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NPI 1912329871 · Alexandria, MN · Pain Medicine Physician
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Center For Pain Management Ambulatory Surgery, Ltd is a pain medicine physician provider located in Alexandria, Minnesota. This profile covers 12 Medicare and 1 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 | Center For Pain Management Ambulatory Surgery, Ltd |
| Address | 519 22nd Ave E |
| City | Alexandria |
| State | MN |
| ZIP | 56308 |
| Taxonomy | Pain Medicine Physician |
| NPI Enumerated | January 13, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $976.2K |
| Medicaid | $0 |
This provider is effectively a Medicare-focused interventional pain practice: lifetime Medicare revenue is $976.2K while Medicaid revenue is $0, indicating the organization bills almost exclusively to Medicare and has no recorded Medicaid activity. The billing footprint therefore represents a single-payer revenue profile that will be sensitive to Medicare policy and reimbursement changes.
Revenue is highly concentrated in a small set of procedures: the precomputed top 3 Medicare codes by revenue account for 85.6% of this provider’s total Medicare revenue. In particular, 63685 alone generates $495.9K (50.8% of Medicare revenue) and 63650 generates $292.2K (29.9%), together creating a dependency on spinal neurostimulation and related electrode-placement services.
The service mix shows a clear spine-focused interventional pain specialty: the dominant codes are 63685 (implant/replace spinal neurostimulator pulse generator) and 63650 (placement of epidural electrodes), which, together with other reported codes such as 64635 (neurolytic application to lower back joint) and multiple facet and epidural injection codes, indicate the practice performs spinal cord stimulator implants, trial electrode placements, and image-guided pain procedures. This pattern is consistent with an ambulatory surgery center or procedural pain clinic that concentrates on interventional spine modalities.
Operational scale for the two highest-revenue SCS-related codes is above median nationally but described as typical in the reference data: 63685 shows 27 claims with $18367 avg paid/claim and ranks #262 of 1281 providers nationally (78th percentile; typical, unremarkable volume for this code), while 63650 shows 80 claims with $3653 avg paid/claim and ranks #244 of 1371 providers nationally (82th percentile; typical, unremarkable volume for this code). These rankings indicate the provider is an established, active participant in SCS services but not a dominant national outlier.
Other billed services support a comprehensive procedural pain line rather than a narrow implant-only operation: for example, 64635 appears with 99 claims, $484 avg paid/claim and $47.9K revenue (4.9% of Medicare revenue) and 64633 appears with 43 claims, $489 avg paid/claim and $21K revenue (2.2%). Numerous image-guided injection codes (G0260, 64483, 64493, 64490, 62321, 62323) appear across the top-procedure list, reinforcing that the practice provides both device-based interventions and diagnostic/therapeutic injection services.
From a competitive standpoint the provider registers consistently above-median national percentiles for several procedures (examples include 64635 at the 87th percentile and 63650 at the 82th percentile) but the dataset’s qualitative label remains “typical, unremarkable volume” for most top codes. That combination suggests the center commands respectable, above-average procedural volumes in its niche but is not an extreme national outlier or market leader on these codes.
The provider has an established billing tenure: the NPI was enumerated on 2014-01-13 (~12 years ago), implying sustained operations over a multi-year period and an incumbent role in its local market for interventional pain services. This tenure together with concentrated revenue streams suggests stable historical activity centered on spinal neurostimulation and related procedures.
The heavy revenue dependence on a small number of high-dollar implant codes (notably 63685 and 63650) creates financial exposure to shifts in utilization, device-related coverage policies, or reimbursement for those specific services. For payers and contracting analysts, this profile signals that utilization management, device-bundling strategies, and targeted prior-authorization policies for SCS implantation and trials would disproportionately affect the provider’s revenue picture.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 30 | $18,370 | $495.9K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 80 | $3,650 | $292.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 100 | $480 | $47.9K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 150 | $200 | $28.9K |
| 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… | 40 | $490 | $21K |
| 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). | 80 | $270 | $20.2K |
| 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… | 80 | $250 | $19.5K |
| 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… | 50 | $260 | $13K |
| 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)… | 50 | $240 | $12.1K |
| 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)… | 50 | $240 | $11.1K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 8 | 20 | 20 | $8,770 | $210.4K |
| 63650 | 10 | 30 | 70 | $2,030 | $170.4K |
| G0260 | 7 | 20 | 80 | $210 | $24.2K |
| 64635 | 10 | 100 | 30 | $370 | $16.2K |
| 64483 | 46 | 170 | 40 | $200 | $14.1K |
| 64633 | 9 | 50 | 20 | $400 | $11.9K |
| 64493 | 20 | 120 | 50 | $180 | $10.7K |
| 64624 | 5 | 10 | 20 | $430 | $9.1K |
| 64490 | 16 | 70 | 30 | $200 | $8.3K |
| 62321 | 16 | 80 | 30 | $160 | $6.1K |
Showing 1–10 of 12
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.
1 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). | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
1 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). | 21 | 20 | 140 | $170 | $79.1K |
Other providers in the same ZIP code as Center For Pain Management Ambulatory Surgery, Ltd, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Douglas County Hospital | MN | General Acute Care Hospital | $0 | $17.7M |
| Horizon Public Health | MN | Public Health or Welfare Agency | $4.9K | $12.3M |
| West Central Dental Resource, Inc | MN | Dentist | $0 | $10.4M |
| Douglas County Hospital | MN | Family Medicine Physician | $0 | $5.7M |
| Northway Academy, Inc. | MN | Developmental Disabilities Clinic/Center | $0 | $4.6M |
| Oakdale Health Enterprises, Inc. | MN | Ambulance | $840.4K | $3M |
| Vance Thompson Vision Surgery Center Alexandria, LLC | MN | Ambulatory Surgical Clinic/Center | $1.3M | $0 |
| Deborah Ristvedt | MN | Ophthalmology Physician | $507.8K | $0 |
| James Andrews | MN | Physical Medicine & Rehabilitation Physician | $265.8K | $0 |
| Bruce Evink | MN | Family Medicine Physician | $255.6K | $0 |
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