Loading...
NPI 1174590434 · Fort Collins, CO · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Harmony Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Fort Collins, Colorado. This profile covers 47 Medicare and 21 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 | Harmony Surgery Center, LLC |
| Address | 2127 E Harmony Rd |
| City | Fort Collins |
| State | CO |
| ZIP | 80528 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.4M |
| Medicaid | $2.8M |
HARMONY SURGERY CENTER, LLC (Ambulatory Surgical Clinic/Center) in FORT COLLINS, CO has been enumerated since 2006-03-07 (~20 years ago) and shows sustained activity across both Medicare and Medicaid payers, reporting $5.4M in total Medicare revenue and $2.8M in total Medicaid revenue. The payer mix is Medicare‑weighted in scale, with Medicare revenue roughly larger than Medicaid on the record provided, indicating the center’s financial footprint is driven more by Medicare patient volume.
Medicare revenue is moderately concentrated: the precomputed top three Medicare codes account for 44.7% of the provider’s Medicare revenue, led by 63685 ($997.9K, 20.3% of Medicare revenue), 63650 ($607.8K, 12.3%), and 45385 ($597.1K, 12.1%). This mix highlights two distinct high‑revenue service lines on the Medicare side — neuromodulation/spinal device work (63685, 63650) and advanced endoscopic polypectomy/colon procedures (45385) — which together drive nearly half of Medicare receipts.
On Medicaid the revenue concentration is very high: the precomputed top three Medicaid codes represent 78.6% of total Medicaid revenue, with 41899 ($1.3M, 48.2% of Medicaid revenue), 45385 ($511.1K, 18.5%), and 43239 ($331.4K, 12.0%) dominating receipts. The Medicaid profile is unusually weighted toward a single uncoded dental/adjacent oral procedure bucket (41899) plus high volumes of endoscopy/upper GI and colonoscopy services, signaling that a small set of clinical lines account for most of the Medicaid business.
The provider’s code‑level competitive standing on Medicare shows national outlier behavior for several procedures: 45385 ranks #24 of 16310 providers nationally (100th percentile; extreme outlier), 64633 ranks #6 of 2262 (100th percentile; extreme outlier), and 64635 and 49650 appear as extreme outliers or high percentiles as well. These rank positions indicate HARMONY is a major national volume performer in selected GI and spine/interventional pain procedures, not a marginal participant, which supports the inference of specialized procedural capacity and high throughput in those lines.
State‑level Medicaid ranks show the provider is a leading in‑state performer for colonoscopy by revenue: 45385 ranks #2 of 45 providers in‑state (98th percentile; notably above typical state volume), while 41899 ranks #7 of 16 (60th percentile; typical, unremarkable volume). This contrast suggests the center competes strongly on GI endoscopy services within Colorado Medicaid but is only a mid‑range competitor for the high‑revenue 41899 dental/adjoining code in the state context.
Beyond the top revenue codes, the Medicare code mix contains a dense cluster of interventional spine and pain-management procedures (for example 64628, 64635, 64483, 64493, 64490, 62321, 62323) with many entries characterized as "notably above typical" or "extreme outlier" in national percentile rankings. That pattern is consistent with an ambulatory surgical center that operates high-volume image‑guided spinal injections, neurolytic procedures, and device implant services alongside GI and urologic endoscopy, implying multi-specialty procedural capability rather than a narrow single-modality clinic.
The Medicaid claims detail reinforces operational breadth but also exposure: while GI and upper‑endoscopy codes (45385, 43239) are substantial contributors to Medicaid revenue, a single uncoded dental/adjoining code (41899) comprises $1.3M and 48.2% of Medicaid revenue, creating material dependence on one nonspecific procedure category for Medicaid payor receipts. This concentration heightens the business risk that payer policy changes, coding audits, or shifts in referral patterns for any one of these three Medicaid codes could meaningfully affect the center’s Medicaid revenue stream.
