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NPI 1861444838 · Las Cruces, NM · Ambulatory Surgical Clinic/Center
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Las Cruces Surgery Center LP is a ambulatory surgical clinic/center provider located in Las Cruces, New Mexico. This profile covers 3 Medicare and 24 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 | Las Cruces Surgery Center LP |
| Address | 4351 E Lohman Ave |
| City | Las Cruces |
| State | NM |
| ZIP | 88011 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $9.2M |
| Medicare | $492.2K |
This provider’s payer mix is heavily weighted toward Medicaid in scale: lifetime Medicaid revenue is $9.2M compared with total Medicare revenue of $492.2K, indicating Medicaid receipts are the primary revenue stream for this ambulatory surgical clinic. The disparity suggests business operations and negotiated payer relationships are likely oriented toward Medicaid-covered services and populations rather than Medicare-centric procedural volume.
Medicare revenue is highly concentrated in three procedures: the top 3 Medicare codes by revenue account for 100.0% of the provider’s total Medicare revenue, driven primarily by cataract/lens procedures and a single neurostimulator implantation code. The leading Medicare code is 66984 ($339.7K, 423 claims, $803 avg paid/claim), followed by 64555 ($116.7K, 28 claims, $4167 avg paid/claim) and 66982 ($35.9K, 44 claims, $815 avg paid/claim), which together form the entirety of billed Medicare revenue and point to a narrow procedural mix for Medicare patients.
Medicaid revenue is also concentrated but less extreme: the top 3 Medicaid codes by revenue account for 82.8% of this provider’s total Medicaid revenue. The single dominant Medicaid code is 41899 ($6.7M, 8.4K claims, $796 avg paid/claim), with D2930 ($658.5K, 645 claims, $1021 avg paid/claim) and 42820 ($333.3K, 205 claims, $1626 avg paid/claim) completing the top three, indicating a Medicaid panel skewed toward dental and related ambulatory procedures.
Service-line implications from the code mix align with the facility taxonomy (Ambulatory Surgical Clinic/Center): Medicare billing is concentrated in ophthalmologic procedures (66984, 66982) plus one peripheral nerve neurostimulator code (64555), while Medicaid billing shows very high volume in dental procedure codes (41899 and multiple D-codes) along with ENT/pediatric procedures such as tonsil/adenoid removal (42820) and tympanostomy (69436). Together these patterns suggest the center operates as a multi-specialty ambulatory surgical and dental services site rather than a single-modality specialty clinic.
On national Medicare competitive standing the provider appears modest: 66984 ranks #3238 of 15965 providers nationally (80th percentile) and is described as "typical, unremarkable volume," 64555 ranks #107 of 211 providers (48th percentile), and 66982 ranks #1254 of 4580 providers (72th percentile). These rank positions indicate the provider is not a national leader in these Medicare procedures but maintains routine, expected volumes for these codes.
Within the state Medicaid landscape the provider shows stronger relative standing for specific codes: 41899 ranks #3 of 11 providers in-state (80th percentile) which is a comparatively strong placement for that code, and notably 64483 ($213.3K, 799 claims, $267 avg paid/claim) ranks #2 of 28 providers in-state (96th percentile; notably above typical state volume), flagging transforaminal epidural injections as an area where this provider bills substantially more than most state peers. Conversely, several other Medicaid codes sit at middling or lower percentiles, so the provider’s state competitiveness appears concentrated in a few high-volume Medicaid procedures rather than broad dominance.
The provider has an established presence: NPI enumerated on 2006-05-17 (~20 years ago), indicating long tenure in the market. This duration supports the plausibility of the concentrated specialty relationships and payer arrangements observed in both Medicare and Medicaid billing patterns.
There are several notable billing anomalies and non-revenue items to be aware of in the Medicaid file: V2632 and G8907 show claims with $0 avg paid/claim and $0 revenue, indicating submitted but non-reimbursed or informational entries that do not drive revenue. Additionally, L8699 appears as a unique in-state item (652 claims, $56.7K, ranks #1 of 1 providers in-state with no state peer volume comparison available), which may reflect a provider-specific prosthetic implant reporting practice rather than a comparable peer benchmark.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 420 | $800 | $339.7K |
| 64555 | A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a… | 30 | $4,170 | $116.7K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 40 | $820 | $35.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 8,360 | $800 | $6.7M |
| D2930 | N/A | 650 | $1,020 | $658.5K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 210 | $1,630 | $333.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 600 | $520 | $315.3K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 740 | $380 | $281.9K |
| 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). | 800 | $270 | $213.3K |
| D3220 | N/A | 470 | $400 | $184.9K |
| D2391 | Resin‑based composite – one surface, posterior | 300 | $430 | $129.9K |
| D1120 | Prophylaxis–child | 750 | $150 | $110.7K |
| D1351 | Sealant - per tooth | 180 | $460 | $79.6K |
Showing 1–10 of 24
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
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 3 | 10 | 290 | $320 | $1.3M |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 11 | 30 | 280 | $400 | $607.8K |
| D2930 | N/A | 44 | 80 | 870 | $120 | $456.1K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 46 | 50 | 300 | $260 | $436.4K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 12 | 20 | 310 | $1,070 | $373.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 3 | 10 | 160 | $760 | $201.1K |
| D3220 | N/A | 31 | 60 | 510 | $90 | $146.3K |
| D1120 | Prophylaxis–child | 141 | 380 | 330 | $30 | $137.6K |
| 54161 | The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit. | 3 | 10 | 30 | $1,330 | $126.4K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 117 | 200 | 290 | $70 | $91.7K |
Showing 1–10 of 24
Other providers in the same ZIP code as Las Cruces Surgery Center LP, ranked by combined Medicare and Medicaid revenue.
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