MILD® Percutaneous Image-Guided Lumbar Decompression: A Medicare Claims Study

Lumbar Spinal Stenosis Clinical Trial

Official title:

MILD® Percutaneous Image-Guided Lumbar Decompression: A Medicare Claims Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03072927
• Other study ID #: MILD Medicare Claims
• Status: Recruiting
• Start date: March 10, 2017
• Est. completion date: December 2026

Study information

• Verified date: April 2024
• Source: Vertos Medical, Inc.
• Contact: Angie Lee
• Phone: 877-958-6227
• Email: alee[@]vertosmed.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This prospective longitudinal study will compare incidence rates of Medicare beneficiary surgical and minimally invasive intervention post index procedure, as well as harms associated with the MILD procedure, at 24 months post-treatment with MILD, tested against a control group of similar patients that have had a comparable procedure. This study will start with patients treated with a study procedure having an index date on or after January 1, 2017, and enrollment will continue until stopped by the sponsor.

Description:

In this study the treatment group will include all patients receiving MILD, and the control group will include all patients receiving IPD for the treatment of LSS during the enrollment period. Reoperation and harms data will be studied for the MILD and IPD procedures for a 24-month follow-up period after the index procedure using Medicare claims data. This study is exempt from IRB oversight (Department of Health and Human Services regulations 45 CFR 46) and does not require prior enrollment nor patient consent. The inclusion of the study's NCT number on MILD Medicare claims is required and results in enrollment.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 8000
• Est. completion date: December 2026
• Est. primary completion date: December 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Medicare beneficiaries receiving MILD or interspinous process decompression

• Diagnosis of LSS with NC

Exclusion Criteria:

• Patients that have received a laminectomy, laminotomy, fusion, interspinous process decompression, or MILD in the lumbar region during the 12 months prior to the index date

Related Conditions & MeSH terms

• Lumbar Spinal Stenosis
• Spinal Stenosis

Intervention

Device:
• MILD
MILD is performed under fluoroscopic image guidance through an ipsilateral interlaminar dorsal approach to the spine. Following epidurography, partial decompression is performed through the removal of tissue and bone at the symptomatic level confirmed with correlated MRI and clinical findings.

