corp	OR	Endoscopy Clinic/Center	$528K	$1.2M
Or Krew, LLC	OR	Home Health Agency	$0	$1.4M
Oregon Pediatrics- Meridian Park, LLC	OR	Pediatrics Physician	$0	$1.2M
Pacific Cataract And Laser Institute, Inc., P.C.	OR	Ambulatory Surgical Clinic/Center	$1M	$66.9K
Ian Schnadig	OR	Hematology & Oncology Physician	$721K	$0

Cascade Spine Center, LLC — Billing Profile & Reimbursement Data

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Cascade Spine Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	8	20	20	$11,390	$239.2K
63650	11	40	40	$2,140	$117.8K
66984	142	260	70	$540	$82.7K
64635	17	80	40	$430	$24K
G0260	7	20	60	$220	$23.9K
64483	2	100	50	$220	$19K
64493	11	90	50	$210	$16.9K
64633	10	30	30	$430	$14.7K
64490	10	50	40	$220	$11.2K
64479	9	20	30	$240	$9.9K