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NPI 1851407399 · Alamogordo, NM · Ambulatory Surgical Clinic/Center
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Southern New Mexico Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Alamogordo, New Mexico. This profile covers 29 Medicare and 3 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 | Southern New Mexico Surgery Center, LLC |
| Address | 2301 Indian Wells Rd Ste B |
| City | Alamogordo |
| State | NM |
| ZIP | 88310 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $469.4K |
| Medicaid | $56.1K |
SOUTHERN NEW MEXICO SURGERY CENTER, LLC is classified as an Ambulatory Surgical Clinic/Center and its Medicare and Medicaid claims mix points to an orthopedics- and interventional pain–focused ASC. Medicare top revenue codes include 64483, 27860, and 29881 while Medicaid revenue is concentrated in 64483 and 27656, indicating the facility performs a mix of epidural/facet injections, arthroscopic joint procedures, and foot/ankle reconstructive surgeries typical of an orthopedic ambulatory surgery center.
Revenue concentration differs sharply by payer: the precomputed top three Medicare codes account for 27.3% of the provider’s Medicare revenue, while the top three Medicaid codes account for 100.0% of its Medicaid revenue. On Medicaid, 64483 alone represents 86.6% of the provider’s Medicaid revenue, showing extreme concentration of state-covered activity in transforaminal epidural injections.
The provider’s Medicare revenue ($469.4K) is substantially larger than its Medicaid revenue ($56.1K), making Medicare the dominant payer in scale for this entity. This scale difference suggests contracting and utilization strategies should be weighted toward Medicare fee schedules and referral patterns while Medicaid represents a smaller, highly concentrated stream.
For several technical orthopedic/foot-and-ankle codes the facility ranks unusually high among national peers: 27860 ranks #1 of 3 providers nationally (100th percentile) and 27656 ranks #1 of 6 providers nationally (100th percentile), and 27698 ranks #1 of 13 providers nationally with the data flag “notably above typical national volume.” These rankings indicate the ASC has a notable national-level presence for a few specialized reconstructive procedures despite otherwise typical volumes on many common codes.
By contrast, many high-revenue Medicare codes are described as “typical, unremarkable volume,” for example 64483 (rank #1155 of 8202, 86th percentile) and 29881 (rank #126 of 1125, 88th percentile), signaling that outside the handful of specialty codes the center’s Medicare activity aligns with common national peer patterns rather than dominating them. This mixed competitive posture suggests localized specialization embedded within an otherwise typical ASC portfolio.
On Medicaid, competitive standing is more muted but concentrated: 64483 ranks #6 of 28 providers in-state (81th percentile) which is a solid in-state placement but still described as typical for the code, while 27656 shows no state peer comparison beyond being the sole reporter in-state (rank #1 of 1, 0th percentile note). Together these points suggest the center is a meaningful in-state provider for epidural injections and may be the only in-state Medicaid reporter for certain reconstructive foot/ankle services.
Procedure mix and volume patterns show a dual profile of frequent image-guided injections and open/arthroscopic orthopedic surgery. Notable activity: Medicare lists 64483 with 194 claims and 64493 with 111 claims alongside arthroscopy codes 29880/29881/29876 and multiple foot/ankle codes (for example 28285, 28122, 28270), implying the center runs both procedure-day pain-management sessions and operative orthopedics with outpatient surgical throughput.
Several high-reimbursement procedures contribute disproportionately to revenue per case: Medicare entries include 27698 at $1984 avg paid/claim, 23412 at $2048 avg paid/claim, and 27860 at $887 avg paid/claim, indicating that while many injections are lower-paid per claim, select reconstructive surgeries drive notable per-case revenue. Coupled with the provider’s tenure (NPI enumerated 2006-08-21, ~20 years ago), this mix suggests an established ASC with a strategic emphasis on higher-acuity orthopedic interventions alongside routine pain-management services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 190 | $270 | $52.4K |
| 27860 | The provider manipulates an ankle with the patient under general anesthesia to return mobility to a stiff joint. He may also apply traction and other fixators to maintain the position of the ankle. | 50 | $890 | $43.5K |
| 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… | 30 | $1,030 | $31.9K |
| 27698 | The provider performs a secondary repair of a disrupted collateral ligament by mobilizing other tendons to replace the collateral ligament. The provider performs this procedure when the injury is not… | 20 | $1,980 | $29.8K |
| 29880 | In this procedure, the provider performs arthroscopic examination of the knee joint. She removes the damaged and torn meniscus from the medial and lateral compartments of the knee joint along with… | 30 | $1,030 | $28.8K |
| 27656 | The provider uses surgical techniques to restore leg fascia to its normal structure. | 30 | $980 | $27.4K |
| 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… | 110 | $240 | $27.1K |
| 23412 | In this procedure, the provider performs an open surgical repair of a chronic, or persistent, tear of the rotator cuff in the shoulder. A rotator cuff is a group of four muscles that stabilizes the… | 10 | $2,050 | $24.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 40 | $580 | $23.6K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 40 | $600 | $21.6K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 260 | $190 | $48.7K |
| 27656 | The provider uses surgical techniques to restore leg fascia to its normal structure. | 10 | $580 | $7.6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 410 | $0 | $0 |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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). | 6 | 30 | 110 | $230 | $48.3K |
| 27656 | The provider uses surgical techniques to restore leg fascia to its normal structure. | 1 | 10 | 10 | $580 | $7.6K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 5 | 10 | 210 | $1 | $40 |
Other providers in the same ZIP code as Southern New Mexico Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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