Locations

Country	Name	City	State
United States	Abilene Spine and Joint Surgery Center	Abilene	Texas
United States	Abington Memorial Hospital	Abington	Pennsylvania
United States	Center for Spine Interventions ASC, LLC (ASC3)	Acworth	Georgia
United States	Apex Surgery Center	Ada	Oklahoma
United States	Ambulatory Surgical Institute of Dallas	Addison	Texas
United States	Vidant Roanoke Chowan Hospital- Pain Management	Ahoskie	North Carolina
United States	Aiken Regional Medical Center	Aiken	South Carolina
United States	Everett Road Surgery Center	Albany	New York
United States	Waverly Surgery Center	Albany	Oregon
United States	Modern Pain & Spine PC	Albuquerque	New Mexico
United States	University of New Mexico Hospital	Albuquerque	New Mexico
United States	VA Medical Center	Albuquerque	New Mexico
United States	Center for Pain Management Ambulatory Surgery, LLC	Alexandria	Minnesota
United States	Pacific Ambulatory Surgery Center	Alhambra	California
United States	Lehigh Valley Hospital - Cedar Crest	Allentown	Pennsylvania
United States	Surgery Center of Allentown	Allentown	Pennsylvania
United States	Aultman Alliance Community Hospital	Alliance	Ohio
United States	Bacon County Hospital	Alma	Georgia
United States	Alton Memorial Hospital	Alton	Illinois
United States	OSF Saint Anthony Medical Center	Alton	Illinois
United States	Allegheny Surgery Center	Altoona	Pennsylvania
United States	Acute & Chronic Pain and Spine Center Ambulatory Surgery Center	Amarillo	Texas
United States	Surgery Center of Amarillo	Amarillo	Texas
United States	Amherst Surgery Center	Amherst	New York
United States	Island Health Hospital	Anacortes	Washington
United States	Unicare Surgery Center	Anaheim	California
United States	AA Spine & Pain Clinic	Anchorage	Alaska
United States	Memorial Hermann Surgery Center Brazoria	Angleton	Texas
United States	Clearway Pain Solutions	Annapolis	Maryland
United States	Riva Road Surgery Center	Annapolis	Maryland
United States	AdventHealth Orlando	Apopka	Florida
United States	Apple Valley Outpatient Surgical Center	Apple Valley	California
United States	St Mary Medical Center	Apple Valley	California
United States	ThedaCare Medical Center - Orthopedic Spine & Pain	Appleton	Wisconsin
United States	ThedaCare Regional Medical Center-Appleton	Appleton	Wisconsin
United States	SMART Surgery Center	Arcadia	California
United States	Ardmore Regional Surgery Center	Ardmore	Oklahoma
United States	Mercy Hospital Ardmore	Ardmore	Oklahoma
United States	Associated Surgical Center	Arlington Heights	Illinois
United States	Northwest Community Hospital	Arlington Heights	Illinois
United States	Northwest Surgicare	Arlington Heights	Illinois
United States	Artesia General Hospital	Artesia	New Mexico
United States	Outpatient Surgery Center of Asheville	Asheville	North Carolina
United States	Kings Daughters Medical Center	Ashland	Kentucky
United States	UH Samaritan Medical Center	Ashland	Ohio
United States	Ashtabula County Medical Center	Ashtabula	Ohio
United States	Athens-Limestone Hospital	Athens	Alabama
United States	GA Interventional Pain-L, LLC	Athens	Georgia
United States	O'Bleness Hospital	Athens	Ohio
United States	Emory University Hospital	Atlanta	Georgia
United States	Peachtree Orthopedics Surgery Center	Atlanta	Georgia
United States	Saint Anne's Hospital: Southern New England Surgical Center	Attleboro	Massachusetts
United States	Sturdy Memorial Hospital	Attleboro	Massachusetts
United States	Auburn Community Hospital	Auburn	New York
United States	Sutter Auburn Surgery Center	Auburn	California
United States	AOS Surgery Center	Augusta	Georgia
United States	Augusta Pain Center	Augusta	Georgia
United States	Augusta University Medical Center	Augusta	Georgia
United States	VA Medical Center Augusta	Augusta	Georgia
United States	Surgery Center of the Rockies	Aurora	Colorado
United States	Center for Specialty Surgery of Austin	Austin	Texas
United States	Falconhead Surgery Center	Austin	Texas
United States	Legent Outpatient Surgery Austin	Austin	Texas
United States	Orthopaedic Associates of Central Texas Surgery Center, LLC	Austin	Texas
United States	PSA Ambulatory Surgical Center of Austin, LLC	Austin	Texas
United States	PSA Ambulatory Surgical Center of South Austin, LLC	Austin	Texas
United States	South Austin Surgery Center	Austin	Texas
United States	Stonegate Surgery Center	Austin	Texas
United States	Water Leaf Surgery Center, LTD	Austin	Texas
United States	Aventura Hospital and Medical Center	Aventura	Florida
United States	Surgery Center of Aventura	Aventura	Florida
United States	Cleveland Clinic - Avon Hospital	Avon	Ohio
United States	Saint Alphonsus Medical Center Baker City	Baker City	Oregon
United States	Ambulatory Surgery Center of Bala Cynwyd	Bala-Cynwyd	Pennsylvania
United States	Clearway Pain Solutions	Baltimore	Maryland
United States	Johns Hopkins Bayview Medical Center	Baltimore	Maryland
United States	Johns Hopkins Enterprise	Baltimore	Maryland
United States	Johns Hopkins Enterprise	Baltimore	Maryland
United States	MedStar Franklin Square Medical Center	Baltimore	Maryland
United States	MedStar Good Samaritan Hospital	Baltimore	Maryland
United States	MedStar Harbor Hospital	Baltimore	Maryland
United States	MedStar Health Harbor Hospital	Baltimore	Maryland
United States	MedStar Union Memorial Hospital	Baltimore	Maryland
United States	MedStar Union Memorial Hospital	Baltimore	Maryland
United States	Northern Light Eastern Maine Medical Center	Bangor	Maine
United States	Northern Light Interventional Pain Management	Bangor	Maine
United States	Flaget Memorial Hospital	Bardstown	Kentucky
United States	Advocate Good Shepard Hospital	Barrington	Illinois
United States	Barrington Pain and Spine Institute LLC	Barrington	Illinois
United States	Saint Francis Hospital-Bartlett	Bartlett	Tennessee
United States	United Memorial Medical Center	Batavia	New York
United States	Novamed Surgery Center of Baton Rouge	Baton Rouge	Louisiana
United States	South Shore Surgery	Bay Shore	New York
United States	Southside Hospital	Bay Shore	New York
United States	877-446-6724	Bayonne	New Jersey
United States	Bayonne Medical Center	Bayonne	New Jersey
United States	Surgicore North Queens	Bayside	New York
United States	Surgicore North Queens Surgical Center	Bayside	New York
United States	Altus Baytown Hospital	Baytown	Texas
United States	Baytown Hospital	Baytown	Texas
United States	Baytown Medical Center	Baytown	Texas
United States	Houston Methodist Baytown Hospital	Baytown	Texas
United States	Houston Methodist Surgery Center	Baytown	Texas
United States	Beachwood Medical Center	Beachwood	Ohio
United States	Northern Ohio Surgery Center	Beachwood	Ohio
United States	University Hospitals Ahuja Medical Center	Beachwood	Ohio
United States	CHRISTUS Southeast Texas -St. Elizabeth	Beaumont	Texas
United States	Riceland Surgery Center	Beaumont	Texas
United States	The Medical Center of Southeast Texas-Beaumont Campus	Beaumont	Texas
United States	Indu and Raj Soin Medical Center	Beavercreek	Ohio
United States	Cornell Surgery Center	Beaverton	Oregon
United States	Oregon Surgical Institute	Beaverton	Oregon
United States	Raleigh General Hospital	Beckley	West Virginia
United States	Minimally Invasive Surgery Center of New England	Bedford	New Hampshire
United States	Magna Surgical Cente	Bedford Park	Illinois
United States	Clearway Pain Solutions - Bel Air	Bel Air	Maryland
United States	National Spine and Pain Centers	Bel Air	Maryland
United States	Memorial Hospital Belleville	Belleville	Illinois
United States	Memorial Hospital Belleville	Belleville	Illinois
United States	Anesis Pain- Bel-Red ASC	Bellevue	Washington
United States	Bellevue Medical Center	Bellevue	Nebraska
United States	Bellevue Surgery Center	Bellevue	Washington
United States	Mt. Baker Surgery Center	Bellingham	Washington
United States	Bend Surgery Center	Bend	Oregon
United States	Central Oregon Surgical Institute	Bend	Oregon
United States	Deschutes Surgery Center	Bend	Oregon
United States	Delta Bay Surgery Center, LLC	Benicia	California
United States	Atlantic General Hospital	Berlin	Maryland
United States	Berlin Interventional Pain Management	Berlin	Maryland
United States	National Spine and Pain Centers	Berwyn Heights	Maryland
United States	Harrison County Community Hospital	Bethany	Missouri
United States	Bethel Park Surgery Center	Bethel Park	Pennsylvania
United States	Capitol Surgical Center	Bethesda	Maryland
United States	Clearway Pain Solutions - Bethesda	Bethesda	Maryland
United States	Johns Hopkins Health Care & Surgery Center - Bethesda	Bethesda	Maryland
United States	Surgical Specialty Center of Mid-Atlantic, LLC	Bethesda	Maryland
United States	Walter Reed Medical Center	Bethesda	Maryland
United States	Center for Specialized Surgery LP	Bethlehem	Pennsylvania
United States	Lehigh Valley Hospital - Muhlenberg	Bethlehem	Pennsylvania
United States	St. Joseph Hospital	Bethpage	New York
United States	New England Surgery Center	Beverly	Massachusetts
United States	Specialty Surgical Center of Beverly Hills	Beverly Hills	California
United States	West Michigan Surgery Center	Big Rapids	Michigan
United States	West Michigan Surgery Center	Big Rapids	Michigan
United States	Birmingham Surgery Center	Birmingham	Alabama
