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NPI 1962469544 · Billings, MT · Ambulatory Surgical Clinic/Center
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Northern Rockies Surgery Center LP is a ambulatory surgical clinic/center provider located in Billings, Montana. This profile covers 3 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 | Northern Rockies Surgery Center LP |
| Address | 940 N 30th St |
| City | Billings |
| State | MT |
| ZIP | 59101 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $435.2K |
| Medicaid | $78.7K |
NORTHERN ROCKIES SURGERY CENTER LP operates as an ambulatory surgical clinic/center and its Medicare billing profile is dominated by ophthalmic surgery: CPT 66984 (intraocular lens insertion after cataract removal) generated $371K and represents 85.2% of the provider's total Medicare revenue. This concentration indicates the facility functions largely as a cataract surgery site for Medicare beneficiaries rather than a broad multispecialty ASC for that payer.
The provider also bills podiatric procedures to Medicare — CPT 28750 (metatarsophalangeal joint immobilization) and CPT 28285 (hammertoe repair) contributed $43.4K (10.0%) and $20.9K (4.8%) of Medicare revenue respectively. These secondary code contributions suggest a limited but notable podiatry service line alongside the primary ophthalmology volume.
Revenue concentration is extreme on both payers: the top 3 Medicare codes by revenue account for 100.0% of Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of Medicaid revenue. For Medicare, a single code (66984) drives the majority of payments, while for Medicaid a single code (41899) accounts for the entirety of recorded Medicaid revenue.
Medicare is the dominant payer in scale for this facility: reported lifetime Medicare revenue is $435.2K versus total Medicaid revenue of $78.7K. The presence of both payers is documented, but Medicaid represents a materially smaller share of the facility's billed and paid activity.
Relative competitive standing for the primary Medicare activity is unremarkable: CPT 66984 ranks #3100 of 15965 providers nationally (81th percentile) and is labeled "typical, unremarkable volume for this code," indicating the center performs cataract surgery at a volume consistent with many peers rather than as a market leader. The facility therefore appears to be a routine-volume cataract provider at a national scale.
The podiatry codes show modest to low national participation: CPT 28750 ranks #190 of 311 providers nationally (25th percentile) and is described as "typical, unremarkable volume for this code," placing the facility on the lower end among providers who bill that code; CPT 28285 ranks #297 of 955 (67th percentile), indicating a moderate presence for hammertoe repairs. These ranks suggest podiatric procedures are ancillary revenue lines rather than primary competitive strengths.
Medicaid billing is narrowly focused and shows unusual in-state positioning: CPT 41899 (unspecified procedure on teeth and adjoining alveolar structures) accounts for $78.7K and 100.0% of the provider's Medicaid revenue, and it ranks #7 of 7 in-state (0th percentile), indicating the provider reports Medicaid dental-related activity but is at the lower end of in-state peers for that code. Additionally, HCPCS A4649 (surgical supply; miscellaneous) appears with 27 Medicaid claims but shows $0 avg paid/claim and $0 revenue, reflecting recorded supply-line claims with no recorded Medicaid payments in the data.
The provider has an established operating history on file: the NPI was enumerated 2006-04-27 (~20 years ago), indicating long-tenure enrollment that supports stable billing patterns over time rather than being a recent entrant to Medicare/Medicaid billing.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 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… | 460 | $810 | $371K |
| 28750 | In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first… | 10 | $3,340 | $43.4K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 30 | $620 | $20.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
Other providers in the same ZIP code as Northern Rockies Surgery Center LP, ranked by combined Medicare and Medicaid revenue.
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