Loading...
NPI 1881031235 · Kearney, NE · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Kearney Pain Treatment Center, LLC is a ambulatory surgical clinic/center provider located in Kearney, Nebraska. This profile covers 11 Medicare and 2 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 | Kearney Pain Treatment Center, LLC |
| Address | 920 E 56th St |
| City | Kearney |
| State | NE |
| ZIP | 68847 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 24, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $620.3K |
| Medicaid | $0 |
This provider’s business is effectively single-payer Medicare: lifetime Medicare revenue is $620.3K while Medicaid revenue is $0, indicating virtually no Medicaid billing on file and that Medicare dominates its payer mix. Analysts should treat findings below as reflective of a Medicare-focused ambulatory surgical practice rather than a dual-payer operation.
Revenue is highly concentrated in a small number of high-reimbursement implant and lead-placement procedures: the precomputed top‑3 Medicare codes account for 64.5% of the provider’s Medicare revenue, with the individual top codes reported as 63685 (32.3%), 63650 (17.5%), and 64555 (14.6%). This concentration means a majority of the $620.3K Medicare revenue is driven by a narrow set of device/implant services.
The code mix and taxonomy (Ambulatory Surgical Clinic/Center) point to a specialty interventional pain practice focused on neuromodulation and implantable devices: top codes 63685, 63650, and 64555 describe spinal neurostimulator generator insertion/replacement, epidural electrode placement, and peripheral nerve neurostimulator electrode implantation. In addition to implants, the provider bills a broad set of image-guided injection codes (e.g., 64635, 64483, 64493, 62323), indicating a combined service-line of surgical implants plus routine interventional pain injections.
Despite implants being the top revenue drivers, the provider is not a dominant national implant billing outlier: 63685 ranks #1135 of 1281 providers nationally (0th percentile; typical, unremarkable volume for this code), 63650 ranks #1057 of 1371 (21th percentile; typical, unremarkable volume), and 64555 ranks #156 of 211 (21th percentile; typical, unremarkable volume). In other words, high implant revenue share comes from relatively modest national volumes rather than from being a top national implant center.
By contrast, routine image‑guided injection services show relatively higher standing versus national peers: 64635 ranks #1142 of 5957 (80th percentile; typical, unremarkable volume), 64483 ranks #1690 of 8202 (79th percentile; typical, unremarkable volume), 64493 ranks #1342 of 7519 (82th percentile; typical, unremarkable volume), and 62323 ranks #1756 of 7397 (76th percentile; typical, unremarkable volume). These percentiles suggest the practice has above‑median utilization of common injection procedures even while its implant volumes remain modest.
The provider’s reimbursement profile shows high per‑claim payments for implant work combined with many low‑to‑moderate per‑claim payments for injections: examples include 63685 at $18222 avg paid/claim, 63650 at $3622 avg paid/claim, and 64555 at $4125 avg paid/claim, while injection codes such as 64635 and 64483 show avg paid/claim of $563 and $279 respectively. This mix implies a business model that pairs episodic high‑value surgical cases with higher-frequency, lower-reimbursement clinic-based injections.
Operationally and financially, the practice is exposed to changes in a small set of device/implant codes because the top three codes account for 64.5% of Medicare revenue; any reimbursement or utilization shifts for those specific codes would materially affect total Medicare receipts. Analysts evaluating contract negotiations or network value should weigh the outsized contribution of implants to overall revenue against the provider’s modest national rank on those implant codes.
The provider has an established presence: NPI is enumerated on 2013-05-24 (~13 years ago), consistent with a mature ambulatory surgical clinic that has likely stabilized its service mix around neuromodulation implants plus routine interventional pain injections. That tenure supports interpreting current billing patterns as an entrenched operational profile rather than a short‑term anomaly.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
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… | 10 | $18,220 | $200.4K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,620 | $108.7K |
| 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… | 20 | $4,130 | $90.8K |
| 0275T | N/A | 10 | $3,550 | $49.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 80 | $560 | $43.9K |
| 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). | 150 | $280 | $41.3K |
| 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… | 110 | $240 | $27.8K |
| 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)… | 100 | $240 | $24.6K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 80 | $200 | $16.1K |
| 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… | 40 | $260 | $9.2K |
Showing 1–10 of 11
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
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 12 | 20 | 40 | $1 | $10 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as Kearney Pain Treatment Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Good Samaritan Hospital | NE | General Acute Care Hospital | $0 | $9.8M |
| Alpha Rehabilitation, P.C. | NE | Rehabilitation Clinic/Center | $0 | $1.2M |
| Overland Trails Renal Care Group, LLC | NE | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $1.1M |
| Michael Burke, Psy.d. And Associates, P.C. | NE | Mental Health Counselor | $0 | $957.7K |
| Anne Marie Dale | NE | Professional Counselor | $0 | $899.7K |
| Apollo Medflight, LLC | NE | Air Ambulance | $745.5K | $56.7K |
| First Care Medical, PC | NE | Clinic/Center | $0 | $725.6K |
| Tooth Fairy PC | NE | Pediatric Dentistry | $0 | $523.8K |
| Ryan Smith Counseling Services, LLC | NE | Mental Health Counselor | $0 | $459K |
| Serene Mental Health Clinic LLC | NE | Adult Mental Health Clinic/Center | $0 | $448.1K |
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.