United States	Outpatient Services East	Birmingham	Alabama
United States	Southside Pain Specialists	Birmingham	Alabama
United States	St Vincents Birmingham	Birmingham	Alabama
United States	St. Alexius Medical Center	Bismarck	North Dakota
United States	Bingham Memorial Hospital	Blackfoot	Idaho
United States	Bloomfield Surgi-Center	Bloomfield	New Jersey
United States	Freedom Surgical Center, LLC	Bloomfield	New Jersey
United States	Bloomfield Hills Surgical Center	Bloomfield Hills	Michigan
United States	Ireland Grove Center for Surgery	Bloomington	Illinois
United States	OSF St. Joseph Medical Center	Bloomington	Illinois
United States	SurgiCare LLC	Bloomington	Indiana
United States	The Center For Outpatient Medicine	Bloomington	Illinois
United States	Susquehanna Surgery Center	Bloomsburg	Pennsylvania
United States	Physicians Surgery Center	Blytheville	Arkansas
United States	Boca Raton Regional	Boca Raton	Florida
United States	Boca Raton Surgery Center	Boca Raton	Florida
United States	Advanced Surgical Care of Boerne	Boerne	Texas
United States	Pain Care Boise	Boise	Idaho
United States	Saint Alphonsus Medical Center Boise	Boise	Idaho
United States	St. Alphonsus Medical Center (Boise)	Boise	Idaho
United States	Adventist Bolingbrook Hospital	Bolingbrook	Illinois
United States	Citizens Memorial Hospital	Bolivar	Missouri
United States	NH Brunswick Medical Center	Bolivia	North Carolina
United States	Trails Edge Surgery center LLC	Bonita Springs	Florida
United States	Beth Israel Deaconess Medical Center	Boston	Massachusetts
United States	Brigham & Womens Hospital	Boston	Massachusetts
United States	Brigham and Women's Faulkner Hospital	Boston	Massachusetts
United States	Brigham and Women's Hospital	Boston	Massachusetts
United States	St Elizabeth's Medical Center	Boston	Massachusetts
United States	Oak ASC, LLC	Bourbonnais	Illinois
United States	National Spine and Pain Centers	Bowie	Maryland
United States	Beth Ambulatory Surgery Center	Boynton Beach	Florida
United States	Boynton Beach Ambulatory Surgery Center	Boynton Beach	Florida
United States	Orthopedic Surgery Center of Palm Beach County	Boynton Beach	Florida
United States	Bozeman Outpatient Surgery Center	Bozeman	Montana
United States	Musculoskeletal Ambulatory Surgery Center	Bradenton	Florida
United States	Musculoskeletal Ambulatory Surgery Centers at Coastal Orthopedics & Sports Medicine	Bradenton	Florida
United States	Riverwalk Ambulatory Surgery Center	Bradenton	Florida
United States	Surgery Center at Pointe West - Lena Rd	Bradenton	Florida
United States	Brandon Ambulatory Surgery Center	Brandon	Florida
United States	GA Interventional Pain-B, LLC	Braselton	Georgia
United States	Brecksville Surgery	Brecksville	Ohio
United States	Crossroads Surgery Center	Brentwood	Tennessee
United States	Jasper Ambulatory Surgical Center	Brick	New Jersey
United States	Seashore Surgical Institute	Brick	New Jersey
United States	Surgical Center of Connecticut	Bridgeport	Connecticut
United States	Radiance Surgery Center	Bridgeville	Pennsylvania
United States	Ambulatory Surgical Center of Somerset	Bridgewater	New Jersey
United States	Bridgewater Ambulatory Surgery Center	Bridgewater	New Jersey
United States	Performance Surgical Associates	Bridgewater	New Jersey
United States	Trinity Surgical and Pain Management dba Performance Surgical Associates	Bridgewater	New Jersey
United States	Bristol Regional Medical Center	Bristol	Tennessee
United States	Avicenna Surgery Center	Bronx	New York
United States	Empire State Ambulatory Surgical Center	Bronx	New York
United States	Montefiore Medical Center	Bronx	New York
United States	Brookings Ambulatory Surgery Center	Brookings	South Dakota
United States	All City Family Healthcare Center	Brooklyn	New York
United States	Brooklyn Surgery Center	Brooklyn	New York
United States	Brooklyn VA Medical Center	Brooklyn	New York
United States	GoldStep Ambulatory Surgery Center, LLC	Brooklyn	New York
United States	Maimonides Midwood Community Hospital	Brooklyn	New York
United States	NYP -Methodist Hospital	Brooklyn	New York
United States	Centeno-Schultz Clinic	Broomfield	Colorado
United States	Brunswick Pain Treatment Center	Brunswick	Georgia
United States	Premier Surgery Center	Brunswick	Georgia
United States	St. Joseph Health Regional Hospital - Bryan	Bryan	Texas
United States	Bryn Mawr Orthopedic Surgery Center	Bryn Mawr	Pennsylvania
United States	Bucyrus Hospital	Bucyrus	Ohio
United States	On Beach Surgery Center	Buena Park	California
United States	ECMC Hospital	Buffalo	New York
United States	Burbank Spine and Pain Surgery Center	Burbank	California
United States	Aurora Health Center Southern Lakes	Burlington	Wisconsin
United States	Lahey Clinic Burlington	Burlington	Massachusetts
United States	Twin Cities Pain Clinic- Burnsville	Burnsville	Minnesota
United States	Calabasas Surgery Center	Calabasas	California
United States	Calais Regional Hospital	Calais	Maine
United States	Spanish Hills Surgery Center	Camarillo	California
United States	New England Ambulatory SurgiCenter	Cambridge	Massachusetts
United States	Spine & Sports Surgery Center	Campbell	California
United States	F.F. Thompson Hospital	Canandaigua	New York
United States	GA Interventional Pain-E, LLC	Canton	Georgia
United States	Auburn Surgery Center	Cape Girardeau	Missouri
United States	Southeast Hospital	Cape Girardeau	Missouri
United States	West Park Surgery Center	Cape Girardeau	Missouri
United States	Cape Regional Medical Center	Cape May Court House	New Jersey
United States	Southern Illinois Healthcare Distribution Center	Carbondale	Illinois
United States	Carlsbad Surgery Center	Carlsbad	California
United States	Coastal A.S.C, LLC	Carlsbad	California
United States	IU Health Beltway Surgery Center	Carmel	Indiana
United States	Mercy San Juan Medical Center	Carmichael	California
United States	Carroll County Memorial Hospital	Carrollton	Missouri
United States	GA Interventional Pain-H, LLC	Carrollton	Georgia
United States	Legent Orthopedic Hospital	Carrollton	Texas
United States	Tanner Medical Center	Carrollton	Georgia
United States	Carson Tahoe Regional Healthcare	Carson City	Nevada
United States	Carson Tahoe Regional Medical Center	Carson City	Nevada
United States	Sierra Surgery Hospital	Carson City	Nevada
United States	Mercy Hospital Carthage	Carthage	Missouri
United States	Redwood Surgery Center	Castro Valley	California
United States	Golden Springs Surgical Center	Cathedral City	California
United States	Amc Cavazos - Pa	Cavazos	Texas
United States	Cedar Park Surgery Center	Cedar Park	Texas
United States	DCR Surgery Center	Centerville	Ohio
United States	Dcr Surgery Center, Llc	Centerville	Ohio
United States	Miami Valley South Hospital	Centerville	Ohio
United States	The Ohio Pain Clinic	Centerville	Florida
United States	New Britain Surgery Center	Chalfont	Pennsylvania
United States	Carle Champaign Surgicenter	Champaign	Illinois
United States	Advanced Pain Modalities	Chandler	Arizona
United States	Arizona Specialty Surgery Center	Chandler	Arizona
United States	The Imaging and Spine Center - UNC Hospitals	Chapel Hill	North Carolina
United States	Day Surgery Center	Charleston	West Virginia
United States	MUSC Rutledge Tower	Charleston	South Carolina
United States	The Saint Francis Hospital Center for Pain Relief	Charleston	West Virginia
United States	Charlotte Surgery Center	Charlotte	North Carolina
United States	Novant Health Midtown Outpatient Surgery Center	Charlotte	North Carolina
United States	Novant Health Presbyterian Medical Center	Charlotte	North Carolina
United States	U of M Sparrow Eaton Hospital	Charlotte	Michigan
United States	Monticello Community Surgery Center	Charlottesville	Virginia
United States	University of Virginia Health System	Charlottesville	Virginia
United States	University of Virginia Health System	Charlottesville	Virginia
United States	Pain Centers of Minnesota	Chaska	Minnesota
United States	Two Twelve Surgery Center	Chaska	Minnesota
United States	Center for Sports Medicine and Orthopaedics Ambulatory Surgery Center	Chattanooga	Tennessee
United States	Parkridge Medical Center	Chattanooga	Tennessee
United States	Riverfront Surgery Center	Chattanooga	Tennessee
United States	Jefferson Surgery Center-Cherry Hill	Cherry Hill	New Jersey
United States	Millennium Surgical Center	Cherry Hill	New Jersey
United States	HHC Southington Surgery Center, LLC, DBA Cheshire Surgery Center	Cheshire	Connecticut
United States	Interventional Pain Center Chesterfield - Satellite	Chesterfield	Missouri
United States	Interventional Pain Center of Chesterfield	Chesterfield	Missouri
United States	Advanced Ambulatory Surgery Center	Chicago	Illinois
United States	Hyde Park Same Day Surgicenter, LLC	Chicago	Illinois
United States	Insight Hospital & Medical Center-Chicago	Chicago	Illinois
United States	River North Same Day Surgery	Chicago	Illinois
United States	Rush SurgiCenter	Chicago	Illinois
United States	UIC Medical Center- University of Illinois Medical Center	Chicago	Illinois
United States	University of Chicago Medical Center	Chicago	Illinois
United States	Weiss Memorial Hospital	Chicago	Illinois
United States	Chico Surgery Center	Chico	California
United States	Deer Creek Surgery Center	Chico	California
United States	Enloe Medical Center	Chico	California
