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    OpenPayerNPI Medicare & MedicaidVail Valley Surgery Center, LLC
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    Vail Valley Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1447539861 · Edwards, CO · Ambulatory Surgical Clinic/Center

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    Vail Valley Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Edwards, Colorado. This profile covers 32 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationVail Valley Surgery Center, LLC
    Address320 Beard Creek Road
    CityEdwards
    StateCO
    ZIP81632
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 16, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64483This 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).520$300$156.5K
    29827The 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…60$1,840$112.2K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…30$3,270$101.5K
    66984The 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…110$870$97K
    45385The 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…200$440$88.9K
    45380The 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…210$340$73.3K
    64493The 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…240$280$65.2K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…50$850$46.1K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…70$640$45.8K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…10$3,520$42.2K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698411028070$570$97.1K
    453852727060$310$30.5K
    2560951010$1,580$28.4K
    2982749020$1,130$25K
    64483616070$200$23.6K
    G0260132080$210$22.2K
    646352011030$400$20.2K
    2343043020$880$18.4K
    2988152020$910$18.2K
    6472168030$460$17.2K

    Showing 1–10 of 32

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vail Valley Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vail Valley Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$576.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Vail Valley Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eagle County Health Service DistrictCOAmbulance$475.3K$1.1M
    Lauren BonatiCOMOHS-Micrographic Surgery Physician$240.8K$0
    Ernest BraxtonCONeurological Surgery Physician$236.3K$0
    Dorothy BlankenshipCODermatology Physician$228.7K$0
    David BlanchardCOOrthopedic Physical Therapist$153.7K$0
    Christopher ThiagarajahCOOphthalmic Plastic and Reconstructive Surgery Physician$147.7K$0
    Joel DekanichCOFamily Nurse Practitioner$91.2K$0
    Daria StakiwCOAudiologist$9.7K$0
    Erin LiegelCOSpeech-Language Pathologist$6.4K$0
    Jeffrey RockwellCOAnesthesiology Physician$1.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Vail Valley Surgery Center, LLC — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado