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NPI 1477559839 · Fort Collins, CO · Ambulatory Surgical Clinic/Center
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Surgery Center Of Northern Colorado is a ambulatory surgical clinic/center provider located in Fort Collins, Colorado. This profile covers 27 Medicare and 2 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 | Surgery Center Of Northern Colorado |
| Address | 3151 Precision Dr |
| City | Fort Collins |
| State | CO |
| ZIP | 80528 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 21, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.3M |
| Medicaid | $702.8K |
SURGERY CENTER OF NORTHERN COLORADO is functionally an ophthalmic ambulatory surgical center: the dominant Medicare and Medicaid codes are cataract and other intraocular procedures (notably 66984, 66991, 66982, 66821 and several vitrectomy and eyelid repair codes), indicating the facility primarily delivers outpatient eye surgery and related services rather than general ambulatory surgery. The code mix — high-volume cataract extraction and lens implantation codes plus laser capsulotomy and vitreoretinal procedures — suggests a specialty surgical practice focused on cataract care with capability for more complex anterior and posterior segment interventions.
Medicare revenue concentration is high: the precomputed top 3 Medicare codes account for 73.6% of Medicare revenue and the single highest Medicare code 66984 alone represents $2.5M (59.4% of Medicare revenue), highlighting strong dependence on cataract extraction services for Medicare income. This concentration implies that changes in reimbursement or volume for a small set of ophthalmic procedures would materially affect Medicare revenue for this provider.
On the Medicaid side the provider is effectively single-service within the program: 66984 accounts for 100.0% of Medicaid revenue ($702.9K) and the facility ranks #2 of 46 in-state for that code (98th percentile), indicating the center is a major state-level provider of Medicaid-funded cataract surgery. Medicaid volume and revenue are much smaller in scale than Medicare ($702.8K vs $4.3M), so the provider operates with Medicare as the dominant payer by revenue while still holding a leading statewide position for Medicaid cataract cases.
Competitive standing for Medicare shows notable regional/national strength on several ophthalmic codes: 66984 ranks #484 of 15965 providers (97th percentile) and 66821 ranks in the 99th percentile, while other high-revenue codes such as J1097 (ophthalmic irrigation) rank in the 93rd percentile. These rankings indicate the center is a high-volume, above-typical provider nationally for several cataract-related and ophthalmic supply codes, consistent with a specialized surgical center attracting significant Medicare cataract case volume.
There are several procedure-level outliers that reinforce specialty positioning: codes labeled "notably above typical national volume" (such as 66984, 66821, 67036, 67904, and 65855) appear repeatedly across the top Medicare list, which points to sustained high throughput for both routine cataract and selected glaucoma/retinal procedures compared with national peers. Conversely, a few codes (for example 66183) sit at much lower national percentiles and likely reflect occasional, less central services.
The facility has been an established NPI registrant for about 21 years (NPI enumerated 2005-06-21), indicating long tenure in the market; coupled with disproportionately high rankings on core ophthalmic codes, this longevity supports a durable specialty surgical footprint rather than a recent entrant or transient operation.
Service breadth includes both high-volume, lower-unit-price items (e.g., J1097 ophthalmic irrigation supplies with 5.6K claims driving $425.4K Medicare revenue) and higher-paid but lower-count surgical codes (e.g., 66991 with $2541 avg paid/claim). This mix suggests the ASC captures revenue from both procedural reimbursement and bundled/ancillary ophthalmic supply billing, typical of eye surgery centers that bill for intraoperative pharmaceuticals and device-related supply lines.
From a payer-mix risk perspective, the provider is not diversified across payers: Medicare accounts for the majority of lifetime revenue ($4.3M) while Medicaid is materially smaller ($702.8K) and concentrated entirely in a single procedure code. That concentration increases sensitivity to payer-specific policy or utilization shifts in cataract-related services and makes Medicare payment trends the primary driver of financial performance for this center.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 3,040 | $840 | $2.5M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5,600 | $80 | $425.4K |
| 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 | $2,540 | $183K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 800 | $210 | $170K |
| 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… | 180 | $800 | $145.3K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 80 | $1,530 | $120.7K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 70 | $1,510 | $101K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 160 | $550 | $87.7K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,450 | $75.9K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 40 | $1,510 | $64.8K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 10 | 3,130 | $80 | $197.2K |
| 66984 | 1 | 280 | 70 | $570 | $97.1K |
| V2785 | 2 | 10 | 20 | $3,080 | $64.6K |
| 66991 | 1 | 30 | 30 | $1,620 | $53.5K |
| 67036 | 4 | 30 | 20 | $1,100 | $37.3K |
| 65820 | 1 | 10 | 30 | $940 | $30.1K |
| 67042 | 3 | 30 | 20 | $1,140 | $29.6K |
| 67904 | 1 | 10 | 40 | $590 | $28.8K |
| 15823 | 5 | 40 | 40 | $520 | $27.2K |
| 67039 | 3 | 10 | 20 | $1,230 | $27.2K |
Showing 1–10 of 27
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.
2 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… | 2,130 | $330 | $702.9K |
| 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… | 20 | $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
2 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… | 2 | 50 | 170 | $310 | $171.3K |
| 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… | 27 | 30 | 70 | $0 | $0 |
Other providers in the same ZIP code as Surgery Center Of Northern Colorado, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Harmony Surgery Center, LLC | CO | Ambulatory Surgical Clinic/Center | $5.4M | $2.8M |
| Noco Pediatric Ot, LLC | CO | Occupational Therapist | $0 | $5.7M |
| Tender Care Pediatric Services, Inc | CO | In Home Supportive Care Agency | $0 | $5.4M |
| 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 |
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