United States	Adena Health System	Chillicothe	Ohio
United States	Hedrick Medical Center	Chillicothe	Missouri
United States	Pain Consultants of San Diego	Chula Vista	California
United States	Surgery Center of California	Chula Vista	California
United States	Bethesda North Hospital	Cincinnati	Ohio
United States	Bethesda Orthopedic Surgery Center	Cincinnati	Ohio
United States	Jewish Hospital - Mercy Health	Cincinnati	Ohio
United States	JourneyLite of Cincinnati	Cincinnati	Ohio
United States	The Christ Hospital	Cincinnati	Ohio
United States	TriHealth Evendale Hospital	Cincinnati	Ohio
United States	VA Medical Center Cincinnati	Cincinnati	Ohio
United States	Tri-State Memorial Hospital	Clarkston	Washington
United States	Kentuckiana Medical Center	Clarksville	Indiana
United States	Advanced Surgical Care of Clearwater	Clearwater	Florida
United States	Belleair Surgery Center Ltd	Clearwater	Florida
United States	Cleveland Clinic - Pain Management	Cleveland	Ohio
United States	Metro Health and Surgery Center	Cleveland	Ohio
United States	Metro Main Campus	Cleveland	Ohio
United States	The Surgery Center of Cleveland	Cleveland	Tennessee
United States	University Hospitals Cleveland Medical Center	Cleveland	Ohio
United States	VA Medical Center Cleveland	Cleveland	Ohio
United States	Clifton Surgery Center, Inc	Clifton	New Jersey
United States	Same Day Procedures	Clifton	New Jersey
United States	Clifton Springs Hospital & Clinic	Clifton Springs	New York
United States	MedStar Southern Maryland Hospital Center	Clinton	Maryland
United States	Mercy Medical Center - Clinton	Clinton	Iowa
United States	Michigan Neurology Associates & P.C.	Clinton Township	Michigan
United States	Premier Surgical Center of Michigan	Clinton Township	Michigan
United States	West Lakes Surgery Center	Clive	Iowa
United States	St. Luke's Miners Campus	Coaldale	Pennsylvania
United States	Brandywine Hospital	Coatesville	Pennsylvania
United States	ParkCreek Surgery Center	Coconut Creek	Florida
United States	ParkCreek Surgery Center - Parent	Coconut Creek	Florida
United States	North Idaho Pain Center	Coeur d'Alene	Idaho
United States	Baylor Scott & White College Station Hospital	College Station	Texas
United States	St Joseph College Station	College Station	Texas
United States	ASC at St. Francis	Colorado Springs	Colorado
United States	Audubon Surgery Center	Colorado Springs	Colorado
United States	Premier Outpatient Surgery Center	Colton	California
United States	Clearway Pain Solutions - Columbia	Columbia	Maryland
United States	MUSC Health Columbia Medical Center Downtown	Columbia	South Carolina
United States	National Spine and Pain Centers	Columbia	Maryland
United States	Noble Pain Management	Columbia	Missouri
United States	Noble Pain Mangement	Columbia	Missouri
United States	Palmetto Health USC Medical Group	Columbia	South Carolina
United States	The Surgery Center of Columbia	Columbia	Missouri
United States	The Surgical Center at Columbia Orthopaedic Group	Columbia	Missouri
United States	Doctors Hospital	Columbus	Ohio
United States	Gemini Surgery Center	Columbus	Ohio
United States	Nexus Pain Center	Columbus	Georgia
United States	Ohio State East Hospital	Columbus	Ohio
United States	Taylor Station Surgical Center	Columbus	Ohio
United States	Wellspring Pain Solutions	Columbus	Indiana
United States	Huron Valley Sinai Hospital	Commerce	Michigan
United States	Lake Health TriPoint Medical Center	Concord	Ohio
United States	Premier Surgery Center	Concord	California
United States	Legent Institute of Specialized Surgery	Conroe	Texas
United States	North Pines Surgery Center	Conroe	Texas
United States	VIP Surgical Center	Conroe	Texas
United States	Atlantic Coast Pain Specialists	Conway	South Carolina
United States	Conway Ambulatory Surgery Center	Conway	Arkansas
United States	Rivertown Surgery Center	Conway	South Carolina
United States	GA Interventional Pain-K, LLC	Conyers	Georgia
United States	MD Pain Care, PC	Conyers	Georgia
United States	Cookeville Regional Medical Center (N Washington Ave)	Cookeville	Tennessee
United States	Advanced Surgery Center of Coral Gables	Coral Gables	Florida
United States	The Gables Surgical Center	Coral Gables	Florida
United States	Surgery Center at Coral Springs	Coral Springs	Florida
United States	Saratoga Surgical Center	Corpus Christi	Texas
United States	Spinecare	Corpus Christi	Texas
United States	Texas Precision Surgery Center	Corpus Christi	Texas
United States	Jennie Edmundson Memorial Hospital	Council Bluffs	Iowa
United States	Alliance Covington	Covington	Georgia
United States	Pinnacle Surgery Center	Covington	Louisiana
United States	North Campus Surgery Center	Creve Coeur	Missouri
United States	APAC Surgery Center, II	Crown Point	Indiana
United States	Pinnacle Hospital	Crown Point	Indiana
United States	Aurora St Lukes South Shore	Cudahy	Wisconsin
United States	National Spine and Pain Centers	Cumberland	Maryland
United States	GA Interventional Pain-C, LLC	Cumming	Georgia
United States	Western Reserve Hospital	Cuyahoga Falls	Ohio
United States	Harrison Memorial Hospital	Cynthiana	Kentucky
United States	Baylor Scott & White Surgicare North Dallas	Dallas	Texas
United States	Baylor Scott and White Surgicare	Dallas	Texas
United States	Horizon Medical Center	Dallas	Texas
United States	Montfort Surgery Center	Dallas	Texas
United States	Premier Pain Solutions	Dallas	Texas
United States	GA Interventional Pain-G, LLC	Dalton	Georgia
United States	SCA Danbury Surgery Center	Danbury	Connecticut
United States	Western Connecticut Orthopedic Surgical Center	Danbury	Connecticut
United States	Noyes Memorial Hospital	Dansville	New York
United States	Lahey Outpatient Center - Danvers	Danvers	Massachusetts
United States	Central Kentucky Surgery Center	Danville	Kentucky
United States	Ephraim McDowell Regional Medical Center	Danville	Kentucky
United States	Adventhealth Heart Of Florida	Davenport	Florida
United States	Davenport Ambulatory Surgery Center	Davenport	Florida
United States	Genesis Medical Center	Davenport	Iowa
United States	Mississippi Valley Surgery Center	Davenport	Iowa
United States	Butler County Health Care Center	David City	Nebraska
United States	Miami Valley Ambulatory Surgery Center	Dayton	Ohio
United States	Riverview Health Institute	Dayton	Ohio
United States	Surgery Center at Corporate Way	Dayton	Ohio
United States	Atlantic Surgery Center	Daytona Beach	Florida
United States	East Coast Surgery Center	Daytona Beach	Florida
United States	Advanced Surgery Center	Dearborn	Michigan
United States	Dearborn Surgery Center	Dearborn	Michigan
United States	Executive Ambulatory Surgical Center	Dearborn	Michigan
United States	Henry Ford Health System - Dearborn	Dearborn	Michigan
United States	Associated Surgical Center of Dearborn	Dearborn Heights	Michigan
United States	Decatur Ambulatory Surgery Center	Decatur	Alabama
United States	GA Interventional Pain-D, LLC	Decatur	Georgia
United States	WHS East Campus	Decatur	Texas
United States	Delray Beach Surgery center	Delray Beach	Florida
United States	Delray Beach Surgical Suites	Delray Beach	Florida
United States	National Pain Institute	Delray Beach	Florida
United States	Pohlman Pain Associates	Delray Beach	Florida
United States	The Outpatient Center of Delray	Delray Beach	Florida
United States	Mercy Medical Center - Des Moines	Des Moines	Iowa
United States	MercyOne Des Moines Medical Center	Des Moines	Iowa
United States	Manchester Surgery Center	Des Peres	Missouri
United States	Golf Surgical Center	Des Plaines	Illinois
United States	Ascension St John Hospital - Detroit	Detroit	Michigan
United States	Detroit Receiving Hospital	Detroit	Michigan
United States	Rehabilitation Institute of Michigan	Detroit	Michigan
United States	Rehabilitation Institute of Michigan Main Campus	Detroit	Michigan
United States	St. John Hospital and Medical Center	Detroit	Michigan
United States	Katherine Shaw Bethea Hospital	Dixon	Illinois
United States	Upland Hills Health	Dodgeville	Wisconsin
United States	Southeastern Orthopaedics Surgery Center	Douglas	Georgia
United States	Wentworth-Douglass Hospital	Dover	New Hampshire
United States	Good Samaritan Hospital	Downers Grove	Illinois
United States	Midwest Center for Day Surgery	Downers Grove	Illinois
United States	Physicians Surgery Center Of Downey	Downey	California
United States	Bradenton Surgery Center	Dublin	Ohio
United States	Dublin Surgery Center	Dublin	Ohio
United States	Essentia Health - Duluth	Duluth	Minnesota
United States	Lakewalk Surgery Center	Duluth	Minnesota
United States	Duncan Regional Hospital	Duncan	Oklahoma
United States	Clearway Pain Solutions	Dundalk	Maryland
United States	SurgCenter Dunedin	Dunedin	Florida
United States	North Carolina Specialty Hospital	Durham	North Carolina
United States	UNC Hospitals - Shared Services	Durham	North Carolina
United States	Franciscan Health Dyer	Dyer	Indiana
United States	Pekin Memorial Hospital	E. Peoria	Illinois
United States	East Brunswick Surgery Center	East Brunswick	New Jersey
United States	RWJ Endosurgical Center	East Brunswick	New Jersey
United States	Einstein Medical Center Montgomery	East Norriton	Pennsylvania
United States	PrecisionCare Surgery Center	East Setauket	New York
United States	Specialists One Day Surgery	East Syracuse	New York
