Loading...
NPI 1972030161 · Longmont, CO · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Advanced Vision Surgery Center LLC is a ambulatory surgical clinic/center provider located in Longmont, Colorado. This profile covers 19 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 | Advanced Vision Surgery Center LLC |
| Address | 1390 Dry Creek Drive |
| City | Longmont |
| State | CO |
| ZIP | 80503 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 18, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $0 |
ADVANCED VISION SURGERY CENTER LLC in LONGMONT, CO is registered as an Ambulatory Surgical Clinic/Center with an NPI enumerated 2017-05-18 (~9 years ago), indicating roughly nine years of documented Medicare enrollment and an established ambulatory ophthalmic surgery practice. The code mix and procedure types reported align with a specialty surgical outpatient center rather than a general medical clinic.
This provider’s billing is effectively single-payer: Total Medicare revenue is $1.8M while Total Medicaid revenue is $0, so Medicare accounts for essentially all reported public-payer activity in the dataset. Analysts should therefore treat Medicare trends as representative of the provider’s public-payor footprint rather than balancing a dual-payer view.
Revenue is highly concentrated in a small set of ophthalmic procedures: the precomputed top 3 Medicare codes account for 65.2% of this provider’s total Medicare revenue, with 66984 alone representing 43.3% ($831.9K) of Medicare revenue. That concentration indicates financial dependence on extracapsular cataract extraction with intraocular lens insertion as the primary revenue driver.
The code mix points to a core cataract surgery business supplemented by in-procedure pharmaceutical and anesthetic supplies: high-volume surgical code 66984 is complemented by J1097 (ophthalmic irrigation solution) at $242.1K and J2403 (ophthalmic gel) at $179.2K, showing that intraoperative drug supply billing is a meaningful secondary revenue stream. The presence of 66991 ($175.4K) and other lens-related codes confirms lens insertion and combined cataract/glaucoma device procedures are part of routine operating activity.
Beyond cataract work, the provider performs vitreoretinal and retina procedures—codes such as 67036 ($81K), 67042 ($78.9K), 67108 ($37K) and 67041 ($23.1K) appear on the top list—indicating capability for posterior-segment surgery and retinal repair. Notably, 67145 is flagged as an "extreme outlier, far above typical national volume for this code" and ranks #9 of 861 (99th percentile) even though it represents a small share ($9.7K, 0.5%) of total Medicare revenue, suggesting a niche or unusually high local volume for laser prophylaxis of retinal tears.
Competitive standing is mixed across services: 66984 ranks #2002 of 15965 (87th percentile) and is described as "typical, unremarkable volume," while J1097 ranks #91 of 443 (80th percentile) and J2403 ranks #21 of 76 (73th percentile), both in the higher range versus national peers. Several surgical retina codes (67036 and 67042) sit at high relative percentiles (#76 of 832 and #99 of 1087, both 91th percentile) and 66821 (Nd:YAG capsulotomy) ranks at the 94th percentile, indicating stronger-than-average local activity for some ophthalmic surgeries but not a nationally dominant position across all procedure types.
The provider bills for several higher-dollar but lower-frequency items and services that may have episodic financial impact: V2785 (corneal tissue processing) accounts for $45.3K (2.4%) and ranks #200 of 231 (6th percentile), while device insertion 66183 is $43.5K (2.3%) and ranks #148 of 289 (43th percentile). These entries suggest occasional corneal/tissue and glaucoma device work that generates outsized per-claim payments but represents a small share of total Medicare revenue.
For payer and network analysts, key monitoring areas should be cataract surgery episodes and associated intraoperative supplies (66984, J1097, J2403) given that the top 3 codes drive 65.2% of Medicare revenue, coupled with targeted review of unusually high local volumes for specific retina procedures (67145 flagged as an extreme outlier). The provider’s ~9-year Medicare enrollment and concentrated Medicare-only revenue profile imply a stable, specialized ambulatory surgery operation whose public-payer exposure is dominated by cataract and associated ophthalmic surgical services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 970 | $860 | $831.9K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 3,190 | $80 | $242.1K |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 179,200 | $1 | $179.2K |
| 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… | 70 | $2,580 | $175.4K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 50 | $1,530 | $81K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 50 | $1,550 | $78.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 270 | $210 | $55.6K |
| V2785 | Processing, preserving and transporting corneal tissue | 10 | $3,480 | $45.3K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 20 | $2,290 | $43.5K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 20 | $1,540 | $37K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 2 | 10 | 3,130 | $80 | $197.2K |
| 66984 | 9 | 280 | 70 | $570 | $97.1K |
| V2785 | 4 | 10 | 20 | $3,080 | $64.6K |
| 66991 | 2 | 30 | 30 | $1,620 | $53.5K |
| J2403 | 1 | 10 | 58,400 | $1 | $51.9K |
| 67036 | 5 | 30 | 20 | $1,100 | $37.3K |
| 67042 | 2 | 30 | 20 | $1,140 | $29.6K |
| 67904 | 9 | 10 | 40 | $590 | $28.8K |
| 15823 | 9 | 40 | 40 | $520 | $27.2K |
| 67108 | 4 | 20 | 20 | $1,260 | $26.5K |
Showing 1–10 of 19
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 |
|---|---|---|---|---|
| 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… | 10 | $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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 32 | 30 | 70 | $0 | $0 |
Other providers in the same ZIP code as Advanced Vision Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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.