Loading...
NPI 1770180986 · Colorado Springs, CO · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Audubon Ambulatory Surgery Center LLC is a ambulatory surgical clinic/center provider located in Colorado Springs, Colorado. This profile covers 17 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 | Audubon Ambulatory Surgery Center LLC |
| Address | 6011 E Woodmen Rd Ste 200 |
| City | Colorado Springs |
| State | CO |
| ZIP | 80923 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 1, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.7M |
| Medicare | $1.6M |
This provider bills meaningfully to both Medicare and Medicaid, with reported lifetime Medicare revenue of $1.6M and Medicaid revenue of $1.7M. The two payers are roughly comparable in scale on the lifetime figures provided, so neither payer is solely dominant in the overall revenue footprint.
Medicare revenue is concentrated: the top 3 Medicare codes account for 59.4% of this provider's total Medicare revenue. Those top drivers are 64590 ($492.5K, 30.2%), 27447 ($259K, 15.9%), and 27130 ($216.1K, 13.3%), indicating that a majority of Medicare dollars are tied to neurostimulator generator implantation and large-joint arthroplasty procedures.
Medicaid billing is highly concentrated in a single miscellaneous dental code: 41899 comprises $1.7M and 99.5% of the provider's total Medicaid revenue from 3K claims. This code ranks #2 of 16 providers in-state (93rd percentile; typical, unremarkable volume for this code), so Medicaid activity appears to be dominated by high-volume dental or oral procedures billed under an unspecified dental procedure code.
The provider’s Medicare competitive standing is mixed by service line. For the top Medicare code 64590 the provider ranks #58 of 561 nationally (88th percentile; typical, unremarkable volume for this code), indicating a relatively high national placement for neurostimulator pulse generator procedures, while joint replacement codes 27447 and 27130 sit in more middle percentiles (57th and 58th respectively) and are described as typical, unremarkable volume.
There are a few statistical outliers to note on Medicare: 52601 (TURP) is listed at $70.1K and 41 claims and ranks #39 of 1140 (96th percentile; notably above typical national volume for this code), marking it as notably above typical national volume despite representing a smaller share (4.3%) of Medicare revenue. Other commonly billed injection and neurostimulation codes (for example 64561, 63650, 62323) are described as typical, unremarkable volume across their national rank bands.
As an Ambulatory Surgical Clinic/Center (taxonomy), the procedural mix on Medicare—implantable neurostimulator devices (64590, 64561, 63650), large-joint arthroplasty (27447, 27130), and multiple image‑guided spine and facet injection codes—suggests the ASC performs both implant/orthopedic surgical episodes and interventional pain/spine procedures rather than only minor ambulatory procedures. By contrast, the Medicaid book of business appears to be a separate, highly concentrated stream of high-volume dental work under 41899, implying a distinct service line or contract driving Medicaid revenue.
Provider tenure is relatively recent: NPI enumerated 2020-10-01 (~6 years ago). Despite this shorter enumeration window, the provider has established identifiable billing patterns in both Medicare and Medicaid with multi-hundred-thousand-dollar and multi-million-dollar lifetime revenues reported to each payer.
The concentration patterns carry operational and contract risk implications: Medicaid revenue is almost entirely dependent on 41899 (99.5% of Medicaid revenue, 3K claims, $1.7M), and Medicare revenue is substantially driven by the top three codes (59.4% of Medicare revenue), notably including a high-volume 64590 presence. These concentrations merit closer review of payer contracts, code definitions, and service-line resilience if assessing payer risk or negotiating network participation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $14,920 | $492.5K |
| 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… | 40 | $7,200 | $259K |
| 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… | 30 | $7,200 | $216.1K |
| 64561 | The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve. | 40 | $3,850 | $146.3K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,790 | $106.2K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 40 | $1,710 | $70.1K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 40 | $1,680 | $67K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 100 | $590 | $56.3K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 180 | $250 | $45.6K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 50 | $620 | $33K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 64590 | 2 | 20 | 20 | $6,130 | $110.4K |
| 63650 | 8 | 20 | 30 | $2,230 | $98K |
| 64561 | 8 | 20 | 30 | $2,090 | $69.1K |
| 27447 | 107 | 250 | 30 | $1,050 | $46.2K |
| 27130 | 73 | 180 | 30 | $1,050 | $36.6K |
| 29827 | 79 | 90 | 20 | $1,130 | $25K |
| 64483 | 69 | 160 | 70 | $200 | $23.6K |
| G0260 | 16 | 20 | 80 | $210 | $22.2K |
| 64635 | 13 | 110 | 30 | $400 | $20.2K |
| 52601 | 3 | 30 | 20 | $970 | $18.5K |
Showing 1–10 of 17
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 |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 3,010 | $570 | $1.7M |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 30 | $330 | $8.3K |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 2 | 20 | 940 | $1,150 | $1.5M |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 35 | 40 | 130 | $150 | $52.2K |
Other providers in the same ZIP code as Audubon Ambulatory Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Colorado Health & Rehab LLC | CO | Physical Therapist | $0 | $9.9M |
| Friends Transportation LLC | CO | Non-emergency Medical Transport (VAN) | $0 | $7.1M |
| Margot A. Williams, D.o., P.C. | CO | Pediatrics Physician | $0 | $5.3M |
| Sbh Colorado LLC | CO | Psychiatric Hospital | $0 | $4.8M |
| North Care Asc, LLC | CO | Ambulatory Surgical Clinic/Center | $778.8K | $44.4K |
| Jesal Patel | CO | Hematology & Oncology Physician | $647K | $0 |
| Matthew Logsdon | CO | Hematology & Oncology Physician | $643.8K | $0 |
| Jocelyn De Yao | CO | Internal Medicine Physician | $607.2K | $0 |
| Jeffrey Moody | CO | Urology Physician | $197.5K | $0 |
| Richard Walsh | CO | Urology Physician | $147.3K | $0 |
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.