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NPI 1942207196 · Grand Junction, CO · Ambulatory Surgical Clinic/Center
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Grand Valley Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Grand Junction, Colorado. This profile covers 27 Medicare and 7 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 | Grand Valley Surgical Center, LLC |
| Address | 710 Wellington Ave Ste 21 |
| City | Grand Junction |
| State | CO |
| ZIP | 81501 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.8M |
| Medicare | $566.9K |
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… | 150 | $820 | $125.5K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 130 | $420 | $56.7K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 110 | $480 | $52.1K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 70 | $460 | $32.1K |
| 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 | $1,680 | $30.2K |
| 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… | 30 | $820 | $23.7K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 40 | $540 | $21K |
| 31256 | In this procedure, the provider inserts an endoscope into the nasal cavity. He then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus. | 40 | $570 | $21K |
| 14301 | The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2. | 20 | $1,040 | $20.7K |
| 19301 | The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes. | 30 | $700 | $19.6K |
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 |
|---|---|---|---|---|---|
| 66984 | 79 | 280 | 70 | $570 | $97.1K |
| 67904 | 6 | 10 | 40 | $590 | $28.8K |
| 15823 | 3 | 40 | 40 | $520 | $27.2K |
| 29827 | 41 | 90 | 20 | $1,130 | $25K |
| 66982 | 22 | 60 | 30 | $690 | $24.2K |
| 29848 | 12 | 20 | 50 | $440 | $20.3K |
| 64635 | 10 | 110 | 30 | $400 | $20.2K |
| 13132 | 51 | 60 | 70 | $230 | $18.3K |
| 64721 | 73 | 80 | 30 | $460 | $17.2K |
| 14301 | 12 | 20 | 20 | $780 | $16.3K |
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.
7 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. | 1,690 | $1,010 | $1.7M |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 90 | $540 | $50.9K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 60 | $340 | $21.8K |
| 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… | 20 | $300 | $6.2K |
| A4649 | Surgical supply; miscellaneous | 390 | $0 | $0 |
| 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… | 420 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 120 | $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
7 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. | 6 | 20 | 940 | $1,150 | $1.5M |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 8 | 20 | 50 | $1,170 | $184.3K |
| 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… | 36 | 50 | 170 | $310 | $171.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 8 | 10 | 80 | $480 | $74.6K |
| A4649 | Surgical supply; miscellaneous | 3 | 10 | 140 | $1 | $640 |
| 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… | 2 | 30 | 70 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 4 | 20 | 60 | $0 | $0 |
Other providers in the same ZIP code as Grand Valley Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
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