Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ocr Loveland Asc & Ccc LLC (NPI 1548738495)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ocr Loveland Asc & Ccc LLC
Address	3470 E 15th St
City	Loveland
State	CO
ZIP	80538
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	November 8, 2018

Payer Source	Total Paid
Medicare	$3.2M
Medicaid	$0

OCR LOVELAND ASC & CCC LLC is an Ambulatory Surgical Clinic/Center in LOVELAND, CO with an NPI enumerated 2018-11-08 (~8 years ago). The facility reported Total Medicare revenue of $3.2M and has no Medicaid billing on file, establishing Medicare as its sole documented public-payer source in the dataset.

The provider’s Medicare revenue is overwhelmingly driven by large-joint arthroplasty: 27130 (hip replacement) and 27447 (knee replacement) together account for the vast majority of procedural revenue, each generating $1.4M and representing 44.0% and 43.2% of the provider’s Medicare revenue respectively. These two codes also show high average payments per claim ($7320 for 27130 and $7117 for 27447) and near-equal claim volumes (194 and 196 claims), indicating the ASC’s core service line is elective lower-extremity joint replacement.

Revenue concentration is extreme: the precomputed top-3 codes account for 89.6% of this provider’s total Medicare revenue, demonstrating a highly concentrated business model where a very small set of procedures drives almost all Medicare income. Such concentration implies operational and reimbursement sensitivity to changes in joint replacement volumes or payment policy for those specific codes.

On national competitive standing for these key procedures the facility is an outlier: 27130 ranks #14 of 8062 providers nationally (100th percentile; extreme outlier) and 27447 ranks #99 of 12089 providers nationally (99th percentile; extreme outlier). These ranks indicate the ASC performs joint replacement at volumes far above typical national peers and functions as a dominant high-volume center for hip and knee arthroplasty among Medicare providers.

Beyond hips and knees, the code mix includes hand and upper-extremity procedures that make up small but measurable shares of revenue—64721 (median nerve neuroplasty) generated $78.1K (2.4% of Medicare revenue) across 128 claims, ranking #57 of 3206 (98th percentile; notably above typical). Additional hand/hand-related codes such as 26055 and 26480 also appear in the top codes, signaling a secondary service line in upper-extremity surgery and hand procedures.

The presence of multiple arthroscopy and shoulder-repair codes (for example, 29881 at $48.5K and ranking #41 of 1125, 96th percentile; and 29827 at $50.4K) shows the ASC performs a broader spectrum of orthopedic procedures beyond arthroplasty, suggesting clinical breadth that complements the high-volume joint replacement activity. These supporting procedures likely contribute to overall case mix and perioperative throughput.

Payer mix risk is notable: with Total Medicare revenue of $3.2M and no Medicaid billing on file, the provider is effectively single-payer from a public-program perspective. This concentration increases exposure to Medicare payment policy changes, and the absence of Medicaid billing may reflect payer contracting choices, local Medicaid referral patterns, or patient selection rather than clinical capability.

Operationally and strategically, the data depict an ASC specialized in high-revenue orthopedic arthroplasty with secondary hand and arthroscopic services; the extreme outlier national ranks for 27130 and 27447 point to a deliberate focus or exceptional volume in hip and knee replacement that distinguishes this center from typical ambulatory surgical peers. Continued monitoring of the top-3 concentration (89.6% of Medicare revenue) and Medicare-only billing profile will be important for assessing future revenue stability and competitive positioning.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	190	$7,320	$1.4M
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	200	$7,120	$1.4M
64721	Neuroplasty 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…	130	$610	$78.1K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	140	$490	$66.2K
29827	The 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…	20	$2,400	$50.4K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	50	$1,080	$48.5K
23410	In this procedure, the provider performs an open surgical repair of an acute tear of the rotator cuff in the shoulder. The rotator cuff is a group of four muscles that stabilizes the shoulder joint.	20	$2,250	$45.1K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	50	$740	$35.7K
26480	In 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…	30	$1,080	$34.6K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	30	$780	$22.5K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tender Care Pediatric Services, Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$38.3M
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$30.4M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$14.9M
North Colorado Medical Center	CO	General Acute Care Hospital	$0	$8.2M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$8M
Summit Pathology	CO	Clinical Medical Laboratory	$670.1K	$4.3M
Medical Center Of The Rockies	CO	General Acute Care Hospital	$0	$4.8M
Ryan Wolf	CO	Physician Assistant	$4.6M	$0
Thompson Valley Emergency Medical Services Inc	CO	Land Ambulance	$1.1M	$3.3M
Summit Pathology	CO	Anatomic Pathology & Clinical Pathology Physician	$0	$4.4M

Ocr Loveland Asc & Ccc LLC — Billing Profile & Reimbursement Data

Sign up for Ocr Loveland Asc & Ccc LLC — Billing Profile & Reimbursement Data policy alerts

Ocr Loveland Asc & Ccc LLC — Billing Profile & Reimbursement Data

Sign up for Ocr Loveland Asc & Ccc LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	3	250	30	$1,050	$46.2K
27130	1	180	30	$1,050	$36.6K
23410	2	10	20	$1,320	$30.4K
29827	28	90	20	$1,130	$25K
29881	1	20	20	$910	$18.2K
64721	1	80	30	$460	$17.2K
29880	6	20	20	$860	$17.2K
26055	2	70	30	$320	$13.8K
26480	3	20	20	$590	$13.6K
25447	1	30	20	$630	$13.2K