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NPI 1891724936 · Monroe, LA · Ambulatory Surgical Clinic/Center
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Arklamiss Surgery Center,llc is a ambulatory surgical clinic/center provider located in Monroe, Louisiana. This profile covers 13 Medicare and 12 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 | Arklamiss Surgery Center,llc |
| Address | 210 Layton Ave Ste 10 |
| City | Monroe |
| State | LA |
| ZIP | 71201 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $291.2K |
Clinical focus and service line: ARKLAMISS SURGERY CENTER,LLC bills predominantly for interventional spine and pain procedures, with high-revenue Medicare procedures including neurostimulator generator insertion (63685), epidural electrode placement (63650), and lumbar neurolytic procedures (64635), alongside multiple facet and epidural injection codes (64493, 64483, 62323). This code mix is consistent with an ambulatory surgical center that specializes in image-guided spinal interventions and pain-management procedures rather than broad multispecialty surgical care.
Medicare revenue concentration: The provider’s top three Medicare codes drive a concentrated share of its Medicare business — the precomputed top-3 Medicare codes account for 58.8% of total Medicare revenue. Those top Medicare line items include 63685 ($410.1K, 22.1% of Medicare revenue), 63650 ($375.3K, 20.2%), and 64635 ($305.9K, 16.5%), indicating that a few high-acuity spinal procedures account for the majority of Medicare receipts.
Medicaid revenue concentration: Medicaid billing is even more tightly concentrated, with the precomputed top-3 Medicaid codes accounting for 81.9% of total Medicaid revenue. The Medicaid top codes are 64635 ($100K, 34.4%), 62323 ($77.9K, 26.8%), and 64493 ($60.4K, 20.8%), showing that the same set of interventional spine services dominate the provider’s Medicaid revenue stream.
Payer mix and scale: Medicare is the dominant payer on file, with total Medicare revenue of $1.9M compared with total Medicaid revenue of $291.2K; Medicare receipts therefore form the bulk of the provider’s recorded public-payer income. This gap indicates the center’s financial scale and patient mix are materially weighted toward Medicare beneficiaries rather than Medicaid.
Medicare competitive standing: For multiple high-revenue Medicare codes ARKLAMISS ranks at extreme national volumes — for example, 64635 ranks #9 of 5957 providers nationally (100th percentile; extreme outlier) and 64493 ranks #6 of 7519 (100th percentile; extreme outlier), while 62323 and 62321 also sit in the 99th percentile labeled as extreme outlier. These rank positions characterize the facility as a high-volume national outlier for several image-guided spinal interventions and suggest market strength in specific interventional pain procedures at the national level for Medicare.
Medicaid competitive standing in-state: Within Louisiana, the provider reports high-percentile but described-as-typical volumes for key Medicaid codes — 64635 ranks #4 of 24 providers in-state (87th percentile; typical, unremarkable volume), 62323 ranks #5 of 36 (89th percentile; typical, unremarkable volume), and 64483 ranks #3 of 33 (94th percentile; typical, unremarkable volume). These positions indicate ARKLAMISS is a notable in-state participant for interventional spine services under Medicaid but not characterized as a singular statewide dominant provider in the available metrics.
Payment/reporting pattern note: Several Medicaid-listed codes appear with large claim counts but $0 avg paid and $0 revenue on file (for example, G8907 2.6K claims $0 revenue, 64494 1.2K claims $0 revenue, 64636 2K claims $0 revenue), which are often add-on or administrative/quality codes in the datasets. This pattern likely reflects state reporting or payment conventions for those specific code types rather than absence of clinical activity, and it should be considered when comparing raw claim counts to paid-revenue metrics.
Tenure and implication for operations: The provider’s NPI was enumerated on 2006-07-01 (~20 years ago), indicating an established ambulatory surgical center presence in Monroe, LA. Combined with concentrated, high-volume billing for spine and interventional pain procedures, the longevity supports a sustained specialty operation primarily serving procedural Medicare patients over an extended period.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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 | $17,090 | $410.1K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 110 | $3,350 | $375.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 530 | $570 | $305.9K |
| 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… | 870 | $240 | $206.7K |
| 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). | 510 | $280 | $140.9K |
| 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)… | 480 | $220 | $107.3K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 140 | $580 | $82.1K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 330 | $200 | $66.8K |
| 64625 | The provider destroys the nerves innervating (supplying) the sacroiliac joint with radiofrequency ablation, that is, the use of heat produced by focused radio waves (a type of electromagnetic wave)… | 100 | $590 | $56.4K |
| 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… | 220 | $250 | $53.1K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 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.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 1,030 | $100 | $100K |
| 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)… | 1,850 | $40 | $77.9K |
| 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… | 1,440 | $40 | $60.4K |
| 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). | 1,010 | $40 | $42.3K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 270 | $40 | $10.4K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 300 | $0 | $0 |
| 64494 | In this add–on procedure, 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… | 1,240 | $0 | $0 |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 1,000 | $0 | $0 |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 1,970 | $0 | $0 |
| 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… | 2,550 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 4 | 20 | 90 | $290 | $142.1K |
| 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)… | 5 | 40 | 190 | $160 | $114.9K |
| 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… | 4 | 30 | 190 | $220 | $102.1K |
| 64636 | In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 3 | 20 | 60 | $100 | $58.9K |
| 62321 | 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 cervical (neck) or thoracic (upper and middle back)… | 5 | 20 | 130 | $140 | $47.4K |
| 64494 | In this add–on procedure, 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… | 4 | 30 | 220 | $80 | $44.1K |
| 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). | 3 | 30 | 70 | $40 | $10.2K |
| 64484 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level… | 2 | 10 | 100 | $1 | $1.5K |
| 64495 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint,… | 1 | 10 | 40 | $1 | $440 |
| 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… | 6 | 50 | 320 | $0 | $0 |
Showing 1–10 of 12
Other providers in the same ZIP code as Arklamiss Surgery Center,llc, ranked by combined Medicare and Medicaid revenue.
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