Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pacific Northwest Surgery Center LLC (NPI 1912641788)

Field	Value
Entity Type	Organization
Organization	Pacific Northwest Surgery Center LLC
Address	2445 Beverly St
City	Springfield
State	OR
ZIP	97477
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 26, 2022

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

PACIFIC NORTHWEST SURGERY CENTER LLC operates as an ambulatory surgical clinic/center with a clear interventional spine and pain-management focus: its top three Medicare revenue drivers are 63685 ($478.1K, 28.5%), 63650 ($371.8K, 22.2%), and 64628 ($282.4K, 16.8%), and the top 3 Medicare codes by revenue account for 67.5% of this provider's total Medicare revenue on a $1.7M Medicare base. The procedures represented by these codes—spinal neurostimulator pulse generator insertion, epidural electrode placement, and basivertebral nerve ablation—point to a service mix built around neuromodulation, implantable pain devices, and targeted nerve ablation rather than broad general surgery.

Revenue concentration is high: the provider derives a majority of its Medicare dollars from a small cluster of device- and procedure-heavy spine codes (top 3 = 67.5% of Medicare revenue). That concentration suggests financial sensitivity to volumes of a few high-reimbursement services, including device implantation and ablation therapies, which may drive case selection and equipment/capex priorities for the center.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $1.7M while Medicaid shows none (no Medicaid billing on file). This asymmetry means the provider’s commercial and Medicaid exposure is minimal or undocumented in this dataset, so analyses of financial risk and access should treat Medicare as the dominant revenue source.

Competitive standing on the top device/spine codes is mixed but generally above typical: 63650 ranks #190 of 1371 providers nationally (86th percentile; typical, unremarkable volume), and 64628 ranks #36 of 247 (85th percentile; typical, unremarkable volume), indicating a relatively strong presence in epidural electrode placement and basivertebral ablation. 63685 is at #355 of 1281 (70th percentile; typical, unremarkable volume), showing a solid but not dominant national position in spinal neurostimulator generator procedures.

The provider shows notable concentration in select ablation and injection services that are statistical high-performers nationally: 64635 (155 claims, $87.6K, 5.2%) ranks in the 95th percentile and is labeled notably above typical national volume, and both 64493 (233 claims, $67.8K, 4.0%) and 64490 (116 claims, $38.3K, 2.3%) also rank in the 95th percentile and are described as notably above typical national volume. These high-percentile labels suggest the center performs above-typical volumes of thermal neurolysis and targeted facet/paravertebral injections relative to peers, reinforcing a pain/intervention specialization.

Some codes show modest national footprint despite non-trivial revenue share: 27279 contributes $172.7K (10.3%) of Medicare revenue but ranks #138 of 161 providers nationally (8th percentile; typical, unremarkable volume), indicating the center performs sacroiliac fusion cases but is a modest participant in that specific national market. This contrast—meaningful revenue contribution from a code where the provider ranks low nationally—may reflect regional demand or selective case mix rather than volume leadership.

Average allowed amounts point to a capital- and device-intensive case mix: for example, 63685 has an avg paid/claim of $20786 and 27279 an avg paid/claim of $14388, while 64628 has an avg paid/claim of $8307. These high per-claim payments for the top revenue drivers are consistent with implantable device use and image-guided ablation therapies, implying the facility likely supports specialized staffing and equipment.

The practice is relatively recently enumerated: NPI was registered on 2022-04-26 (~4 years ago). Given this shorter tenure and the concentrated, high-cost spine/interventional portfolio, the provider may still be in a growth or consolidation phase where expanding Medicare procedure volumes or diversifying payer participation could materially change its financial profile.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

16 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	$20,790	$478.1K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	90	$4,130	$371.8K
64628	The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session.	30	$8,310	$282.4K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	10	$14,390	$172.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	160	$570	$87.6K
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…	230	$290	$67.8K
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).	170	$310	$51.3K
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…	70	$650	$42.2K
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…	120	$330	$38.3K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	120	$240	$29.2K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Pacific Northwest Surgery Center LLC — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	7	20	20	$11,390	$239.2K
64628	1	10	30	$5,220	$125.2K
63650	4	40	40	$2,140	$117.8K
27279	6	10	20	$4,070	$69.2K
64635	5	80	40	$430	$24K
G0260	5	20	60	$220	$23.9K
64483	14	100	50	$220	$19K
64493	7	90	50	$210	$16.9K
64633	4	30	30	$430	$14.7K
64490	6	50	40	$220	$11.2K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Pacific Northwest Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mckenzie-willamette Regional Medical Center Associates LLC	OR	General Acute Care Hospital	$0	$44.6M
Peacehealth	OR	General Acute Care Hospital	$0	$30.7M
Lane County Oregon	OR	Federally Qualified Health Center (FQHC)	$0	$20.6M
Springfield Treatment Center	OR	Methadone Clinic	$0	$20.5M
Mental Health For Children, Inc	OR	Mental Health Counselor	$0	$12.7M
G Street Integrated Health	OR	Clinic/Center	$0	$9.3M
Radiology Associates PC	OR	Diagnostic Radiology Physician	$0	$7.8M
Oregon Endoscopy Center, LLC	OR	Ambulatory Surgical Clinic/Center	$919.2K	$5.6M
Pathology Consultants, PC	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$5.5M
Peacehealth	OR	Hospitalist Physician	$0	$5.5M

Pacific Northwest Surgery Center LLC — Billing Profile & Reimbursement Data

Sign up for Pacific Northwest Surgery Center LLC — Billing Profile & Reimbursement Data policy alerts

Pacific Northwest Surgery Center LLC — Billing Profile & Reimbursement Data

Sign up for Pacific Northwest Surgery Center LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References