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    OpenPayerNPI Medicare & MedicaidRuxton Surgicenter LLC
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    Ruxton Surgicenter LLC — Billing Profile & Reimbursement Data

    NPI 1841347143 · Towson, MD · Ambulatory Surgical Clinic/Center

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    Ruxton Surgicenter LLC is a ambulatory surgical clinic/center provider located in Towson, Maryland. This profile covers 30 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRuxton Surgicenter LLC
    Address8322 Bellona Ave
    CityTowson
    StateMD
    ZIP21204
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 5, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    RUXTON SURGICENTER LLC is an Ambulatory Surgical Clinic/Center in TOWSON, MD with NPI enumeration date 2007-01-05 (~19 years ago). Its lifetime Medicare revenue on file is $2.5M and there is no Medicaid billing on file, making the provider effectively single-payer (Medicare) in scale based on the available claims data.

    Revenue is concentrated in a small set of Medicare procedure codes: the precomputed top three Medicare codes by revenue account for 38.0% of this provider's total Medicare revenue. The three highest-revenue codes are 63685 ($377.2K, 15.6%), 63650 ($311.1K, 12.9%), and 64483 ($227.6K, 9.4%), indicating a material share of earnings is driven by a few high-revenue services.

    The code mix suggests a dual focus on interventional spine/pain procedures and outpatient orthopedics. High-revenue spine and implant codes such as 63685 (spinal neurostimulator pulse generator, $377.2K) and 63650 (epidural electrode placement, $311.1K) sit alongside orthopedic arthroscopy and joint replacement codes like 29827 (rotator cuff repair, $156.5K) and 27447 (knee replacement, $135.1K), reflecting a blended ambulatory surgery practice.

    On interventional pain and image-guided injection volume, RUXTON SURGICENTER is a national high-volume outlier: 64483 (739 claims, $308 avg paid/claim, $227.6K) ranks #71 of 8202 providers (99th percentile; extreme outlier, far above typical national volume) and 62323 (800 claims, $250 avg paid/claim, $200K) ranks #11 of 7397 providers (100th percentile; extreme outlier). These ranks indicate the center performs injection-based spinal procedures at volumes well above typical national peers.

    By contrast, the facility’s performance on neurostimulator implantation and some device procedures is modest relative to national peers: 63685 (20 claims, $18860 avg paid/claim, $377.2K) ranks #458 of 1281 providers (61th percentile; typical, unremarkable volume) and 63650 (83 claims, $3748 avg paid/claim, $311.1K) ranks #226 of 1371 providers (83th percentile; typical, unremarkable volume). This suggests strong specialization in high-volume injection services but only moderate national standing for device implantation activity.

    Several injection and ablation codes show both high claim counts and low average payments per claim, indicating a volume-driven revenue model. Examples include 64483 (739 claims, $308 avg paid/claim), 62323 (800 claims, $250 avg paid/claim), 64493 (523 claims, $267 avg paid/claim, ranks 99th percentile; extreme outlier), and 64635 (266 claims, $517 avg paid/claim, 99th percentile; extreme outlier), which together reflect substantial throughput of image-guided pain procedures.

    The absence of any Medicaid billing on file means payers and network managers should treat this entity as essentially Medicare-dependent for publicly reported revenue; there is no in-state Medicaid activity to benchmark against. That single-payer footprint increases the provider’s operational exposure to Medicare policy and reimbursement changes and limits visibility into Medicaid market behavior.

    Taken together, long tenure (~19 years of NPI enumeration) plus extreme national-volume rankings on multiple image-guided spine injection codes position RUXTON SURGICENTER as an established, high-volume specialty center for interventional pain care. Its concentrated revenue base (top three codes = 38.0% of Medicare revenue) and mix of both high-volume low-dollar injections and select higher-paid implant/orthopedic procedures define its competitive profile for payers analyzing referral patterns and contracting opportunities.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The 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$18,860$377.2K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.80$3,750$311.1K
    64483This 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).740$310$227.6K
    62323The 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)…800$250$200K
    29827The 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…70$2,120$156.5K
    0275TN/A40$3,680$147K
    64493The 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…520$270$139.6K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.270$520$137.5K
    27447In 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…20$7,110$135.1K
    25609The 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$3,320$109.6K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    63685143020$10,020$240.5K
    6365095030$2,120$106K
    0275T94020$2,450$83.2K
    2744720227030$1,500$72K
    2560911020$2,270$47.6K
    644834240100$220$32K
    2875061020$1,970$31.6K
    2982718020$1,210$30.3K
    64635216050$410$28K
    29848115040$460$27K

    Showing 1–10 of 30

    Nearby Providers

    Other providers in the same ZIP code as Ruxton Surgicenter LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baltimore County Public SchoolsMDLocal Education Agency (LEA)$0$102.7M
    Gilchrist Hospice Care Inc.MDInpatient Hospice$0$60.7M
    Sheppard Pratt Physicians, P.A.MDPsychiatry Physician$0$17.3M
    Greater Baltimore Medical Center, Inc.MDGeneral Practice Physician$0$9.4M
    Mei TangMDMedical Oncology Physician$6.9M$0
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$6.8M
    University Of Maryland St. Joseph Medical Group, LLCMDGeneral Practice Physician$0$6.2M
    Sheppard Pratt Physicians PAMDMental Health Counselor$0$5.7M
    Baltimore County Deparment Of HealthMDPublic Health or Welfare Agency$0$5.2M
    David BarananoMDOphthalmology Physician$4.2M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maryland Distribution
    Ruxton Surgicenter LLC — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland