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NPI 1821560434 · Las Vegas, NV · Ambulatory Surgical Clinic/Center
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Sunset Pain Surgery Center is a ambulatory surgical clinic/center provider located in Las Vegas, Nevada. This profile covers 10 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 | Sunset Pain Surgery Center |
| Address | 5852 S Durango Dr Ste 100 |
| City | Las Vegas |
| State | NV |
| ZIP | 89113 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 20, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $35.2K |
SUNSET PAIN SURGERY CENTER’s CPT mix is consistent with an outpatient interventional pain and spine-focused ambulatory surgical clinic: the Medicare top codes include neurostimulator pulse generator placement (63685), epidural electrode placement (63650), and radiofrequency/neurolytic procedures (64635), alongside multiple image-guided facet and transforaminal injection codes (64493, 64490, 64483, G0260). These procedure types indicate routine use of fluoroscopy/CT guidance and capacity for device implantation and image-guided pain interventions in an ASC setting.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 65.4% of this provider’s total Medicare revenue, driven by 63685 ($318.7K, 29.2% of Medicare revenue), 63650 ($243.8K, 22.4%), and 64635 ($150.4K, 13.8%). This concentration means a majority of Medicare dollars flow from a narrow set of implant and neurolytic procedures.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 77.9% of this provider’s total Medicaid revenue, with 64635 representing the single largest Medicaid code at $16.3K (46.4% of Medicaid revenue), followed by 64490 ($6.2K, 17.6%) and 64483 ($4.9K, 13.9%). In absolute terms Medicaid is a small share of total payer dollars, so this concentration further emphasizes reliance on a few procedure types for non-Medicare volume.
The provider’s payer mix is heavily Medicare-weighted: lifetime Medicare revenue is $1.1M versus total Medicaid revenue of $35.2K, indicating Medicare is the dominant revenue source and the facility operates with an effectively Medicare-focused revenue base. Medicaid appears to be a minor contributor to overall volume and revenue.
Competitive standing on Medicare is mixed: SUNSET PAIN SURGERY CENTER is a national outlier on several image-guided neurolytic and facet denervation codes (64635 ranks #81 of 5957 nationally at the 99th percentile and is labeled an "extreme outlier," while 64493 ranks #149 of 7519 at the 98th percentile and 64490 ranks in the 98th percentile as well), showing unusually high national volume in those services. By contrast, its implant and lead-placement codes are in more typical national ranges (63685 ranks #590 of 1281, 48th percentile; 63650 ranks #465 of 1371, 65th percentile), indicating it is not a dominant national player for implants but is specialized in neurolytic/facet procedures.
Within the state Medicaid market the provider is modest: 64635 ranks #19 of 23 in-state (described as typical, unremarkable volume among peers) and other Medicaid codes (64490, 64483, 64493) also show in-state rankings that reflect routine, non-dominant participation. This pattern indicates the center is not a major Medicaid hub in Nevada despite high national Medicare volumes for select interventional services.
Operationally, the mix of high-volume fluoroscopy/CT-guided injections, radiofrequency/neurolytic procedures, and device implantation implies the ASC maintains imaging capability, procedural anesthesia/support, and inventory/implant workflows; these are consistent with a specialized pain-surgery service line that derives most revenue from technically intensive, image-guided outpatient procedures. Given the revenue concentration in a few codes across both payers, shifts in reimbursement or utilization for those services would meaningfully affect overall revenue.
SUNSET PAIN SURGERY CENTER has been NPI-enumerated since 2018-12-20 (~8 years ago), indicating several years of operational history. The combination of an 8-year tenure with concentrated Medicare revenue and extreme national-volume signals (for codes like 64635 and 64493) suggests monitoring utilization trends for those high-volume neurolytic/facet services is warranted for payer/provider analysts assessing capacity, referral patterns, and network impact.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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 | $18,750 | $318.7K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 60 | $4,200 | $243.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 270 | $560 | $150.4K |
| 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). | 320 | $320 | $101.4K |
| 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… | 350 | $280 | $98.1K |
| 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… | 100 | $560 | $53.6K |
| 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… | 190 | $290 | $53.3K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 110 | $220 | $24.8K |
| 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). | 80 | $330 | $24.7K |
| 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)… | 70 | $290 | $21.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
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 |
|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 50 | $310 | $16.3K |
| 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… | 30 | $230 | $6.2K |
| 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 | $90 | $4.9K |
| 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… | 40 | $110 | $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… | 40 | $100 | $3.5K |
| 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… | 50 | $10 | $260 |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
6 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. | 19 | 20 | 150 | $360 | $234.5K |
| 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). | 29 | 40 | 250 | $140 | $144.9K |
| 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… | 23 | 30 | 120 | $190 | $108.7K |
| 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… | 6 | 10 | 110 | $190 | $100.2K |
| 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… | 22 | 30 | 130 | $140 | $71.7K |
| 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… | 17 | 20 | 140 | $30 | $16.3K |
Other providers in the same ZIP code as Sunset Pain Surgery Center, ranked by combined Medicare and Medicaid revenue.
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