Operational and contracting implications: given the provider’s national‑level dominance on some Medicare codes and high Medicaid concentration in three codes, payers and network managers should treat HARMONY as a high‑volume procedural site for GI and interventional spine services. Contracting, utilization management, and site‑of‑service considerations should focus on capacity for endoscopy, image‑guided spine procedures, and neuromodulation implants, and any payer reviews should prioritize the top revenue drivers already identified (top three Medicare codes = 44.7% of Medicare revenue; top three Medicaid codes = 78.6% of Medicaid revenue).
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
47 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 50 | $18,830 | $997.9K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 160 | $3,730 | $607.8K |
| 45385 | The 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… | 1,320 | $450 | $597.1K |
| 64628 | The provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. Use this code for the first two lumbar or sacral vertebral bodies treated at a session. | 50 | $7,670 | $398.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 480 | $510 | $241.4K |
| 45380 | The 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… | 710 | $290 | $202.9K |
| 27279 | The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic… | 10 | $13,270 | $185.7K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 30 | $5,440 | $179.6K |
| 0775T | N/A | 10 | $10,580 | $148.1K |
| 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). | 510 | $290 | $145.1K |
Showing 1–10 of 47
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
47 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 1 | 10 | 10 | $9,170 | $183.3K |
| C9740 | 2 | 10 | 30 | $5,440 | $157.9K |
| 0775T | 3 | 10 | 30 | $6,850 | $150.6K |
| 22869 | 1 | 10 | 20 | $7,960 | $119.4K |
| 64628 | 1 | 10 | 20 | $4,110 | $98.5K |
| 63650 | 1 | 20 | 30 | $2,230 | $98K |
| J0585 | 69 | 100 | 7,900 | $1 | $73.7K |
| 27279 | 1 | 10 | 10 | $5,010 | $65.1K |
| 36478 | 5 | 20 | 40 | $760 | $32.8K |
| 45385 | 1 | 270 | 60 | $310 | $30.5K |
Showing 1–10 of 47
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 1,340 | $990 | $1.3M |
| 45385 | The 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… | 1,810 | $280 | $511.1K |
| 43239 | The 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. | 1,520 | $220 | $331.4K |
| 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). | 1,390 | $130 | $182.4K |
| 45380 | The 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… | 650 | $160 | $106.3K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 820 | $100 | $84.2K |
| 62321 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)… | 340 | $190 | $63.4K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 200 | $200 | $40.4K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 360 | $100 | $36.8K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 80 | $310 | $25.4K |
Showing 1–10 of 21
How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Colorado median
21 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 7 | 20 | 940 | $1,150 | $1.5M |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 16 | 20 | 50 | $1,170 | $184.3K |
| 43239 | The 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. | 14 | 110 | 170 | $180 | $126.2K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 12 | 30 | 100 | $220 | $100.2K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 17 | 30 | 90 | $270 | $96.3K |
| 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). | 6 | 60 | 110 | $170 | $89.2K |
| 45385 | The 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… | 2 | 50 | 50 | $270 | $81.1K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 8 | 10 | 70 | $230 | $70K |
| 45380 | The 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… | 7 | 60 | 90 | $200 | $62.9K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2 | 10 | 20 | $140 | $59.2K |
Showing 1–10 of 21
Other providers in the same ZIP code as Harmony Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Noco Pediatric Ot, LLC | CO | Occupational Therapist | $0 | $5.7M |
| Tender Care Pediatric Services, Inc | CO | In Home Supportive Care Agency | $0 | $5.4M |
| Surgery Center Of Northern Colorado | CO | Ambulatory Surgical Clinic/Center | $4.3M | $702.8K |
| E Plus Pet Imaging Xviii LP | CO | Radiology Clinic/Center | $2.1M | $964.4K |
| Charles Sisson | CO | Pain Medicine (Anesthesiology) Physician | $2.6M | $0 |
| Matthew Asano | CO | Ophthalmology Physician | $2M | $0 |
| Michael Thakor | CO | Rheumatology Physician | $1.8M | $0 |
| Harmony Imaging Center LLC | CO | Diagnostic Radiology Physician | $1.1M | $417.9K |
| Tamara Miller | CO | Specialist | $1.4M | $0 |
| Joshua Petit | CO | Radiation Oncology Physician | $443.5K | $0 |
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.