United States	Clearway Pain Solutions - Easton	Easton	Maryland
United States	Lehigh Valley Hospital - Hecktown	Easton	Pennsylvania
United States	Camis, Llc	Eatontown	New Jersey
United States	Central Jersey Surgery Center, LLC	Eatontown	New Jersey
United States	Mayo Clinic Health System-Eau Claire	Eau Claire	Wisconsin
United States	Edgerton Hospital and Health Services	Edgerton	Wisconsin
United States	St. Elizabeth - Edgewood	Edgewood	Kentucky
United States	Twin Cities Pain Clinic and Surgery Center	Edina	Minnesota
United States	STHS - Edinburg Hospital	Edinburg	Texas
United States	Ambulatory Surgical Center of New Jersey, LLC	Edison	New Jersey
United States	Edison Surgery Center, LLC	Edison	New Jersey
United States	Menlo Park Surgery Center	Edison	New Jersey
United States	Pain & Sleep Institute of Oklahoma	Edmond	Oklahoma
United States	Summit Medical Center	Edmond	Oklahoma
United States	Anderson Surgery Center	Edwardsville	Illinois
United States	Access Surgery Center	Egg Harbor Township	New Jersey
United States	El Paso Center for GI	El Paso	Texas
United States	El Paso Specialty Hospital	El Paso	Texas
United States	Gateway Surgical Center	El Paso	Texas
United States	Sierra Medical Center	El Paso	Texas
United States	Trinitas Hospital	Elizabeth	New Jersey
United States	Great Plains Regional Medical Center	Elk City	Oklahoma
United States	Aurora Health Care Southern Lakes, Inc.- Elkhorn	Elkhorn	Wisconsin
United States	Davis Medical Center	Elkins	West Virginia
United States	Elkridge Ambulatory Surgery Center	Elkridge	Maryland
United States	Upper Bay Surgery Center	Elkton	Maryland
United States	Ellenville Regional Hospital	Ellenville	New York
United States	Ellicott City Ambulatory Surgery Center	Ellicott City	Maryland
United States	Inspira Medical Center Elmer	Elmer	New Jersey
United States	Illinois Back and Neck Institute	Elmhurst	Illinois
United States	William Bee Ririe Hospital	Ely	Nevada
United States	Stanford HealthCare Everyville	Emeryville	California
United States	Scripps Encinitas Surgery Center	Encinitas	California
United States	Dry Creek Surgery Center	Englewood	Colorado
United States	Englewood Surgery Center	Englewood	Colorado
United States	Health East ASC	Englewood	New Jersey
United States	Miami Valley Hospital North	Englewood	Ohio
United States	Patient Care Associates	Englewood	New Jersey
United States	St Marys Regional Med Ctr	Enid	Oklahoma
United States	Surgery Center of Enid	Enid	Oklahoma
United States	Greater Erie Surgery Center	Erie	Pennsylvania
United States	Greater Erie Surgery Center, LLC	Erie	Pennsylvania
United States	Chase Gardens Surgery Center	Eugene	Oregon
United States	Two Rivers Surgical Center	Eugene	Oregon
United States	Evans Procedure Center,LLC	Evans	Georgia
United States	AMITA St. Francis Hospital	Evanston	Illinois
United States	Evanston Hospital Northshore University Health System	Evanston	Illinois
United States	Evanston Regional Hospital	Evanston	Wyoming
United States	North Shore University Evanston Hospital	Evanston	Illinois
United States	ASC For Pain Relief, LLC	Evansville	Indiana
United States	Deaconess Main	Evansville	Indiana
United States	Pain Management Centers of America	Evansville	Indiana
United States	Little Company of Mary Hospital	Evergreen Park	Illinois
United States	The Surgery Center of Chester County	Exton	Pennsylvania
United States	Fairfield Hospital	Fairfield	Ohio
United States	Fairfield Surgery Center	Fairfield	Connecticut
United States	Community Medical Center	Falls City	Nebraska
United States	Center for Pain Medicine and Surgery Center	Fargo	North Dakota
United States	Sanford Medical Center	Fargo	North Dakota
United States	Connecticut Surgery Center	Farmington	Connecticut
United States	Franklin Memorial Hospital	Farmington	Maine
United States	Northwest Health Physicians' Specialty Hospital	Fayetteville	Arkansas
United States	Pain Consultants of Atlanta	Fayetteville	Georgia
United States	Surgcenter of Fayetteville	Fayetteville	Arkansas
United States	SSM St. Clare Surgical Center	Fenton	Missouri
United States	Twin Cities Surgery Center	Festus	Missouri
United States	IU Health Saxony Ambulatory Surgery Center	Fishers	Indiana
United States	Augusta Health	Fishersville	Virginia
United States	Fishkill Ambulatory Surgery Center	Fishkill	New York
United States	Northern Arizona Surgicenter	Flagstaff	Arizona
United States	Surgery Center at Flagstaff Bone and Joint	Flagstaff	Arizona
United States	Hunterdon Center for Surgery	Flemington	New Jersey
United States	Hunterdon Medical Center	Flemington	New Jersey
United States	Insight Pain Management - Flint	Flint	Michigan
United States	St. Elizabeth - Florence	Florence	Kentucky
United States	Hanover Hills Surgery Center LLC	Florham Park	New Jersey
United States	Flowood Surgery Center, LLC	Flowood	Mississippi
United States	Gramercy Surgery Center	Flushing	New York
United States	Folsom Surgery Center	Folsom	California
United States	Harmony Surgery Center	Fort Collins	Colorado
United States	Fort Lauderdale Pain Medicine	Fort Lauderdale	Florida
United States	Holy Cross Hospital, FTL	Fort Lauderdale	Florida
United States	Physicians Outpatient Surgery Center	Fort Lauderdale	Florida
United States	Hudson Crossing Surgery Center	Fort Lee	New Jersey
United States	Colonial Outpatient Surgery Center LLC	Fort Myers	Florida
United States	Gladiolus Surgery Center LLC	Fort Myers	Florida
United States	National Spine and Ortho Surgery Center - Fort Myers	Fort Myers	Florida
United States	Park Center for Procedures	Fort Myers	Florida
United States	Performance Health Surgery Center	Fort Myers	Florida
United States	The Surgery Center at Fort Washington	Fort Washington	Pennsylvania
United States	Baylor Scott & White Surgical Hospital at Fort Worth	Fort Worth	Texas
United States	Baylor Surgicare at Fort Worth	Fort Worth	Texas
United States	Apex Pain and Wellness	Foster City	California
United States	Premier Surgery Center	Fountain Valley	California
United States	Brigham and Women's Foxborough	Foxboro	Massachusetts
United States	Brigham and Women's-Mass General Health Care Center	Foxboro	Massachusetts
United States	Metrowest Medical Center - Framingham Union Hospital	Framingham	Massachusetts
United States	Frankfort Regional Medical Center	Frankfort	Kentucky
United States	IU Health Frankort Hospital	Frankfort	Indiana
United States	Cool Springs Surgery Center LLC	Franklin	Tennessee
United States	Milwaukee Surgical Suites LLC	Franklin	Wisconsin
United States	Neurosurgery and Endovascular Associates LLC	Franklin	Wisconsin
United States	The Surgery Center LLC	Franklin	Wisconsin
United States	Monocacy Surgery Center, LLC	Frederick	Maryland
United States	National Pain and Spine Centers	Frederick	Maryland
United States	Thomas Johnson Surgery Center	Frederick	Maryland
United States	SurgiCare of Freehold, LLC	Freehold	New Jersey
United States	FHN Memorial Hospital	Freeport	Illinois
United States	Comprehensive Pain Management Center	Fresno	California
United States	Fresno Surgical Hospital	Fresno	California
United States	Herndon Surgery Center	Fresno	California
United States	Kaiser Permanente	Fresno	California
United States	Kaiser Permanente Fresno Medical Center	Fresno	California
United States	Ky Advanced Surgical Center, Inc.	Fresno	California
United States	North Point Surgery Center	Fresno	California
United States	Renaissance Surgery Center	Fresno	California
United States	Summit Surgical	Fresno	California
United States	Frontenac Surgery and Spine Center	Frontenac	Missouri
United States	Family Health West Hospital	Fruita	Colorado
United States	Alliance Surgery Center, Inc	Fullerton	California
United States	Laguna Surgery Center	Fullerton	California
United States	North Florida Surgical Pavillion	Gainesville	Florida
United States	Northeast Georgia Surgery Center	Gainesville	Georgia
United States	Orthopaedic Surgery Center	Gainesville	Florida
United States	Surgery Center of North Florida, LLC	Gainesville	Florida
United States	UF Health Shands Hospital	Gainesville	Florida
United States	UF Health Shands Hospital	Gainesville	Florida
United States	UF Health Shands Hospital	Gainesville	Florida
United States	VA Hospital - Gainsville	Gainesville	Florida
United States	Galion Community Hospital	Galion	Ohio
United States	Ainsworth Surgery Center	Garden City	New York
United States	NYU Langone ASC - Garden City	Garden City	New York
United States	Gardendale Surgical Center	Gardendale	Alabama
United States	St. Lukes Anderson County Hospital	Garnett	Kansas
United States	Methodist Hospitals Northlake	Gary	Indiana
United States	CaroMont Regional Medical Center	Gastonia	North Carolina
United States	Coryell Health	Gatesville	Texas
United States	Geneva Surgical Suites LLC	Genoa City	Wisconsin
United States	AHCMG Sugery Center Germantown	Germantown	Wisconsin
United States	Clearway Pain Solutions	Germantown	Maryland
United States	National Spine and Pain Centers	Germantown	Maryland
United States	Mountain View Surgery Center of Gilbert	Gilbert	Arizona
United States	Premier Endoscopy Surgery Center	Gilbert	Arizona
United States	Santan Surgery Center	Gilbert	Arizona
United States	Clearway Pain Solutions	Glen Burnie	Maryland
United States	National Spine and Pain Centers	Glen Burnie	Maryland
