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

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

Spine And Neuro Health And Wellness Center LLC (NPI 1831858455)

Field	Value
Entity Type	Organization
Organization	Spine And Neuro Health And Wellness Center LLC
Address	850 Geneva Pkwy N Ste 100
City	Lake Geneva
State	WI
ZIP	53147
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 10, 2021

Payer Source	Total Paid
Medicare	$978.5K
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare, reporting total Medicare revenue of $978.5K and no Medicaid billing on file; the NPI was enumerated on 2021-12-10 (~5 years ago), indicating a relatively recent enrollment window and a effectively single-payer Medicare operating footprint.

The service mix and revenue drivers identify the practice as an ambulatory surgical center focused on spine surgery and neuromodulation: the top-billed procedures are implantable spinal neurostimulator generator work (63685), lumbar spinal fusion (22612), and epidural electrode placement (63650), which together reflect an operation that performs surgical implant procedures and spine-focused interventions.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 74.4% of this provider's Medicare revenue, led by 63685 at $414.7K (42.4% of Medicare revenue), followed by 22612 at $162.4K (16.6%), and 63650 at $150.4K (15.4%), indicating that a small set of high-value spine procedures dominates the practice’s Medicare receipts.

Payment intensity is skewed toward a few high-paid procedures: 63685 reports an avg paid/claim of $18032 and 22612 reports $11600 avg paid/claim, which explains why these codes generate most revenue despite modest claim counts; by contrast 63650 has a lower avg paid/claim of $3580 but still contributes materially to total revenue.

Competitive standing on key codes is generally modest: 63685 ranks #355 of 1281 providers (70th percentile) and is described as "typical, unremarkable volume," indicating an above-median but not dominant national presence for neurostimulator implants; 22612 ranks #1335 of 1984 (25th percentile) and 63650 ranks #739 of 1371 (44th percentile), both likewise labeled "typical, unremarkable volume," which together point to a meaningful but not leading role in national benchmarking.

The practice also bills a broad set of interventional pain procedures at lower per-claim value and smaller revenue shares, including 64635 (75 claims, $38.1K, 3.9%), 62323 (122 claims, $29.3K, 3.0%), and 64493 (93 claims, $26K, 2.7%), suggesting a mixed model of higher-revenue implants and higher-volume, lower-revenue injections and denervation services.

Certain secondary procedures provide meaningful supplemental revenue: 64628 (basivertebral nerve ablation) contributes $79.3K (8.1% of Medicare revenue) and is ranked #227 of 247 (reported as "typical, unremarkable volume"), making it a notable niche offering that supplements the implant and fusion revenue base.

Given the lack of Medicaid billing, the provider appears to be effectively Medicare-focused; that payer concentration combined with a high share of revenue from three codes (74.4%) suggests concentrated contracting and reimbursement risk if utilization or coverage for those specific spine and neuromodulation services changes.

Medicare: Complete Services Breakdown

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

11 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	$18,030	$414.7K
22612	The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…	10	$11,600	$162.4K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	40	$3,580	$150.4K
64628	The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.	10	$7,210	$79.3K
0275T	N/A	10	$3,520	$45.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	80	$510	$38.1K
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)…	120	$240	$29.3K
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…	90	$280	$26K
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	$290	$18.8K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	40	$220	$8.2K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Spine And Neuro Health And Wellness Center LLC — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	1	30	10	$7,060	$105.9K
63650	16	20	50	$1,720	$86.2K
64628	3	10	20	$3,770	$56.5K
0275T	3	10	10	$1,410	$21.1K
22612	12	30	10	$1,220	$19.5K
G0260	15	20	50	$210	$16.8K
64635	10	130	30	$320	$12.3K
64483	55	170	40	$160	$9.8K
64493	10	150	40	$150	$7.9K
62323	19	160	40	$120	$7.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Spine And Neuro Health And Wellness Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	Critical Access Hospital	$0	$9.4M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Youngquist Kennedy Orthodontics, Ltd.	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.9M
Shashi Bhushan	WI	Internal Medicine Physician	$340.5K	$0
Jason So	WI	Family Medicine Physician	$257.9K	$37.9K
City Of Lake Geneva	WI	Land Ambulance	$207.1K	$64.6K
Walgreen Co	WI	Pharmacy	$172K	$54.1K
Wisconsin Cvs Pharmacy LLC	WI	Pharmacy	$188.3K	$4K
Cyril Philip	WI	Interventional Pain Medicine Physician	$158.3K	$420
Shelly Weis	WI	Physical Therapist	$139.5K	$0

Spine And Neuro Health And Wellness Center LLC — Billing Profile & Reimbursement Data

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Spine And Neuro Health And Wellness Center LLC — Billing Profile & Reimbursement Data

Sign up for Spine And Neuro Health And Wellness Center LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References