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NPI 1508862624 · Englewood, CO · Ambulatory Surgical Clinic/Center
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Novamed Surgery Center Of Denver LLC is a ambulatory surgical clinic/center provider located in Englewood, Colorado. This profile covers 14 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 | Novamed Surgery Center Of Denver LLC |
| Address | 3535 S Lafayette Street |
| City | Englewood |
| State | CO |
| ZIP | 80113 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $248.7K |
NOVAMED SURGERY CENTER OF DENVER LLC presents as an ambulatory surgical clinic/center with billing dominated by ophthalmic procedures; its Medicare portfolio includes high-volume cataract and intraocular lens work (notably code 66984) alongside other eye procedures, while Medicaid billing is almost exclusively 66984. The facility reported $2M in total Medicare revenue and $248.7K in total Medicaid revenue, indicating the practice operates primarily in the surgical outpatient space with a strong cataract focus across payers.
Revenue concentration on Medicare is high: the precomputed top-three Medicare codes account for 74.6% of the provider's total Medicare revenue. Those top Medicare codes include 66984 (55.3% of Medicare revenue, 1.3K claims, $844 avg paid/claim, $1.1M revenue), 64590 (14.3% of Medicare revenue, 19 claims, $15079 avg paid/claim, $286.5K revenue), and 66991 (5.1% of Medicare revenue, 40 claims, $2548 avg paid/claim, $101.9K revenue), so a small set of procedures drive the bulk of Medicare dollars.
Medicaid billing is effectively concentrated in a single service line: the precomputed top-three Medicaid codes equal 100.0% of Medicaid revenue, and code 66984 alone accounts for 100.0% of Medicaid revenue (1K claims, $244 avg paid/claim, $248.4K revenue). This creates a payer-specific concentration risk where Medicaid exposure is almost entirely tied to cataract surgery reimbursement and volumes.
Payer mix is heavily Medicare-weighted: the provider reported $2M in Medicare revenue versus $248.7K in Medicaid revenue, so Medicare is the dominant payer by scale for this ASC. The coexistence of substantial Medicare cataract volume (1.3K claims for 66984) and large Medicaid cataract volume (1K claims for 66984) indicates consistent procedural throughput across both programs, but with Medicare as the financial backbone.
Competitive standing varies by code: for its marquee Medicare code 66984 the provider ranks #1669 of 15965 nationally (90th percentile) which the source labels as typical/unremarkable volume despite the high percentile, indicating above-median national cataract activity but not unusual for an ophthalmic ASC. The provider is notably active in extracorporeal shock wave lithotripsy (50590), which ranks at the 96th percentile nationally and is labeled "notably above typical national volume," suggesting a relative specialty or higher-than-typical regional market share for ESWL.
Within Medicaid (state-level) competitive positioning for 66984 is solid but not dominant: the provider ranks #12 of 46 in-state (76th percentile) with typical volumes for the code, so it sits above the state median for cataract Medicaid billing but is not an outlier. This supports the view that the center is a meaningful regional provider of cataract procedures for Medicaid beneficiaries.
The facility’s code mix indicates a primarily ophthalmic service line (multiple cataract and intraocular lens codes such as 66984, 66991, 66982, 66821, and corneal transplant code 65756), supplemented by implantable neurostimulator work (64590, 64581) and urologic lithotripsy (50590). Operationally this suggests an ASC configured for microsurgery and implantable-device procedures rather than a single-specialty office clinic, reflecting capital- and device-intensive case mix.
The provider’s NPI tenure (enumerated 2005-06-23, ~21 years ago) signals an established operation; combined with sustained high volumes for 66984 across both payers (1.3K Medicare claims and 1K Medicaid claims) the data point to stable procedural throughput over time. However, the business should be considered exposed to payer- and code-specific reimbursement shifts given the concentration of Medicaid revenue in one code and three codes accounting for 74.6% of Medicare revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 1,320 | $840 | $1.1M |
| 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… | 20 | $15,080 | $286.5K |
| 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… | 40 | $2,550 | $101.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $3,080 | $101.5K |
| 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… | 90 | $850 | $78.7K |
| 64581 | The provider uses an open approach to implant a sacral nerve neurostimulator electrode array. Placement is transforaminal, meaning through the foramen (the opening sacral nerves run through). This… | 20 | $4,160 | $74.8K |
| 50590 | Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters. | 70 | $1,060 | $71.7K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 270 | $200 | $54.7K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,540 | $33.8K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 30 | $1,190 | $32.2K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64590 | 5 | 20 | 20 | $6,130 | $110.4K |
| 66984 | 5 | 280 | 70 | $570 | $97.1K |
| 64581 | 1 | 10 | 20 | $4,160 | $74.8K |
| V2785 | 1 | 10 | 20 | $3,080 | $64.6K |
| 66991 | 9 | 30 | 30 | $1,620 | $53.5K |
| 66174 | 5 | 10 | 30 | $880 | $25.6K |
| 66982 | 4 | 60 | 30 | $690 | $24.2K |
| 65756 | 1 | 10 | 20 | $1,260 | $22.7K |
| 66183 | 3 | 10 | 10 | $1,440 | $21.6K |
| 50590 | 1 | 20 | 20 | $740 | $18.4K |
Showing 1–10 of 14
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… | 1,020 | $240 | $248.4K |
| V2632 | Posterior chamber intraocular lens | 440 | $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… | 12 | 50 | 170 | $310 | $171.3K |
| V2632 | Posterior chamber intraocular lens | 4 | 10 | 440 | $1 | $1.6K |
Other providers in the same ZIP code as Novamed Surgery Center Of Denver LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hca Healthone LLC | CO | General Acute Care Hospital | $0 | $19.6M |
| Marion Health Associates, Inc. | CO | Assisted Living Facility | $0 | $5.1M |
| Carepoint Emergency Medicine, PLLC | CO | Emergency Medicine Physician | $0 | $4.1M |
| Evoke Medical Care LLC | CO | Cardiology Technician | $2M | $190.1K |
| Michael Smith | CO | Rheumatology Physician | $2M | $0 |
| Christopher Benton | CO | Hematology & Oncology Physician | $1.8M | $0 |
| Eric Westerman | CO | Rheumatology Physician | $1.3M | $0 |
| Robert Spencer | CO | Rheumatology Physician | $1.1M | $0 |
| Cherie Reichart | CO | Rheumatology Physician | $1.1M | $0 |
| Healthone Ridge View Endoscopy Center, LLC | CO | Ambulatory Surgical Clinic/Center | $695.4K | $114.4K |
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