United States	SurgCenter of Glen Burnie	Glen Burnie	Maryland
United States	Edwardsville Ambulatory Surgery Center LLC	Glen Carbon	Illinois
United States	Adventist Medical Glendale	Glendale	California
United States	Avalon Surgery and Robotic Center	Glendale	California
United States	Physicians Adventist Surgery Center	Glendale	California
United States	AdventHealth GlenOaks	Glendale Heights	Illinois
United States	Adventist Glenoaks Hospital	Glendale Heights	Illinois
United States	Golden Ridge Surgery Center	Golden	Colorado
United States	Red Rocks Surgery Center	Golden	Colorado
United States	North Dakota Surgery Center	Grand Forks	North Dakota
United States	CHI Health St. Francis	Grand Island	Nebraska
United States	Grand Island Regional Medical Center	Grand Island	Nebraska
United States	Grand Island Surgery Center	Grand Island	Nebraska
United States	Total Body Pain Institute	Grand Island	Nebraska
United States	Redlands Mesa Surgery Center	Grand Junction	Colorado
United States	Grand Rapids Surgical Suites	Grand Rapids	Michigan
United States	Grand Valley Surgical Center	Grand Rapids	Michigan
United States	Lake Drive Surgical Center	Grand Rapids	Michigan
United States	Spectrum Health Grand Rapids	Grand Rapids	Michigan
United States	South Bend Specialty Surgery Center	Granger	Indiana
United States	Southern Surgical Center	Gray	Louisiana
United States	Pain, Spine & Rehab, P.A.	Great Bend	Kansas
United States	Aurora Baycare Medical Center	Green Bay	Wisconsin
United States	Aurora Baycare Medical Center-Discovery	Green Bay	Wisconsin
United States	Bellin Memorial Hospital	Green Bay	Wisconsin
United States	Santa Cruz Valley Regional Hospital	Green Valley	Arizona
United States	Hanover Parkway Surgery Center	Greenbelt	Maryland
United States	Adena Greenfield Medical Center	Greenfield	Ohio
United States	Aurora Surgery Centers LLC	Greenfield	Wisconsin
United States	Eastern Long Island Hospital	Greenport	New York
United States	Greensboro Specialty Surgical Center	Greensboro	North Carolina
United States	Owenboro Health Muhlenberg Community Hospital	Greenville	Kentucky
United States	Piedmont Surgery Center	Greenville	South Carolina
United States	Vidant Medical Center	Greenville	North Carolina
United States	Vidant Roanoke-Chowan Hospital Greenville	Greenville	North Carolina
United States	Yale New Haven Health-Greenwich Hospital	Greenwich	Connecticut
United States	Center for Southside Surgery, LLC	Greenwood	Indiana
United States	Centrum Surgical Center	Greenwood	Colorado
United States	Colorado Premier Surgery Center at Greenwood Village	Greenwood Village	Colorado
United States	Burnside Surgery Center	Gresham	Oregon
United States	AHN Grove City	Grove City	Pennsylvania
United States	SCA Guilford Surgery Center	Guilford	Connecticut
United States	Hackensack Surgery Center, LLC	Hackensack	New Jersey
United States	National Spine and Pain Centers	Hagerstown	Maryland
United States	Parkway Surgery Center	Hagerstown	Maryland
United States	North American Spine & Pain	Hainesport	New Jersey
United States	Northway Surgery & Pain Center	Halfmoon	New York
United States	Hallandale Outpatient Surgical Center	Hallandale Beach	Florida
United States	Fort Hamilton Hospital	Hamilton	Ohio
United States	Hamilton Surgery Center	Hamilton	New Jersey
United States	Advanced Pain Institute Treatment Center	Hammond	Louisiana
United States	Ambulatory Surgical Pavilion of New Jersey	Hammonton	New Jersey
United States	Coastal Carolina Hospital	Hardeeville	South Carolina
United States	Ephraim McDowell James B Haggin Hospital	Hardinsburg	Kentucky
United States	Grand View Surgery Center at Harleysville	Harleysville	Pennsylvania
United States	Optimum Pain & Regenerative Medicine	Harlingen	Texas
United States	Platinum Surgery Center	Harlingen	Texas
United States	Catskill Regional Medical Center	Harris	New York
United States	Susquehanna Valley Pain Management	Harrisburg	Pennsylvania
United States	Harrison Endo Surgical Center	Harrison	New Jersey
United States	Surgical Specialty Center of Westchester	Harrison	New York
United States	Sentara RMH Medical Center	Harrisonburg	Virginia
United States	Hartford Hospital	Hartford	Connecticut
United States	Ohio County Hospital	Hartford	Kentucky
United States	Hattiesburg Clinic	Hattiesburg	Mississippi
United States	Southern Surgery Center	Hattiesburg	Mississippi
United States	Sports and Spine Pain Management	Havre De Grace	Maryland
United States	Haymarket Surgery Center	Haymarket	Virginia
United States	Healdsburg District Hospital	Healdsburg	California
United States	Thayer County Health Services	Hebron	Nebraska
United States	Deaconess Henderson Hospital	Henderson	Kentucky
United States	Margaret R. Pardee Memorial Hospital	Hendersonville	North Carolina
United States	VCU Health Ambulatory Surgery Center	Henrico	Virginia
United States	Good Shepherd Medical Center	Hermiston	Oregon
United States	Summit Surgery Center	Hermitage	Tennessee
United States	Herrin Hospital	Herrin	Illinois
United States	Hershey Outpatient Surgery Center	Hershey	Pennsylvania
United States	Milton S Hershey Medical Center	Hershey	Pennsylvania
United States	Palmetto Lakes Surgical Center	Hialeah	Florida
United States	Viewmont Surgery Center	Hickory	North Carolina
United States	Premier Surgery Center/Atrium Health Wake Forest Baptist	High Point	North Carolina
United States	Highland Park Hospital Northshore University Health System	Highland Park	Illinois
United States	Highland District Hospital	Hillsboro	Ohio
United States	UNC Hospitals - Hillsborough Campus	Hillsborough	North Carolina
United States	AMITA Health Adventist Medical Center Hinsdale	Hinsdale	Illinois
United States	Hinsdale Surgical Center	Hinsdale	Illinois
United States	Chattanooga Pain Surgery Center	Hixson	Tennessee
United States	Interventional Pain Management	Hobart	Indiana
United States	AMITA Health St. Alexius Medical Center Hoffman Estates	Hoffman Estates	Illinois
United States	Broward Specialty Surgical Center	Hollywood	Florida
United States	Hollywood Regional Surgery Center	Hollywood	Florida
United States	Memorial Regional Hospital South	Hollywood	Florida
United States	Bayshore Hospital	Holmdel	New Jersey
United States	Baystate Medical Center - Holyoke	Holyoke	Massachusetts
United States	Holyoke Medical Center Inc	Holyoke	Massachusetts
United States	Altus Houston Hospital	Houston	Texas
United States	Body Balance Chiropractic and Wellness	Houston	Texas
United States	Brooke Army Medical Center	Houston	Texas
United States	Complete Surgery Center Northwest	Houston	Texas
United States	Crystal Outpatient Surgery Center	Houston	Texas
United States	East Houston Medical Center	Houston	Texas
United States	Houston Methodist Orthopedic & Sports Medicine	Houston	Texas
United States	Houston Methodist Willowbrook Hospital	Houston	Texas
United States	Houston Premier Surgery Center in The Villages	Houston	Texas
United States	Houston Surgery Center	Houston	Texas
United States	Innovative Solutions, LLC	Houston	Texas
United States	Inov8 Orthopedics	Houston	Texas
United States	Memorial Ambulatory Surgery Center	Houston	Texas
United States	Memorial Hermann Surgery Center - Main Street	Houston	Texas
United States	Memorial Hermann Surgery Center Greater Heights	Houston	Texas
United States	Memorial Hermann Surgery Center Main Street	Houston	Texas
United States	Memorial Hermann Surgery Center Memorial Village	Houston	Texas
United States	Memorial Hermann Surgery Center North Houston Endoscopy and Surgery	Houston	Texas
United States	Memorial Hermann West Houston Surgery Center	Houston	Texas
United States	Memorial Houston Surgery Center	Houston	Texas
United States	Memorial Houston Surgery Center	Houston	Texas
United States	Museum District Ambulatory Surgery Center	Houston	Texas
United States	Paramount Surgical Center	Houston	Texas
United States	River Oaks Hospital and Clinics	Houston	Texas
United States	Spring Hospital	Houston	Texas
United States	The Heights Hospital	Houston	Texas
United States	TOPS Specialty Hospital	Houston	Texas
United States	Townsen Memorial ASC Medical Center	Houston	Texas
United States	U.T MD Anderson Cancer Center	Houston	Texas
United States	United Memorial Medical Center - North Hospital	Houston	Texas
United States	University Pain Associates	Houston	Texas
United States	Humble Vascular Surgical Center	Humble	Texas
United States	Townsen Memorial Hospital	Humble	Texas
United States	SurgCenter of Northern Baltimore, LLC	Hunt Valley	Maryland
United States	FSA of Huntingdon Valley, LLC	Huntingdon Valley	Pennsylvania
United States	Valley Pain Center	Huntingdon Valley	Pennsylvania
United States	Cabell Huntington Hospital	Huntington	West Virginia
United States	Huntington Hospital	Huntington	New York
United States	Mountain View Hospital	Idaho Falls	Idaho
United States	Indiana Regional Medical Center	Indiana	Pennsylvania
United States	Capitol Street Surgery Center	Indianapolis	Indiana
United States	Center for Special Surgery	Indianapolis	Indiana
United States	Community Surgery Center East	Indianapolis	Indiana
United States	Eagle Highlands Surgery Center	Indianapolis	Indiana
United States	Franciscan St Francis Health	Indianapolis	Indiana
United States	IU Health East Beltway Surgery Center	Indianapolis	Indiana
