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NPI 1962459610 · Killeen, TX · Ambulatory Surgical Clinic/Center
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Central Texas Day Surgery Center LLC is a ambulatory surgical clinic/center provider located in Killeen, Texas. This profile covers 23 Medicare and 8 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 | Central Texas Day Surgery Center LLC |
| Address | 3800 S W S Young Dr Ste 204 |
| City | Killeen |
| State | TX |
| ZIP | 76542 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.8M |
| Medicaid | $16.9K |
This facility is effectively Medicare-dominant: lifetime Medicare revenue is $4.8M compared with lifetime Medicaid revenue of $16.9K, so the provider’s volume and dollars are overwhelmingly driven by Medicare billing rather than Medicaid. The Medicaid program represents immaterial share of its lifetime revenue, making this an organization whose commercial and Medicare strategies will determine most of its financial profile.
Medicare revenue is highly concentrated: the precomputed top three Medicare CPT/HCPCS codes account for 61.3% of this provider’s total Medicare revenue. Those top drivers are neuromodulation and spine-intervention services (63685, 63650, 64628), indicating that a small set of high-revenue spine/pain procedures dominate the facility’s Medicare billing.
The code mix and taxonomy (Ambulatory Surgical Clinic/Center) position this center as a specialized spine and interventional pain surgery site: top Medicare codes include 63685 and 63650 (spinal neurostimulator generator insertion and epidural electrode placement), and 64628 (basivertebral nerve ablation). In addition to implant procedures, the list contains spinal fusion (22612), sacroiliac fusion (27279), and multiple radiofrequency/neurolytic and injection codes, which together indicate the center performs both implantable neuromodulation and image-guided spine pain interventions.
For its highest-revenue Medicare services the provider is a national outlier: 63685 ranks #19 of 1281 providers (99th percentile; extreme outlier), 63650 ranks #16 of 1371 providers (99th percentile; extreme outlier), and 64628 ranks #4 of 247 providers (99th percentile; extreme outlier). These ranks indicate the center is a major national-volume provider specifically for neurostimulation and basivertebral ablation procedures, rather than a modest or average-volume participant in those service lines.
Beyond the three largest Medicare codes, the facility reports extreme outlier volumes across multiple image-guided pain procedures, supporting a high procedural throughput for spinal injections and nerve ablations. Examples include 64635 (255 claims, $648 avg paid/claim; ranks #92 of 5957 providers, 98th percentile; extreme outlier), 64493 (451 claims, $325 avg paid/claim; ranks #80 of 7519 providers, 99th percentile; extreme outlier), and 64490 (202 claims, $339 avg paid/claim; ranks #47 of 3759 providers, 99th percentile; extreme outlier). This pattern reinforces a business model centered on frequent, image-guided interventional pain procedures.
Medicaid billing is narrowly concentrated and low-dollar: the precomputed top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with 64635 alone representing 90.0% of Medicaid revenue (202 claims, $76 avg paid/claim, $15.4K revenue; ranks #2 of 15 in-state, 93rd percentile). Although the center shows meaningful procedural volume on Medicaid for selected injections/ablations, the absolute Medicaid dollars ($16.9K lifetime) are negligible compared with Medicare.
State-level Medicaid reporting also shows many administrative or quality-measure line items with claims but $0 avg paid/claim on file (for example, G8907 with 1.5K claims and $0 avg paid/claim), which suggests a mix of bill types submitted to Medicaid where clinical procedure dollars are concentrated in a very small set of codes. Analysts should treat Medicaid figures as limited in scale and heavily skewed toward specific low-paid intervention codes.
The practice has long tenure: the NPI was enumerated 2006-05-28 (~20 years ago), indicating an established ambulatory surgical operation. Combined with the concentrated, high-volume spine/neurostimulation footprint and the facility’s national high-percentile ranks for several specialized codes, this tenure supports the interpretation that the center is an established regional provider with national-level specialty volume in selected spine and neuromodulation services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 70 | $19,270 | $1.4M |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 240 | $3,830 | $923K |
| 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. | 80 | $7,700 | $646.7K |
| 22612 | The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone… | 30 | $12,180 | $353.3K |
| 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… | 20 | $13,340 | $320.1K |
| 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… | 70 | $4,360 | $305.3K |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 10 | $15,070 | $211K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 260 | $650 | $165.2K |
| 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… | 450 | $330 | $146.6K |
| 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… | 120 | $640 | $77.6K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 9 | 160 | 20 | $8,330 | $216.7K |
| 63650 | 7 | 160 | 50 | $1,960 | $147K |
| 64590 | 36 | 60 | 20 | $6,710 | $134.3K |
| 27279 | 4 | 20 | 20 | $6,210 | $117.9K |
| 64555 | 8 | 40 | 40 | $2,170 | $106.6K |
| 64628 | 2 | 30 | 20 | $3,980 | $91.6K |
| 22612 | 33 | 200 | 20 | $1,380 | $30.5K |
| G0260 | 14 | 70 | 70 | $210 | $19.8K |
| 64635 | 6 | 540 | 40 | $370 | $19.1K |
| 64483 | 159 | 690 | 60 | $190 | $18.3K |
Showing 1–10 of 23
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.
8 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. | 200 | $80 | $15.4K |
| 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… | 280 | $10 | $1.7K |
| 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… | 270 | $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… | 200 | $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… | 1,490 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 60 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1,380 | $0 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 10 | 30 | 60 | $60 | $14.8K |
| 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… | 10 | 20 | 130 | $30 | $7.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 2 | 20 | 40 | $60 | $6.7K |
| 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… | 4 | 10 | 40 | $20 | $2.5K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 16 | 30 | 60 | $1 | $30 |
| 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… | 7 | 140 | 110 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 1 | 10 | 60 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 7 | 80 | 100 | $0 | $0 |
Other providers in the same ZIP code as Central Texas Day Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Psa Ambulatory Surgery Center Of Killeen LLC | TX | Ambulatory Surgical Clinic/Center | $2.8M | $0 |
| Kristian Delgado | TX | Interventional Pain Medicine Physician | $382.5K | $0 |
| Andrew Mcdavid | TX | Interventional Pain Medicine Physician | $244.3K | $0 |
| Shawn Puri | TX | Interventional Pain Medicine Physician | $85.8K | $0 |
| Angela Miller | TX | Family Nurse Practitioner | $62.9K | $0 |
| Melizza Saenz | TX | Certified Registered Nurse Anesthetist | $56.5K | $0 |
| Kenneth Brock | TX | Psychiatry Physician | $42.2K | $0 |
| Donald Tolbert | TX | Certified Registered Nurse Anesthetist | $37K | $0 |
| Jeffrey Albritton | TX | Certified Registered Nurse Anesthetist | $35.8K | $0 |
| Brittney Johnson | TX | Phlebotomy Technician | $34.1K | $70 |
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