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    OpenPayerNPI Medicare & MedicaidRocky Mountain Surgery Center LLC
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    Rocky Mountain Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1073613162 · Englewood, CO · Ambulatory Surgical Clinic/Center

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    Rocky Mountain Surgery Center LLC is a ambulatory surgical clinic/center provider located in Englewood, Colorado. This profile covers 22 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
    OrganizationRocky Mountain Surgery Center LLC
    Address401 W Hampden Pl
    CityEnglewood
    StateCO
    ZIP80110
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 25, 2006

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

    Payer SourceTotal Paid
    Medicare$779.6K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$7,130$278.1K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.50$1,530$75.1K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…40$1,540$59.9K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…30$1,520$47.2K
    43248The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…110$330$37.4K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…40$850$36.5K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.20$1,820$29.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…60$450$27.4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.130$220$27.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…50$430$21.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698417128070$570$97.1K
    274479425030$1,050$46.2K
    6703663020$1,100$37.3K
    4538513727060$310$30.5K
    6704243020$1,140$29.6K
    6710832020$1,260$26.5K
    6711331020$1,290$24.5K
    644839716070$200$23.6K
    G0260212080$210$22.2K
    646357711030$400$20.2K

    Showing 1–10 of 22

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cottonwood Community Alternatives, Inc.CORespite Care$0$53.7M
    Kci Usa, Inc.CODurable Medical Equipment & Medical Supplies$0$13.6M
    Home Care Of Denver, LLCCOHome Health Agency$0$12M
    Accessible Systems IncCOHome Modifications Contractor$0$6.8M
    Cottonwood Community Alternatives, Inc.CODevelopmentally Disabled Services Day Training Agency$0$4.3M
    Mimi LiuCORetina Specialist (Ophthalmology) Physician$2.2M$0
    River Point Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$1.4M$22.3K
    William RichheimerCOOphthalmology Physician$584.9K$0
    Zachary VestCOOphthalmology Physician$320.5K$0
    Pearl ShinCOOptometrist$159.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Rocky Mountain Surgery Center LLC — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado