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    OpenPayerNPI Medicare & MedicaidInterventional Pain Center Of Chesterfield LLC
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    Interventional Pain Center Of Chesterfield LLC — Billing Profile & Reimbursement Data

    NPI 1922144484 · Chesterfield, MO · Ambulatory Surgical Clinic/Center

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    Interventional Pain Center Of Chesterfield LLC is a ambulatory surgical clinic/center provider located in Chesterfield, Missouri. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationInterventional Pain Center Of Chesterfield LLC
    Address17300 N Outer 40
    CityChesterfield
    StateMO
    ZIP63005
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 30, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$3.4M
    Medicaid$0

    Key Findings

    INTERVENTIONAL PAIN CENTER OF CHESTERFIELD LLC’s Medicare billing profile is dominated by neuromodulation and implantable device procedures: 63685 (spinal neurostimulator pulse generator insertion) generated $1.3M and 38.5% of Medicare revenue, 63650 (epidural electrode placement) generated $1.1M and 33.0%, and device-related codes such as 62362 (pump implantation) also appear in the top line items. These codes and their descriptions indicate the operation performs advanced interventional pain procedures and surgical device implantation rather than only office-based injections.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes by revenue account for 80.0% of this provider’s total Medicare revenue, with the three leaders being 63685 ($1.3M, 38.5%), 63650 ($1.1M, 33.0%), and 27279 ($288K, 8.5%). That concentration means a small set of high-value procedures drive the majority of the reported $3.4M in Medicare revenue.

    Payer mix is effectively single-payer: this provider reported $3.4M in total Medicare revenue and has no Medicaid billing on file. The absence of Medicaid activity makes the entity materially reliant on Medicare and commercial payers for volume and revenue.

    The practice is a national outlier for core neuromodulation services: 63650 ranks #8 of 1371 providers nationally (99th percentile; extreme outlier) and 63685 ranks #20 of 1281 providers nationally (98th percentile; extreme outlier). Those rankings indicate this clinic is a major national-volume provider for spinal neurostimulator implantation and related electrode placement compared with peers.

    Other procedure lines are present at more typical volumes: 27279 (sacroiliac joint fusion) produced $288K (8.5%) and ranks #50 of 161 providers nationally (64th percentile; typical, unremarkable volume), while image-guided injections and ablation codes such as 64635, 62323, and 64493 appear with modest revenue shares and are characterized as typical or unremarkable volumes. This mix suggests a full-service interventional pain practice that pairs high-volume device work with routine injection and ablation services.

    Per-claim reimbursement for top procedures is relatively high and device-heavy: the avg paid/claim for 63685 is $18381 and for 63650 is $3664, reflecting high-cost device placement driving Medicare payments. Those per-claim levels, combined with high national ranks, point to both clinical specialization and significant device-related billing in the practice’s revenue base.

    The provider’s NPI tenure — enumerated 2007-01-30 (~19 years ago) — supports that this is an established ambulatory surgical clinic/center with long-running capability to perform interventional and implant procedures. Longevity plus the ambulatory surgical taxonomy align with the observed mix of surgical implant and outpatient interventional services.

    Because top-line Medicare revenue is concentrated in a few high-cost, device-based codes and there is no Medicaid billing on file, the practice’s revenue profile is sensitive to changes in coverage policy or reimbursement for neuromodulation and fusion procedures. From a payer or contract-management perspective, these patterns represent both negotiating leverage (specialized high-volume services) and concentration risk if coding, coverage, or device pricing dynamics change.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The 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…70$18,380$1.3M
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.310$3,660$1.1M
    27279The 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…20$13,090$288K
    0275TN/A60$3,680$213.6K
    62362The provider implants or replaces a programmable pump under the skin used for intrathecal or epidural infusion of medication. This service allows the continuous infusion of medications such as…10$9,980$119.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.120$620$71.9K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography220$220$48K
    64633In 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$640$45.4K
    62323The 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)…170$240$42.2K
    64493The 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…130$260$32.8K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6368513020$6,300$144.9K
    6365013050$1,480$112.4K
    2727931020$4,970$89.4K
    0275T32030$1,650$49.6K
    6236231020$1,640$32.8K
    G026011080$210$18.6K
    644834013060$150$13.1K
    6463599030$290$12.9K
    623232414060$120$11.9K
    6368811010$830$11.7K

    Showing 1–10 of 18

    Nearby Providers

    Other providers in the same ZIP code as Interventional Pain Center Of Chesterfield LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eversana Life Science Services, LLCMOSpecialty Pharmacy$0$38.9M
    Mason Ridge Ambulatory Surgery Center LPMOAmbulatory Surgical Clinic/Center$373.7K$0
    Mariela Delvalle-cruzMOFamily Medicine Physician$303.2K$0
    Jeff WangMOAnatomic Pathology & Clinical Pathology Physician$89.8K$123.9K
    Stephen SmithMOPain Medicine (Anesthesiology) Physician$172.6K$0
    Michael StadnykMODiagnostic Radiology Physician$127.2K$41.6K
    Chesterfield Ambulatory Surgery Center LPMOAmbulatory Surgical Clinic/Center$162.5K$0
    Jeffrey MathewsMOGastroenterology Physician$144K$0
    Richard RiegelMOGastroenterology Physician$116.5K$0
    Rajeev RamgopalMOGastroenterology Physician$87K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Interventional Pain Center Of Chesterfield LLC — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri