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    OpenPayerNPI Medicare & MedicaidVail Valley Surgery Center, LLC
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    Vail Valley Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1003944125 · Vail, CO · Ambulatory Surgical Clinic/Center

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    Vail Valley Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Vail, Colorado. This profile covers 15 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
    OrganizationVail Valley Surgery Center, LLC
    Address181 W Meadow Dr # 3r
    CityVail
    StateCO
    ZIP81657
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMarch 1, 2007

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

    Payer SourceTotal Paid
    Medicare$576.6K
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22867Through an open approach, the provider inserts an interlaminar stabilization or interspinous distraction, or decompression, device (IPD) and attaches it to the bony projections (spinous processes) on…10$13,230$158.8K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…60$2,470$152.9K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…10$3,270$42.5K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…50$850$40.1K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$1,780$37.4K
    26842In this procedure, the provider surgically immobilizes the carpometacarpal joint of the thumb with or without the help of internal fixation devices. He induces artificial bone generation in the joint…10$2,230$31.2K
    29846The provider examines the tissue inside the wrist joint with an arthroscope. She inserts additional instruments to repair or remove the triangular fibrocartilage, a supporting cartilage in the wrist…30$740$20.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$560$18K
    26445In this procedure, the provider performs tenolysis, which releases the extensor tendon of a hand or finger from adhesions.20$750$15.8K
    26123The provider surgically removes fascial tissue from part of the palm and releases one finger, including the middle joint of that finger. Treatment may include Z–plasty, rearranging local tissue, or…10$1,080$14.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2286721010$6,570$85.4K
    29827289020$1,130$25K
    2684221020$1,320$21.1K
    23430243020$880$18.4K
    64721378030$460$17.2K
    2612331020$970$16.4K
    2984621030$460$13.9K
    26055367030$320$13.8K
    26480152020$590$13.6K
    2068022020$560$12.4K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vail Valley Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vail Valley Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raymond KimCOOrthopaedic Surgery Physician$421.9K$0
    Patricia HardenberghCOSpecialist$229.1K$0
    Randall ViolaCOSports Medicine (Orthopaedic Surgery) Physician$174.8K$0
    Matthew ProvencherCOSports Medicine (Orthopaedic Surgery) Physician$168.2K$0
    Joseph RuzbarskyCOOrthopaedic Surgery Physician$150.3K$0
    Sanjitpal GillCOOrthopaedic Surgery of the Spine Physician$140.2K$0
    Thomas EvansCOInterventional Pain Medicine Physician$75.4K$0
    Brandon KolodzekCOSurgical Physician Assistant$69.5K$0
    Steven YarberryCOFamily Medicine Physician$67.1K$0
    David KuppersmithCOInternal Medicine Physician$65.9K$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. Colorado Distribution
    Vail Valley Surgery Center, LLC — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado