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NPI 1104990050 · Farmington, NM · Ambulatory Surgical Clinic/Center
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Four Corners Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Farmington, New Mexico. This profile covers 18 Medicare and 13 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 | Four Corners Ambulatory Surgery Center, LLC |
| Address | 2300 E 30th St Bldg A |
| City | Farmington |
| State | NM |
| ZIP | 87401 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $1.7M |
FOUR CORNERS AMBULATORY SURGERY CENTER, LLC is an Ambulatory Surgical Clinic/Center whose billed services skew toward ophthalmology and high-acuity orthopedic work alongside common ambulatory ENT and minor soft-tissue procedures; Medicare top codes include 66984 (cataract extraction/IOL insertion) and 27447 (total knee arthroplasty), while Medicaid top codes include 66984 and 42820 (tonsil/adenoid removal), indicating a mixed specialty ambulatory surgery model rather than a single-procedure focus. The presence of both cataract and large-joint replacement codes suggests the center accommodates same-day ophthalmic cases and higher-complexity orthopedic implants on an outpatient basis, consistent with multi-specialty ASCs that capture both scheduled ophthalmic volume and periodic orthopedic cases.
Medicare revenue is highly concentrated: the precomputed top-three Medicare codes account for 77.3% of the provider’s Medicare revenue, with 66984 representing $647.9K (38.5% of Medicare revenue), 27447 representing $525.3K (31.2%), and 27130 representing $129K (7.7%). This concentration means reimbursement performance and utilization for a very small set of procedures will materially affect the provider’s Medicare topline.
Medicaid revenue is even more concentrated: the precomputed top-three Medicaid codes account for 94.0% of the provider’s Medicaid revenue, led by 66984 at $953K (55.3%) and 42820 at $631.4K (36.7%), with the next largest Medicaid code contributing only $34.4K (64483, 2.0%). For Medicaid payers, the provider functions effectively as a high-volume cataract and pediatric ENT site in-state, so coverage, coding, and reimbursement changes for those specific services would have outsized impact.
The provider’s Medicare and Medicaid books are similar in scale: total Medicare revenue is $1.7M and total Medicaid revenue is also $1.7M, indicating a roughly balanced dual-payer footprint rather than dominance by a single public program. Analysts should treat this provider as a dual-payer ambulatory center where contracting and utilization trends in either program can shift overall revenue materially.
Competitive standing on key Medicare surgical codes is above typical national volume for some high-revenue services but mixed overall: 66984 ranks #2247 of 15965 (86th percentile) and 27447 ranks #1569 of 12089 (87th percentile), both described as typical but above-average volume nationally; by contrast, 27130 ranks #5463 of 8062 (29th percentile), indicating more modest participation in primary hip replacement relative to national peers. This pattern points to outsized cataract and knee-replacement activity for an ASC of this size, with less emphasis on hip arthroplasty.
In-state competitive position on Medicaid reinforces the center’s role as a regional cataract and pediatric ENT provider: 66984 ranks #6 of 26 in-state (80th percentile) and 42820 ranks #4 of 15 in-state (79th percentile), both described as typical but comparatively strong in New Mexico. Some Medicaid code percentiles derive from very small provider pools (for example, 29881 ranks #2 of 2 in-state), so percentile interpretation should account for limited provider counts when assessing dominance.
There are notable statistical outliers in medication/implant billing that warrant attention: C9088 (instillation, bupivacaine and meloxicam) appears at 36K claims and $36K revenue, and ranks #4 of 52 nationally (94th percentile) and is labeled "notably above typical national volume," indicating unusually high usage relative to peers for this specific instillation item. Similarly, C9145 (aprepitant injection) is ranked #1 of 4 nationally (100th percentile) on Medicare, which signals the provider is a top reporter of that code but within a very small national universe—both patterns are operationally noteworthy for supply, inventory, and coding review.
The provider has long-tenure in the public payer system, with its NPI enumerated on 2006-11-20 (~20 years ago), indicating an established outpatient surgical operation; longevity combined with the concentrated procedural mix suggests the center has developed targeted referral relationships and service lines (cataract and selected orthopedics/ENT) over time. This operational history should be factored into contract negotiations and network inclusion decisions because the provider is not a recent entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 790 | $820 | $647.9K |
| 27447 | In 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… | 80 | $6,740 | $525.3K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 20 | $7,170 | $129K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 30 | $2,470 | $78.9K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 90 | $820 | $77.2K |
| 29827 | The 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… | 30 | $1,950 | $52.5K |
| C9088 | Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg | 36,000 | $1 | $36K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 10 | $1,710 | $22.2K |
| 14060 | The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less. | 30 | $640 | $16.1K |
| 64721 | Neuroplasty 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… | 20 | $630 | $15.1K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 5 | 60 | 130 | $500 | $167.1K |
| 29827 | 3 | 10 | 30 | $1,510 | $55.9K |
| 27447 | 6 | 70 | 40 | $1,270 | $52.1K |
| 66991 | 2 | 10 | 20 | $1,850 | $48K |
| 66982 | 4 | 30 | 40 | $660 | $31.1K |
| 27130 | 23 | 40 | 20 | $900 | $28.9K |
| 14060 | 6 | 10 | 30 | $550 | $23.1K |
| 29848 | 4 | 10 | 40 | $410 | $20.4K |
| 29881 | 4 | 10 | 30 | $820 | $20.4K |
| C9088 | 1 | 10 | 36,000 | $1 | $19.5K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 2,350 | $410 | $953K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 430 | $1,470 | $631.4K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 100 | $350 | $34.4K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 40 | $600 | $21.6K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 30 | $620 | $19.2K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 20 | $1,090 | $18.5K |
| 20680 | Skeletal 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… | 20 | $690 | $13.7K |
| 64450 | The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure. | 380 | $30 | $12.7K |
| 77077 | The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint. | 320 | $40 | $12.6K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 20 | $290 | $4.6K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The 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… | 6 | 30 | 280 | $400 | $607.8K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 4 | 20 | 310 | $1,070 | $373.1K |
| 20680 | Skeletal 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… | 3 | 10 | 250 | $1,250 | $304.4K |
| 29881 | The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral… | 2 | 10 | 290 | $890 | $255.8K |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 15 | 20 | 270 | $400 | $234.1K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 11 | 10 | 160 | $760 | $201.1K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 2 | 10 | 110 | $440 | $49.9K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 15 | 30 | 110 | $230 | $48.3K |
| 77077 | The provider performs a joint survey study of two or more joints in which he performs only a single view of each joint. | 2 | 10 | 320 | $70 | $18.3K |
| 64450 | The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure. | 2 | 10 | 50 | $80 | $11.7K |
Showing 1–10 of 13
Other providers in the same ZIP code as Four Corners Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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