Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dtc Surgery Center, LLC (NPI 1174010011)

Key Findings

Field	Value
Entity Type	Organization
Organization	Dtc Surgery Center, LLC
Address	135 Inverness Dr E
City	Englewood
State	CO
ZIP	80112
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 17, 2018

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

DTC SURGERY CENTER, LLC’s Medicare business is concentrated in high-value orthopedic procedures: 27447 (knee replacement) generated $814.5K in revenue and represents 39.4% of the provider’s Medicare take, 27130 (hip replacement) generated $553.5K and represents 26.7%, and 63685 (spinal neurostimulator pulse generator insertion) generated $231.3K and represents 11.2% — these three codes together account for 77.3% of the provider’s total Medicare revenue. The code mix indicates the site functions primarily as an ambulatory surgical center with a focus on major joint arthroplasty and some advanced spine/neuromodulation procedures, supported by ancillary arthroscopy and hand surgery codes in the top-25 list.

Revenue concentration is a material profile risk: the precomputed top-3 share is 77.3%, with a single code 27447 making up 39.4% of Medicare revenue. Heavy dependence on a small number of high-revenue orthopedic implant procedures suggests that changes in payer policy, device coverage, or local competitive dynamics for joint replacement will meaningfully impact overall revenue.

Payer mix is effectively single-payer Medicare: Total Medicare revenue is $2.1M while there is no Medicaid billing on file. The absence of Medicaid activity means the provider lacks diversification into state Medicaid populations and would be exposed to Medicare policy shifts or changes in Medicare volume patterns without offset from Medicaid.

Competitive standing on flagship joint codes is strong: 27447 ranks #663 of 12089 providers nationally (94th percentile; notably above typical national volume for this code) and 27130 ranks #554 of 8062 providers nationally (93rd percentile; notably above typical national volume for this code), indicating the center is a high-volume national outlier for both knee and hip arthroplasty relative to peers. These rankings position the provider as a major national participant in outpatient joint replacement, rather than a low-volume or marginal operator for those services.

By contrast, the practice’s participation in neurostimulation and certain spine procedures is modest. 63685 ranks #1012 of 1281 providers nationally (11th percentile; typical, unremarkable volume for this code) and 63650 ranks in the lower quintiles as well (19th percentile; typical, unremarkable volume for this code), suggesting neurostimulator implantation is a smaller line of business relative to joint arthroplasty.

A few additional codes show elevated activity that complements the orthopedic focus: 27570 (manipulation of the knee) ranks #4 of 83 providers nationally (95th percentile; notably above typical national volume for this code), and 29884 (lysis of adhesions in the knee) ranks #3 of 10 providers nationally (78th percentile; typical, unremarkable volume for this code). Several arthroscopic and upper-extremity codes (for example 29827, 29881, 29880, 26055, 29848) appear in the top-25 list at typical volumes, supporting a broader ambulatory orthopedics and hand surgery practice footprint beyond the primary joint-replacement revenue drivers.

Operational tenure is relatively recent but established: the NPI was enumerated on 2018-04-17 (~8 years ago), indicating the center has had multiple years to scale procedural volume and build referral patterns that produced the current Medicare revenue mix. Given the concentration in high-cost implant procedures and the national high-volume rankings for key arthroplasty codes, payer contracting and device-supply strategies are likely to be central to this provider’s financial performance going forward.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	110	$7,210	$814.5K
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…	80	$7,380	$553.5K
63685	The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection…	10	$19,280	$231.3K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	30	$3,830	$111.1K
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…	40	$2,130	$78.7K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	70	$510	$32.8K
29848	The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.	60	$500	$29.9K
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…	30	$970	$25.2K
C9290	Injection, bupivacaine liposome, 1 mg	23,810	$1	$23.8K
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	30	$680	$23.1K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	CO	Clinical Medical Laboratory	$14.9M	$77.8M
R&a Home Care	CO	Home Health Agency	$0	$83.4M
Antonina Health Care LLC	CO	Home Health Agency	$0	$36.6M
Highpointe Services	CO	Developmentally Disabled Services Day Training Agency	$0	$24M
Radiology Imaging Associates, PC	CO	Diagnostic Radiology Physician	$0	$18.8M
Mairik Adult Day Care	CO	Adult Day Care Clinic/Center	$0	$16.3M
Dawson Thomas, Inc.	CO	Home Health Agency	$0	$8.8M
South Metro Fire Rescue Fire Protection District	CO	Land Ambulance	$2.2M	$6.1M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Amerita, Inc.	CO	Home Infusion Therapy Pharmacy	$0	$7.4M

Dtc Surgery Center, LLC — Billing Profile & Reimbursement Data

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Dtc Surgery Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	9	10	10	$9,170	$183.3K
63650	7	20	30	$2,230	$98K
27447	15	250	30	$1,050	$46.2K
27130	14	180	30	$1,050	$36.6K
29827	11	90	20	$1,130	$25K
64483	86	160	70	$200	$23.6K
G0260	22	20	80	$210	$22.2K
29848	4	20	50	$440	$20.3K
29881	4	20	20	$910	$18.2K
29884	1	10	20	$1,090	$17.5K