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 Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah 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. Utah (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.

Vineyard Surgery Center, LLC (NPI 1821759705)

Key Findings

Field	Value
Entity Type	Organization
Organization	Vineyard Surgery Center, LLC
Address	691 E 400 N Ste 100
City	Vineyard
State	UT
ZIP	84059
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 4, 2022

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

The provider’s service mix is concentrated in spine and interventional pain procedures consistent with its Ambulatory Surgical Clinic/Center taxonomy: the top Medicare codes are 63685 (spinal neurostimulator generator implantation), 63650 (epidural electrode placement), and 22869 (interspinous distraction device insertion), which together point to both implantable-device spine work and image‑guided spinal interventions. These code types suggest the center operates as a specialized spine/pain procedural clinic rather than a broad multispecialty ASC.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 69.3% of this provider’s total Medicare revenue, while lifetime Medicare revenue is $1.2M. Within that $1.2M, the three leading codes individually contribute 32.3% (63685), 27.5% (63650), and 9.5% (22869) of Medicare revenue, indicating reliance on a small set of device-intensive procedures.

Payer mix is effectively single-payer: the provider reports $1.2M in lifetime Medicare revenue and no Medicaid billing on file. The absence of Medicaid billing means operational and revenue exposure is concentrated on Medicare beneficiaries and payers.

Competitive standing on high-dollar implant procedures is mixed: 63685 ranks #422 of 1281 providers nationally (64th percentile; typical, unremarkable volume for this code) and 63650 ranks #190 of 1371 (86th percentile; typical, unremarkable volume for this code), while 22869 ranks #46 of 72 (35th percentile; typical, unremarkable volume for this code). These ranks suggest modest-to-mid-tier national presence for device and implant services, with 63650 showing relatively stronger placement among peers.

The provider is an outsized performer on image‑guided injection and pain-management volumes: 62323 (398 claims, $100.3K; 8.2% of Medicare revenue) ranks #147 of 7397 providers (98th percentile; extreme outlier) and 64635 (148 claims, $95.2K; 7.8%) ranks #347 of 5957 (94th percentile; notably above typical national volume for this code). Additional injection codes such as 62321 (97th percentile; notably above typical) and 64493 (92th percentile; typical, unremarkable volume for this code) reinforce a pattern of above‑typical throughput for spinal injection services.

There is a clear mix of high-revenue-per-claim device procedures and high-volume, lower-reimbursement injections: for example, 63685 has an average paid per claim of $18782 (21 claims, $394.4K revenue) and 63650 averages $3733 per claim (90 claims, $336K), whereas 62323 averages $252 per claim (398 claims, $100.3K) and 64635 averages $643 per claim (148 claims, $95.2K). This split indicates the center derives significant Medicare dollars from a small number of high-priced implants while also generating substantial volume- driven revenue from injections and ablations.

Tenure is relatively short: the NPI was enumerated on 2022-01-04 (~4 years ago). Coupled with $1.2M in lifetime Medicare revenue and the concentrated spine/pain code mix, this suggests a relatively young, specialized ASC that has already established a focused procedure mix.

Taken together, the billing pattern—dominant contribution from three spine/device codes (69.3% of Medicare revenue), no Medicaid activity, and multiple high-percentile injection codes—is consistent with a specialty spine and interventional pain center that captures above-typical national volume for image‑guided injections while maintaining modest national standing on certain implant procedures. This profile implies a narrow service focus with potential regional referral concentration and dependence on Medicare reimbursement flows.

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	$18,780	$394.4K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	90	$3,730	$336K
22869	Through a minimally invasive approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous…	10	$8,330	$116.6K
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)…	400	$250	$100.3K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	150	$640	$95.2K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	250	$210	$52.9K
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…	180	$260	$46.7K
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)…	140	$250	$35.3K
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).	90	$320	$28.2K
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…	70	$260	$16.7K

Vineyard Surgery 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	9	20	20	$6,650	$192.7K
63650	5	20	50	$1,750	$124.6K
22869	1	10	10	$8,330	$116.6K
G0260	1	10	120	$210	$23.5K
64635	2	80	50	$350	$20.1K
62323	3	80	60	$170	$18.4K
64483	30	100	50	$190	$16K
64493	1	70	50	$170	$10.6K
62321	3	50	50	$180	$9.7K
64490	2	40	30	$170	$5.6K