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NPI 1346308954 · Grand Junction, CO · Ambulatory Surgical Clinic/Center
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Day Surgery Of Grand Junction LLC is a ambulatory surgical clinic/center provider located in Grand Junction, Colorado. This profile covers 5 Medicare and 1 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 | Day Surgery Of Grand Junction LLC |
| Address | 1000 Wellington Ave |
| City | Grand Junction |
| State | CO |
| ZIP | 81501 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $420K |
Service line is strongly ophthalmic and cataract-focused: the provider’s top codes are procedures for cataract extraction and intraocular lens insertion (66984, 66991, 66982), and the presence of related codes such as 66988 and 67031 indicates the center performs adjunct glaucoma and vitreoretinal procedures typical of an eye-focused ambulatory surgical clinic/center. This code mix is consistent with an ASC that specializes in high-volume, same-day ophthalmic surgeries rather than a broad multispecialty surgical practice.
Medicare revenue is highly concentrated in a very small set of procedures: the top 3 Medicare codes account for 96.4% of this provider’s total Medicare revenue, with 66984 alone representing $1.1M and 80.0% of Medicare revenue. That concentration shows the facility’s Medicare business is driven primarily by routine cataract/IOL episodes.
Medicaid activity is effectively single-procedure: 66984 accounts for $419.7K and 100.0% of the provider’s total Medicaid revenue, and the provider ranks #6 of 46 in-state for that code (89th percentile). This indicates Medicaid billing is almost entirely dependent on the same cataract procedure that dominates Medicare revenue.
Scale and payer mix: the provider reports $1.4M in total Medicare revenue versus $420K in total Medicaid revenue, making Medicare the larger payer by the given totals while Medicaid represents a meaningful secondary revenue stream. The existence of both payers shows mixed payer participation but with clear Medicare dominance in absolute scale.
Competitive standing on key codes is solid but characterized as typical in volume: for Medicare 66984 the provider ranks #1566 of 15965 nationally (90th percentile) and is described as "typical, unremarkable volume," while 66991 ranks #202 of 1445 (86th percentile) and 66982 ranks #361 of 4580 (92th percentile), all described as "typical, unremarkable volume." For Medicaid, 66984’s #6 of 46 in-state ranking (89th percentile) positions the provider as a comparatively active in-state performer on that procedure, but not an outlier beyond the stated descriptors.
Tenure supports an established outpatient surgery presence: the NPI was enumerated on 2006-12-05 (~20 years ago), indicating long-standing registration and likely sustained referral relationships and operational history in the market. This longevity aligns with the concentrated, repeatable nature of high-volume cataract work in an ASC setting.
Operational and business vulnerability: reliance on a very narrow procedure mix (top-3 Medicare codes = 96.4% of Medicare revenue; top Medicaid code = 100.0% of Medicaid revenue) suggests the practice is highly specialized and could be sensitive to reimbursement changes, shifts in referral patterns, or competitive entry affecting cataract surgery volumes. From a payer or network perspective, this concentration makes the facility predictable for contracting around ophthalmic services but also highlights limited diversification across other surgical lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 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… | 1,400 | $810 | $1.1M |
| 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… | 70 | $2,330 | $151.4K |
| 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… | 100 | $810 | $80.5K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 30 | $1,430 | $44.4K |
| 67031 | The provider uses a laser to remove vitreous material that is obstructing a patient’s vision. | 40 | $200 | $7.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
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.
1 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… | 1,520 | $280 | $419.7K |
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
1 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 | 50 | 170 | $310 | $171.3K |
Other providers in the same ZIP code as Day Surgery Of Grand Junction LLC, ranked by combined Medicare and Medicaid revenue.
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