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NPI 1831109560 · Albuquerque, NM · Ambulatory Surgical Clinic/Center
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New Mexico Orthopaedic Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Albuquerque, New Mexico. This profile covers 33 Medicare and 29 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 | New Mexico Orthopaedic Surgery Center, LLC |
| Address | 8300 Constitution Ave Ne |
| City | Albuquerque |
| State | NM |
| ZIP | 87110 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.1M |
| Medicare | $3M |
Payer mix and scale: This facility reports lifetime Medicare revenue of $3M and lifetime Medicaid revenue of $5.1M, making Medicaid the larger payer by reported dollars and indicating the provider operates with a Medicaid-dominant revenue mix rather than being Medicare-first. The absolute revenue figures suggest a midsize ambulatory surgical center footprint that derives a meaningful portion of its business from state programs.
Medicare revenue concentration: The top three Medicare codes account for 54.6% of this provider’s total Medicare revenue, with 27447 alone representing $1.2M (40.3% of Medicare revenue). That concentration shows Medicare revenue is heavily driven by knee arthroplasty activity and a small set of high-revenue procedures.
Medicaid revenue concentration and state dominance: The top three Medicaid codes account for 44.1% of Medicaid revenue, led by 64493, 64635, and 29888. Each of those codes ranks at or near the top in-state (64493 and 64635 rank #1 in-state and are described as extreme outliers or 100th percentile), indicating the provider is a dominant statewide supplier for image-guided facet injections, neurolytic procedures, and knee ligament repair.
Mixed orthopedics + interventional pain practice model: The billed code mix combines high-dollar surgical orthopedics (27447 total knee arthroplasty; 29888 ACL reconstruction; 29827/29881 arthroscopic procedures; 27130 hip replacement) with high-volume image-guided spine and nerve procedures (64493, 64635, 64483, 64490, 62323). This pattern is consistent with an ambulatory surgical clinic/center that runs both operating-room orthopedics and a busy interventional pain suite rather than a pure pain clinic or pure joint-replacement hospital.
Competitive standing for Medicare arthroplasty and pain codes: National ranks show unusually high activity for specific Medicare codes—27447 ranks #152 of 12089 (99th percentile; extreme outlier) and several spine/pain codes (64635 rank #27 of 5957, 64493 rank #11 of 7519) are 100th percentile or described as extreme outliers. Those placements indicate the provider bills at volumes far above typical national peers for both knee arthroplasty and interventional pain procedures.
State-level dominance in Medicaid procedural lines: For Medicaid, multiple top codes are #1 in-state (for example, 64493, 64635, 29888, 29881, 29848 are listed as rank #1), showing the center captures a leading share of several procedure types regionally—particularly lumbar facet injections, neurolytic lumbar procedures, ACL reconstruction, knee arthroscopy, and wrist endoscopy. That statewide concentration suggests referral or capacity advantages for these procedures within New Mexico.
Operational tenure and continuity: The NPI was enumerated on 2006-08-08 (~20 years ago), indicating a long-standing presence in the market. That tenure is consistent with cumulative multi-year billing patterns and the facility’s ability to build both surgical and interventional pain volumes across payers.
Service-line diversification and risk profile: Although revenue is concentrated in a small number of high-revenue codes (54.6% of Medicare and 44.1% of Medicaid attributed to the top three codes for each payer), the full lists show a spread of ancillary orthopedics and hand/foot procedures (e.g., 64721, 29848, 25609, 20680) and multiple injection/catheter codes, implying the center has multiple complementary revenue streams beyond its headline knee and spine services which may mitigate dependence on any single code.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
33 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 180 | $6,750 | $1.2M |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 420 | $520 | $217.7K |
| 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… | 800 | $250 | $200K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 90 | $2,000 | $169.9K |
| 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… | 20 | $6,740 | $128K |
| 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 | $270 | $118.8K |
| 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)… | 420 | $240 | $102.1K |
| 25609 | The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes… | 30 | $3,290 | $102.1K |
| 27446 | In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the… | 10 | $6,830 | $95.6K |
| 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… | 100 | $620 | $63.8K |
Showing 1–10 of 33
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
33 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 27446 | 1 | 10 | 10 | $6,830 | $95.6K |
| 29827 | 1 | 10 | 30 | $1,510 | $55.9K |
| 27447 | 1 | 70 | 40 | $1,270 | $52.1K |
| 28297 | 1 | 10 | 10 | $3,460 | $45K |
| 25608 | 1 | 10 | 10 | $3,160 | $41.1K |
| 25609 | 1 | 10 | 10 | $2,220 | $40K |
| 29828 | 1 | 10 | 20 | $2,340 | $37.4K |
| 64708 | 2 | 10 | 110 | $280 | $30.5K |
| 27130 | 22 | 40 | 20 | $900 | $28.9K |
| 64635 | 1 | 40 | 40 | $360 | $21.2K |
Showing 1–10 of 33
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.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 3,890 | $250 | $984.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 1,510 | $470 | $715.3K |
| 29888 | The provider examines the tissue inside the knee joint with an arthroscope. She identifies and repairs a tear in the anterior cruciate ligament and repairs it with tissue taken from elsewhere in the… | 180 | $2,960 | $538.7K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 560 | $890 | $492.9K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 760 | $630 | $472.6K |
| 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). | 1,710 | $220 | $375.1K |
| 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… | 910 | $280 | $252K |
| 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)… | 1,080 | $230 | $246.2K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 320 | $580 | $188K |
| 20680 | Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal… | 250 | $730 | $184K |
Showing 1–10 of 29
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
29 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 29888 | The provider examines the tissue inside the knee joint with an arthroscope. She identifies and repairs a tear in the anterior cruciate ligament and repairs it with tissue taken from elsewhere in the… | 1 | 10 | 180 | $2,960 | $538.7K |
| 20680 | Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal… | 2 | 10 | 250 | $1,250 | $304.4K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 1 | 10 | 290 | $890 | $255.8K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 12 | 20 | 270 | $400 | $234.1K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 1 | 10 | 40 | $600 | $165.4K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 1 | 10 | 100 | $1,540 | $160.4K |
| 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… | 1 | 30 | 170 | $240 | $121.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 1 | 20 | 140 | $420 | $119.4K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 1 | 10 | 60 | $680 | $81.6K |
| 76000 | In this procedure, the provider uses fluoroscopy for up to one hour as an imaging technique to obtain real time images of internal structures. | 5 | 10 | 250 | $100 | $71K |
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Other providers in the same ZIP code as New Mexico Orthopaedic Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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