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NPI 1588323513 · Sheridan, CO · Ambulatory Surgical Clinic/Center
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River Point Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Sheridan, Colorado. This profile covers 4 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 | River Point Surgery Center, LLC |
| Address | 3535 River Point Pkwy |
| City | Sheridan |
| State | CO |
| ZIP | 80110 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 17, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $22.3K |
RIVER POINT SURGERY CENTER, LLC operates as an Ambulatory Surgical Clinic/Center that bills almost exclusively for ophthalmic surgical procedures; the Medicare top codes on file are 66984, 66991, 66174 and 66982, each of which is an eye surgery (cataract extraction with intraocular lens insertion or related glaucoma drainage/outflow procedures). Medicare lifetime receipts are $1.4M while Medicaid lifetime receipts are $22.3K, confirming an ophthalmic surgical focus across payers.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 98.5% of this provider’s total Medicare revenue. In particular, 66984 generates $1.1M (84.6% of Medicare revenue) from 1.4K claims at $848 avg paid/claim, making it by far the dominant revenue driver on Medicare.
On the Medicaid side the provider is effectively single-code: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and that revenue is entirely driven by 66984 (77 claims, $290 avg paid/claim, $22.3K total). Medicaid activity for 66984 ranks #29 of 46 in-state (38th percentile; typical, unremarkable volume for this code), indicating modest Medicaid cataract volume relative to other in-state facilities.
Payer mix is strongly skewed to Medicare: lifetime Medicare revenue of $1.4M dwarfs lifetime Medicaid revenue of $22.3K, so the center is functionally Medicare-dominant rather than balanced across government payers. This concentration implies that changes in Medicare reimbursement or cataract procedure volumes would disproportionately affect total revenue.
Competitive standing on Medicare is mixed but generally within expected ranges: 66984 ranks #1610 of 15965 providers nationally (90th percentile; typical, unremarkable volume for this code), 66991 ranks #267 of 1445 (81th percentile; typical, unremarkable volume), 66174 ranks #260 of 741 (64th percentile; typical, unremarkable volume), and 66982 ranks #2559 of 4580 (42th percentile; typical, unremarkable volume). These positions indicate the center is not a national dominant outlier but does generate above-median activity on its primary cataract code while remaining within the platform’s “typical” range for peer ASCs.
Procedure mix shows a high-volume focus on routine cataract extraction with intraocular lens insertion (66984: 1.4K Medicare claims vs. 56 Medicare claims for 66991 and 38 Medicare claims for 66174), with fewer complex or adjunct glaucoma procedures reported. This suggests the center’s operational footprint is centered on high-throughput, routine cataract services with a smaller proportion of combined or glaucoma-related cases.
Operational tenure is relatively recent but established: the NPI was enumerated on 2021-12-17 (~5 years ago), which indicates the center has been billing for several years and has already developed a concentrated cataract business line. The combination of a short-to-mid tenure and concentrated revenue suggests early consolidation around a core surgical service rather than a broad multi-specialty case mix.
The extreme revenue concentration in a handful of ophthalmic codes (98.5% of Medicare revenue from the top three codes and 100.0% of Medicaid revenue from 66984) represents both operational clarity and financial concentration risk. From a payer/provider analyst perspective, this profile points to an opportunity to monitor sensitivity to cataract volume and reimbursement changes and to consider whether diversification of services or payer mix would materially change revenue stability.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 1,350 | $850 | $1.1M |
| 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… | 60 | $2,550 | $142.9K |
| 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. | 40 | $1,190 | $45.3K |
| 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… | 20 | $850 | $20.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
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 |
|---|---|---|---|---|
| 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… | 80 | $290 | $22.3K |
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 |
|---|---|---|---|---|---|---|
| 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… | 29 | 50 | 170 | $310 | $171.3K |
Other providers in the same ZIP code as River Point Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cottonwood Community Alternatives, Inc. | CO | Respite Care | $0 | $53.7M |
| Kci Usa, Inc. | CO | Durable Medical Equipment & Medical Supplies | $0 | $13.6M |
| Home Care Of Denver, LLC | CO | Home Health Agency | $0 | $12M |
| Accessible Systems Inc | CO | Home Modifications Contractor | $0 | $6.8M |
| Cottonwood Community Alternatives, Inc. | CO | Developmentally Disabled Services Day Training Agency | $0 | $4.3M |
| Mimi Liu | CO | Retina Specialist (Ophthalmology) Physician | $2.2M | $0 |
| Rocky Mountain Surgery Center LLC | CO | Ambulatory Surgical Clinic/Center | $779.6K | $0 |
| William Richheimer | CO | Ophthalmology Physician | $584.9K | $0 |
| Zachary Vest | CO | Ophthalmology Physician | $320.5K | $0 |
| Pearl Shin | CO | Optometrist | $159.3K | $0 |
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