United States	IU Health Multi Specialty Surgery Center	Indianapolis	Indiana
United States	IUH University Hospital	Indianapolis	Indiana
United States	Senate Street Surgery Center	Indianapolis	Indiana
United States	VA Medical Center Indianapolis	Indianapolis	Indiana
United States	Concourse Diagnostic & Surgical Center	Industry	California
United States	Allen County Hospital	Iola	Kansas
United States	Hope Ambulatory Surgery Center	Irvine	California
United States	Irvine Surgical Partners, LLC	Irvine	California
United States	Cayuga Medical Center at Ithaca	Ithaca	New York
United States	Jackson Surgical Center	Jackson	New Jersey
United States	Physicians Surgery Center/Jackson	Jackson	Tennessee
United States	Centurion Surgery Center of Jacksonville	Jacksonville	Florida
United States	First Coast Surgery Center	Jacksonville	Florida
United States	Mayo Clinic	Jacksonville	Florida
United States	Onslow Memorial Hospital	Jacksonville	North Carolina
United States	Riverside Surgical Center	Jacksonville	Florida
United States	Surgcenter of Greater Jacksonville, LLC	Jacksonville	Florida
United States	Touchton Surgery Center	Jacksonville	Florida
United States	Jacksonville Beach Surgery Center	Jacksonville Beach	Florida
United States	Southern Pain and Spine - Jasper	Jasper	Georgia
United States	SSM Health St. Mary's Hospital - Jefferson City	Jefferson City	Missouri
United States	Advanced Regional Surgery Center, LLC	Jeffersonville	Indiana
United States	Jersey City Medical Center	Jersey City	New Jersey
United States	SurgiCore Jersey City	Jersey City	New Jersey
United States	Emory Johns Creek	Johns Creek	Georgia
United States	Interventional Pain Management Center	Jonesboro	Arkansas
United States	Jonesboro Ambulatory Surgery Center, LLC	Jonesboro	Arkansas
United States	NEA Baptist Clinic	Jonesboro	Arkansas
United States	Outpatient Surgery Center of Jonesboro	Jonesboro	Arkansas
United States	Freeman Health System	Joplin	Montana
United States	Advanced Pain Management and Wellness Center	Jupiter	Florida
United States	Jupiter Outpatient Surgery Center	Jupiter	Florida
United States	Briarcliff Surgery Center	Kansas City	Missouri
United States	Heart of America Surgery	Kansas City	Kansas
United States	North Kansas City Hospital	Kansas City	Missouri
United States	Saint Luke's Hospital Of Kansas City	Kansas City	Missouri
United States	Saint Luke's Pain Management Center	Kansas City	Missouri
United States	University of Kansas Medical Center	Kansas City	Kansas
United States	VA Medical Center Kansas City	Kansas City	Missouri
United States	Houston Orthopedic and Spine Surgery Center	Katy	Texas
United States	Memorial Hermann Surgery Center - Kingsland	Katy	Texas
United States	Kearney Pain Treatment Center	Kearney	Nebraska
United States	SurgiCore Jersey City	Kenilworth	New Jersey
United States	Aurora Medical Center Kenosha	Kenosha	Wisconsin
United States	Novant Kernersville Medical Hospital	Kernersville	North Carolina
United States	AdventHealth Central Texas	Killeen	Texas
United States	Ambulatory Surgery Center of Killeen	Killeen	Texas
United States	Central Texas Day Surgery Center	Killeen	Texas
United States	Main Line Spine Surgery Center	King Of Prussia	Pennsylvania
United States	Riverview Ambulatory Surgical Center	Kingston	Pennsylvania
United States	Townsen Memorial Surgery Center-Kingwood	Kingwood	Texas
United States	UNC Lenoir Health Care	Kinston	North Carolina
United States	Proliance Eastside Surgery Center	Kirkland	Washington
United States	Physician's Surgery Center of Knoxville	Knoxville	Tennessee
United States	Turkey Creek Medical Center (Tennova)	Knoxville	Tennessee
United States	Kokomo Ambulatory Surgery Center	Kokomo	Indiana
United States	Lafayette Pain Care	Kokomo	Indiana
United States	Hays Surgery Center	Kyle	Texas
United States	Plum Creek Surgery Center LLC	Kyle	Texas
United States	Mayo Clinic Health System- La Crosse	La Crosse	Wisconsin
United States	Scripps La Jolla Hospital	La Jolla	California
United States	EPC Surgery Center	La Mesa	California
United States	Charles Regional Surgery Center	La Plata	Maryland
United States	Northwest Health - La Porte	La Porte	Indiana
United States	Center for Advanced Surgery	Ladson	South Carolina
United States	National Pain Institute - Lady Lake	Lady Lake	Florida
United States	Santa Fe Surgery Center LLC	Lady Lake	Florida
United States	Doctors Outpatient Surgery Center, LLC	Lafayette	Louisiana
United States	Lafayette Pain Care	Lafayette	Indiana
United States	Lafayette Surgery Center	Lafayette	Indiana
United States	MemorialCare Surgical Center Laguna Woods	Laguna Woods	California
United States	Lake Charles Memorial Hospital	Lake Charles	Louisiana
United States	Spine and Neuro, Health and Wellness Center, LLC	Lake Geneva	Wisconsin
United States	Havasu Surgery Center	Lake Havasu City	Arizona
United States	Lake Mary Surgery Center	Lake Mary	Florida
United States	Rinehart Surgery Center	Lake Mary	Florida
United States	Michigan Institute for Advanced Surgery	Lake Orion	Michigan
United States	Lake Worth Surgical Center	Lake Worth	Florida
United States	Sutter Lakeside Hospital	Lakeport	California
United States	Lakewood Surgery Center	Lakewood	New Jersey
United States	NorthEast Surgicare, LLC	Lakewood	New Jersey
United States	St Anthony Hospital	Lakewood	Colorado
United States	Advanced Surgery Center of Lancaster	Lancaster	Pennsylvania
United States	Embassy Surgery Center	Lancaster	California
United States	Lancaster Specialty Surgery Center	Lancaster	Ohio
United States	Precision Pain care	Lancaster	Ohio
United States	Surgery Center of Lancaster, L.P.	Lancaster	Pennsylvania
United States	Forest Health Medical Center of Bucks County	Langhorne	Pennsylvania
United States	Langhorne Surgical Center	Langhorne	Pennsylvania
United States	Advanced Surgical Care of Maryland	Lanham	Maryland
United States	Lansdale Hospital	Lansdale	Pennsylvania
United States	Montgomery Surgery Center	Lansdale	Pennsylvania
United States	McLaren Hospital - Lapeer	Lapeer	Michigan
United States	Doctors Hospital of Laredo	Laredo	Texas
United States	Laredo Medical Center	Laredo	Texas
United States	DLJT Management Services, LLC	Las Vegas	Nevada
United States	Red Rock Surgery Center	Las Vegas	Nevada
United States	Sahara Surgery Center	Las Vegas	Nevada
United States	Smoke Ranch Surgery Center	Las Vegas	Nevada
United States	Surgical Arts Center	Las Vegas	Nevada
United States	VA Medical Center Pecos MSPV	Las Vegas	Nevada
United States	The Surgery Center of Ft. Lauderdale	Lauderdale Lakes	Florida
United States	Park Center Surgical Center	Laurel	Maryland
United States	South Central Regional Medical Center	Laurel	Mississippi
United States	GA Interventional Pain, LLC	Lawrenceville	Georgia
United States	UTMB Health League City Campus Hospital	League City	Texas
United States	Cushing Memorial Hospital	Leavenworth	Kansas
United States	Saint John Hospital	Leavenworth	Kansas
United States	Ascentist	Leawood	Kansas
United States	Doctors Hospital	Leawood	Kansas
United States	Kansas City Orthopedic Institute	Leawood	Kansas
United States	MAO Leawood Surgery Center, LLC	Leawood	Kansas
United States	Physicians Surgical Center	Lebanon	Pennsylvania
United States	Witham Health Services	Lebanon	Indiana
United States	Beacon Surgery Center	Lee's Summit	Missouri
United States	Lees Summit Medical Center	Lee's Summit	Missouri
United States	Midwest Pain Management Center	Lee's Summit	Missouri
United States	Integrated Surgical Institute	Leesport	Pennsylvania
United States	Lehigh Valley Hospital-Carbon	Lehighton	Pennsylvania
United States	Brunswick Surgery Center	Leland	North Carolina
United States	Overland Park Surgery Center	Lenexa	Kansas
United States	MedStar St. Mary's Hospital	Leonardtown	Maryland
United States	Advanced Pain Institute of Texas	Lewisville	Texas
United States	Baptist Health Surgery Center, LLC	Lexington	Kentucky
United States	Bux Pain Management	Lexington	Kentucky
United States	Central Baptist Hospital	Lexington	Kentucky
United States	CHI St. Joseph Health Outpatient Surgery Center	Lexington	Kentucky
United States	Kentucky Surgery Center	Lexington	Kentucky
United States	Lexington Surgery Center	Lexington	Kentucky
United States	Paradigm Pain and Spine	Lexington	Kentucky
United States	Saint Joseph East Hospital	Lexington	Kentucky
United States	Saint Joseph Lexington	Lexington	Kentucky
United States	The Pain Treatment Center, Inc.	Lexington	Kentucky
United States	UK Interventional Pain Associates	Lexington	Kentucky
United States	University Of Kentucky	Lexington	Kentucky
United States	VA Medical Center - Cooper Dr Div	Lexington	Kentucky
United States	Wellward Regenerative Medicine	Lexington	Kentucky
United States	Liberty Hospital	Liberty	Missouri
United States	Doctors Outpatient Surgery Center	Lincoln	Nebraska
United States	NPI Surgery Center	Lincoln	Nebraska
United States	NPI Surgery Center LLC	Lincoln	Nebraska
United States	Southwest Lincoln Surgery Center	Lincoln	Nebraska
United States	Lindenhurst Surgery Center	Lindenhurst	Illinois
United States	Maryland Specialty Surgery Center	Linthicum Heights	Maryland
United States	McLeod Seacoast OR	Little River	South Carolina
United States	Baptist Health Medical Center - Little Rock	Little Rock	Arkansas
United States	Central Arkansas Surgery Center	Little Rock	Arkansas
