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NPI 1295776920 · Denver, CO · Ambulatory Surgical Clinic/Center
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Rose Ambulatory Surgery Center LP is a ambulatory surgical clinic/center provider located in Denver, Colorado. This profile covers 29 Medicare and 7 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 | Rose Ambulatory Surgery Center LP |
| Address | 4700 Hale Pkwy |
| City | Denver |
| State | CO |
| ZIP | 80220 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $538.2K |
ROSE AMBULATORY SURGERY CENTER LP is operating as an Ambulatory Surgical Clinic/Center with a procedural mix that points to multi-specialty services: substantial billing for interventional pain procedures (64483 and related facet/joint injection codes), GI endoscopy (43239, 45380, 45385), and ophthalmic surgery (66984). The presence of high-revenue codes across pain management, endoscopy, and cataract extraction suggests the center runs dedicated procedural suites and staffing to support same-day surgery and diagnostic endoscopy workflows.
Medicare revenue is concentrated: the provider’s top 3 Medicare codes — including 64483, 66984, and 45380 — account for 54.3% of its total Medicare revenue. This level of concentration indicates that just a few procedure lines drive more than half of Medicare receipts, so shifts in utilization or reimbursement for these specific codes would meaningfully affect Medicare income.
Medicaid billing is even more concentrated toward GI endoscopy: the top 3 Medicaid codes (43239, 45380, G0121) account for 85.9% of the provider’s total Medicaid revenue, with 43239 alone representing 59.9% of Medicaid revenue. This shows the provider’s Medicaid business is heavily dependent on upper endoscopy and colonoscopy activity, making Medicaid revenue particularly sensitive to changes in referral patterns or state Medicaid policy for those services.
Payer mix and scale: lifetime Medicare revenue of $1.4M exceeds lifetime Medicaid revenue of $538.2K, so Medicare is the larger single payer by dollars for this provider. While both payers are relevant, the center derives the majority of its public-payer revenue from Medicare, with Medicaid playing a secondary but highly concentrated role.
National competitive standing for key Medicare codes is mixed but includes at least one extreme outlier: on Medicare the provider’s volume for 64483 ranks #13 of 8202 providers (100th percentile; described as an "extreme outlier"), indicating an unusually high national volume for that procedure. By contrast, Medicare volumes for 66984 and many other codes sit in more typical ranges (e.g., 66984 at the 77th percentile), so the center is nationally prominent for specific interventional pain work but otherwise a conventional-volume participant for cataract and many surgical codes.
State-level competitive position on Medicaid shows strong local presence for endoscopy: 43239 ranks #13 of 110 in-state (89th percentile) and 45380 ranks #9 of 59 in-state (86th percentile), indicating above-typical in-state volume for both EGD and colonoscopy. G0121 ranks #1 of 3 in-state (100th percentile), which signals top in-state placement for that screening colonoscopy code but must be interpreted cautiously given the very small denominator.
Tenure and stability: the provider’s NPI was enumerated on 2006-06-10 (~20 years ago), indicating an established facility with likely sustained referral relationships and operational processes over a long period. That longevity supports the interpretation that observed specialty concentrations are intentional service offerings rather than transient spikes.
Statistical-outlier and operational exposure notes: the classification of 64483 as an "extreme outlier" on Medicare and the Medicaid concentration (85.9% in the top three codes) together imply program-level specialization that can be an asset for referral capture but also creates exposure to utilization shifts or reimbursement changes for those few codes. Analysts should monitor utilization trends and policy updates for transforaminal epidural injections and GI endoscopy when evaluating revenue risk or contract negotiations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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). | 1,220 | $280 | $345.6K |
| 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… | 340 | $840 | $285.8K |
| 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… | 330 | $400 | $130.7K |
| 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… | 190 | $460 | $88.9K |
| 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… | 270 | $270 | $72.9K |
| 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 | $2,070 | $53.9K |
| 49650 | The provider performs laparoscopic repair of an initial inguinal hernia. | 30 | $1,640 | $52.5K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 90 | $540 | $46K |
| 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. | 190 | $230 | $44.8K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 90 | $420 | $39.7K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
29 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 35 | 280 | 70 | $570 | $97.1K |
| 45385 | 29 | 270 | 60 | $310 | $30.5K |
| 29827 | 20 | 90 | 20 | $1,130 | $25K |
| 66982 | 34 | 60 | 30 | $690 | $24.2K |
| 64483 | 1 | 160 | 70 | $200 | $23.6K |
| G0260 | 7 | 20 | 80 | $210 | $22.2K |
| 64635 | 16 | 110 | 30 | $400 | $20.2K |
| 64721 | 45 | 80 | 30 | $460 | $17.2K |
| 45380 | 11 | 270 | 50 | $200 | $16.7K |
| 64493 | 7 | 140 | 50 | $190 | $15K |
Showing 1–10 of 29
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 1,710 | $190 | $322.8K |
| 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… | 510 | $200 | $101.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 120 | $330 | $38.4K |
| 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). | 480 | $70 | $32.3K |
| 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… | 100 | $260 | $27.1K |
| 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… | 60 | $290 | $16.4K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 170 | $0 | $0 |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 13 | 110 | 170 | $180 | $126.2K |
| 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… | 20 | 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). | 15 | 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… | 18 | 50 | 50 | $270 | $81.1K |
| 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… | 9 | 60 | 90 | $200 | $62.9K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1 | 10 | 30 | $320 | $17K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 7 | 30 | 70 | $0 | $0 |
Other providers in the same ZIP code as Rose Ambulatory Surgery Center LP, ranked by combined Medicare and Medicaid revenue.
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