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NPI 1376155440 · Superior, CO · Ambulatory Surgical Clinic/Center
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Colorado Urologic Surgery Center LLC is a ambulatory surgical clinic/center provider located in Superior, Colorado. This profile covers 16 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 | Colorado Urologic Surgery Center LLC |
| Address | 3 Superior Dr Ste 301 |
| City | Superior |
| State | CO |
| ZIP | 80027 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 20, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $25.7K |
This facility reports total Medicare revenue of $1.3M versus total Medicaid revenue of $25.7K, indicating Medicare dominates the payer mix by a wide margin and the practice functions primarily as a Medicare-facing ambulatory surgical center. The NPI was enumerated 2020-08-20 (~6 years ago), so the available billing footprint has been built within a relatively recent tenure.
Medicare billing is highly concentrated: the precomputed top 3 Medicare codes (C9740, 64590, 52000) account for 53.3% of the provider's total Medicare revenue. Individually those codes contributed $329.5K (25.7%), $213.5K (16.6%), and $141.7K (11.0%) respectively, showing a small set of procedures drive the majority of Medicare dollars.
The code mix points to an ASC specialized in cystoscopic diagnostics and interventional urology plus device implantation. High-revenue codes include cystourethroscopy entries like 52000 and C9740 and implant procedures such as 64590 and 64561; ancillary services such as TURP (52648) and cystoscopic stone procedures (52356, 52352) appear as meaningful secondary lines.
On competitive standing, the provider is an extreme outlier nationally for diagnostic cystoscopy: 52000 ranks #43 of 8548 providers nationally (100th percentile; extreme outlier, far above typical national volume), and several related diagnostic/imaging codes are also in very high percentiles (55700 ranks #45 of 4425, 99th percentile; 76872 ranks #67 of 4483, 99th percentile), indicating unusually high procedure volume relative to national peers.
By contrast, device-implant codes show more modest or typical national participation: C9740 ranks #24 of 162 (85th percentile; typical, unremarkable volume) and 64590 ranks #343 of 561 (32th percentile; typical, unremarkable volume), so while implants contribute materially to revenue they do not show dominant national market share.
Medicaid activity is concentrated almost entirely in one procedure: 52000 accounts for $25.6K and 100.0% of the provider's reported Medicaid revenue, with 194 Medicaid claims at $132 avg paid/claim and a state rank of #7 of 13 in-state (50th percentile; typical, unremarkable volume). This makes the provider effectively single-payer at scale (Medicare) but not a major Medicaid participant regionally.
The presence of multiple high-percentile, high-volume diagnostic and procedural codes (notably 52000 at the 100th percentile and 55700/76872 at the 99th percentile) suggests operational specialization that payers and competitors should note when assessing referral patterns, utilization management, or contract negotiation. Given the provider's relatively recent enumeration (2020-08-20 (~6 years ago)), those concentrated volumes indicate a focused service mix rather than a broad multispecialty case mix.
Operationally, the revenue profile—with the top 3 Medicare codes accounting for 53.3% of Medicare revenue and the top Medicaid code accounting for 100.0% of Medicaid revenue—creates both efficiency and concentration risk: the practice appears optimized around a narrow set of high-throughput cystoscopic and implant procedures, which may simplify contracting but also concentrates exposure if utilization patterns or coverage rules change.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 60 | $5,590 | $329.5K |
| 64590 | The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that… | 10 | $15,250 | $213.5K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 660 | $210 | $141.7K |
| 55700 | Code deleted December 31, 2025. | 190 | $660 | $128.6K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 30 | $3,940 | $122K |
| 52648 | Transurethral resection of the prostate is performed in cases of BPH (benign prostate hyperplasia) which commonly occurs in middle–aged and elderly men, often causing lower urinary symptoms, with… | 50 | $1,770 | $86.5K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 30 | $1,730 | $58.9K |
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 80 | $670 | $53.2K |
| 52281 | The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure… | 50 | $660 | $31K |
| 52287 | The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the… | 50 | $650 | $29.7K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 1 | 10 | 30 | $5,440 | $157.9K |
| 64590 | 12 | 20 | 20 | $6,130 | $110.4K |
| J0585 | 68 | 100 | 7,900 | $1 | $73.7K |
| 64561 | 9 | 20 | 30 | $2,090 | $69.1K |
| 52648 | 1 | 10 | 20 | $1,210 | $27.8K |
| 52356 | 6 | 50 | 20 | $790 | $16.5K |
| 52281 | 3 | 10 | 20 | $410 | $15.7K |
| 52000 | 3 | 150 | 70 | $150 | $15.6K |
| 52287 | 5 | 20 | 30 | $340 | $10.5K |
| 52310 | 4 | 50 | 20 | $350 | $9.6K |
Showing 1–10 of 16
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 |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 190 | $130 | $25.6K |
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 |
|---|---|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 7 | 10 | 190 | $140 | $49.7K |
Other providers in the same ZIP code as Colorado Urologic Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Apria Healthcare LLC | CO | Durable Medical Equipment & Medical Supplies | $0 | $13.4M |
| Flatirons Flexcare For Seniors LLC | CO | In Home Supportive Care Agency | $0 | $6.2M |
| Lovely Home Care, LLC | CO | In Home Supportive Care Agency | $0 | $6.1M |
| Uhs Of Centennial Peaks, LLC | CO | Family Nurse Practitioner | $0 | $5.5M |
| Uhs Of Centennial Peaks LLC | CO | Psychiatric Hospital | $0 | $5.3M |
| Biodesix, Inc. | CO | Clinical Medical Laboratory | $4.2M | $42.4K |
| Mary Lansing | CO | Retina Specialist (Ophthalmology) Physician | $1.1M | $0 |
| Gregory Ruth | CO | Vascular Surgery Physician | $229.5K | $0 |
| Costco Wholesale Corporation | CO | Community/Retail Pharmacy | $183K | $0 |
| Amy Fayling | CO | Anatomic Pathology Physician | $181.9K | $0 |
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