United States	Interventional Surgery Institute	Little Rock	Arkansas
United States	Little Rock Surgery Center	Little Rock	Arkansas
United States	Ortho Arkansas	Little Rock	Arkansas
United States	The Surgical Pavilion	Little Rock	Arkansas
United States	University of Arkansas for Medical Sciences	Little Rock	Arkansas
United States	VA Medical Center - Little Rock	Little Rock	Arkansas
United States	Highline South Ambulatory Surgery Center, LLC	Littleton	Colorado
United States	Summit View Surgery Center	Littleton	Colorado
United States	Specialty Surgery Center of CNY	Liverpool	New York
United States	Enhance Center for Interventional Spine and Sports	Livonia	Michigan
United States	Hocking Valley Community Hospital	Logan	Ohio
United States	Logan Regional Medical Center	Logan	West Virginia
United States	Athens Orthopedic Clinic (Loganville ASC)	Loganville	Georgia
United States	Loma Linda University Medical Center	Loma Linda	California
United States	VA Medical Center - Loma Linda	Loma Linda	California
United States	Lompoc Valley Medical Center	Lompoc	California
United States	The Surgery Center at Lone Tree	Lone Tree	Colorado
United States	Shoreline Surgery Center LLC	Long Beach	California
United States	CHRISTUS Good Shepherd Medical Center - Longview	Longview	Texas
United States	South Seminole Medical Center	Longwood	Florida
United States	Lorain Surgery Center	Lorain	Ohio
United States	Mercy Regional Medical Center	Lorain	Ohio
United States	Doctors Outpatient Center for Surgery: DOCS	Los Angeles	California
United States	Keck Medicine of USC	Los Angeles	California
United States	Samaritan Endoscopy Center	Los Gatos	California
United States	Silicon Valley ASC	Los Gatos	California
United States	Baptist Health Louisville	Louisville	Kentucky
United States	Norton Audubon Hospital	Louisville	Kentucky
United States	Norton Brownsboro Hospital	Louisville	Kentucky
United States	Norton Healthcare Inc.	Louisville	Kentucky
United States	Norton St. Matthews	Louisville	Kentucky
United States	Premier Surgery Center of Louisville	Louisville	Kentucky
United States	University of Louisville Hospital	Louisville	Kentucky
United States	Palms West Hospital	Loxahatchee Groves	Florida
United States	Palms West Surgicenter	Loxahatchee Groves	Florida
United States	Grace Medical Center	Lubbock	Texas
United States	Grace Medical Center - OP	Lubbock	Texas
United States	Woodland Heights Med Center	Lufkin	Texas
United States	Southeastern Ambulatory Surgery Center, LLC	Lumberton	North Carolina
United States	Surgery Center of Lynchburg	Lynchburg	Virginia
United States	Parkway Ambulatory Surgery Center	Lyndhurst	New Jersey
United States	Ascension St. John Hospital Health Center at 23 Mile	Macomb	Michigan
United States	Hemlock Ambulatory Surgery Center	Macon	Georgia
United States	Madison Surgery Center	Madison	Wisconsin
United States	SSM Health - St. Mary's Hospital	Madison	Wisconsin
United States	Park Place Surgery Center	Maitland	Florida
United States	Manalapan Surgery Center	Manalapan	New Jersey
United States	Northern Monmouth Regional Surgery Center	Manalapan	New Jersey
United States	Prince William Surgery Center	Manassas	Virginia
United States	The Spine Care	Manassas	Virginia
United States	Catholic Medical Center	Manchester	New Hampshire
United States	Elliot Hospital	Manchester	New Hampshire
United States	Beach Cities Orthopedic Surgery Center	Manhattan Beach	California
United States	Mankato Clinic Ltd	Mankato	Minnesota
United States	Baylor Scott & White Medical Center - Marble Falls	Marble Falls	Texas
United States	Northwest Medical Center	Margate	Florida
United States	New Horizons Surgery Center	Marion	Ohio
United States	Premier Surgical Center	Marlton	New Jersey
United States	Upper Peninsula Surgery Center	Marquette	Michigan
United States	Fitzgibbon Memorial Hospital	Marshall	Missouri
United States	Marshfield Clinic Health System	Marshfield	Wisconsin
United States	Tri-State Surgical Center	Martinsburg	West Virginia
United States	Anderson Hospital	Maryville	Illinois
United States	Southwest Ohio Pain Management Ambulatory Surgery Center	Mason	Ohio
United States	Mason City Surgery Center	Mason City	Iowa
United States	Mercy Medical Center - North Iowa	Mason City	Iowa
United States	Hillcrest Hospital	Mayfield Heights	Ohio
United States	Meadowview Regional Medical Center	Maysville	Kentucky
United States	Valley Ambulatory Surgery Center	McAllen	Texas
United States	Ohio Valley Hospital	McKees Rocks	Pennsylvania
United States	National Spine and Pain Centers	McLean	Virginia
United States	Meadville Medical Center	Meadville	Pennsylvania
United States	Crater Lake Surgery Center	Medford	Oregon
United States	Vantage Surgery Center	Medford	New Jersey
United States	Central Florida Spine & Pain	Melbourne	Florida
United States	Intracoastal Surgery Center	Melbourne	Florida
United States	Melbourne Surgery Center	Melbourne	Florida
United States	Medical Education and Research Institute	Memphis	Tennessee
United States	Lake County Pain & Diagnostic Center LLC	Mentor	Ohio
United States	Mentor Surgery Center	Mentor	Ohio
United States	Mentor Surgery Center	Mentor	Ohio
United States	Anderson Regional Health System	Meridian	Mississippi
United States	Anderson Regional Medical Center	Meridian	Mississippi
United States	Anderson Regional Medical Center, South Campus	Meridian	Mississippi
United States	Idaho Physical Medicine and Rehabilitation	Meridian	Idaho
United States	The Pain Management Center of Meridian	Meridian	Mississippi
United States	Total Pain Care	Meridian	Mississippi
United States	Broadwest Specialty Surgical Center, LLC	Merrillville	Indiana
United States	Methodist Hospitals Southlake	Merrillville	Indiana
United States	Merritt Island Surgery Center	Merritt Island	Florida
United States	Space Coast Surgery Center	Merritt Island	Florida
United States	Banner Surgery Center - Desert	Mesa	Arizona
United States	Banner Surgery Center - Mesa	Mesa	Arizona
United States	Rembrandt Outpatient Surgery	Mesa	Arizona
United States	NTTC Surgery Center	Mesquite	Texas
United States	Baptist Hospital of Miami	Miami	Florida
United States	Coral Gables Hospital	Miami	Florida
United States	Coral Gables Surgery Center	Miami	Florida
United States	Miami Surgical Center	Miami	Florida
United States	Northshore Medical Center	Miami	Florida
United States	South Miami Hospital	Miami	Florida
United States	Surgery Center at Doral	Miami	Florida
United States	Surgical Park Center	Miami	Florida
United States	Mount Sinai Medical Center	Miami Beach	Florida
United States	Sycamore Hospital	Miamisburg	Ohio
United States	Franciscan Health Michigan City	Michigan City	Indiana
United States	Vanguard Medical Group	Michigan City	Indiana
United States	Middleburg Surgery Center	Middleburg	Florida
United States	Atrium Medical Center	Middletown	Ohio
United States	Crystal Run Healthcare ASC	Middletown	New York
United States	Middlesex Hospital	Middletown	Connecticut
United States	Southwest Ohio Surgery Center	Middletown	Ohio
United States	Specialty Surgery Center of Middletown	Middletown	New Jersey
United States	WI Surgery Center	Milwaukee	Wisconsin
United States	Columbia Pain Management, PC	Milwaukie	Oregon
United States	Kearney County Health Services	Minden	Nebraska
United States	Day Op Center of Long Island	Mineola	New York
United States	NYU Langone Hospital-Long Island (Winthrop)	Mineola	New York
United States	Fairview UMN Health	Minneapolis	Minnesota
United States	Nura Precision Pain Management - Edina Clinic	Minneapolis	Minnesota
United States	Marshfield Clinic-Minocqua	Minocqua	Wisconsin
United States	Surgicare of Miramar	Miramar	Florida
United States	Michiana Surgery Center	Mishawaka	Indiana
United States	California Specialty Surgery Center	Mission Viejo	California
United States	Minimally Invasive Surgical Institute	Mission Viejo	California
United States	Moab Regional Hospital	Moab	Utah
United States	Doctors Medical Center Modesto	Modesto	California
United States	Modesto Memorial Hospital	Modesto	California
United States	Stanislaus Surgical Hospital	Modesto	California
United States	Center For Minimally Invasive Surgery	Mokena	Illinois
* Note: There are 1710 locations in all - only the first 1000 are shown.

Sponsors (1)

Lead Sponsor	Collaborator
Vertos Medical, Inc.

Country where clinical trial is conducted

United States, 

References & Publications (1)

Staats PS, Hagedorn JM, Reece DE, Strand NH, Poree L. Percutaneous image-guided lumbar decompression and interspinous spacers for the treatment of lumbar spinal stenosis: A 2-year Medicare Claims Benchmark Study. Pain Pract. 2023 Sep;23(7):776-784. doi: 1 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Rate of participants with harms associated with the index procedure	Rate of participants with harms associated with the index procedure including, but not limited to, revisions, displacement, mechanical complications, and death. Complications will be counted if they are recorded during the index hospitalization, or any rehospitalization within 30 days of discharge.	24 months
Primary	Rate of surgical, minimally invasive intervention.	Measure the rate of Medicare beneficiary surgical and minimally invasive intervention for LSS with NC post index procedure.	24 months