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NPI 1013513308 · Elizabethtown, KY · Ambulatory Surgical Clinic/Center
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John Kenyon American Eye Institute LLC is a ambulatory surgical clinic/center provider located in Elizabethtown, Kentucky. This profile covers 6 Medicare and 3 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 | John Kenyon American Eye Institute LLC |
| Address | 2000 Tunnel Hill Rd |
| City | Elizabethtown |
| State | KY |
| ZIP | 42701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 10, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $866K |
John Kenyon American Eye Institute LLC operates primarily as an ambulatory surgical clinic focused on cataract surgery and intraocular lens implantation, as evidenced by dominant CPT code 66984 appearing as the top revenue driver on both Medicare and Medicaid lists and numerous related cataract/IOL codes (66991, 66982, 66988). The code mix indicates routine extracapsular cataract extraction with lens insertion and some complex/adjunct procedures, consistent with a surgery-centered ophthalmology ASC rather than a general outpatient clinic.
Revenue concentration is extremely high for both payers: the top 3 Medicare codes account for 96.7% of this provider's total Medicare revenue, and the top 3 Medicaid codes account for 100.0% of its total Medicaid revenue. This concentration shows the practice generates nearly all billings from a very narrow set of cataract- and IOL-related services rather than a broad procedure portfolio.
Scale of payer mix shows Medicare revenue ($1.5M) exceeds Medicaid revenue ($866K) but both are material to the practice, indicating a mixed payer base rather than a single-payer dependency; the provider is not effectively single-payer given sizable receipts from both Medicare and Medicaid.
For Medicare, code 66984 produces $1.4M and represents 88.6% of the provider's Medicare revenue; nationally this provider ranks #1304 of 15965 (92nd percentile), which positions it as a high-volume but typical national participant for cataract extraction with lens insertion rather than an outlier. For Medicaid, 66984 also dominates with $826.6K (95.5% of Medicaid revenue) and ranks #13 of 71 in-state (83rd percentile), indicating the provider is among the larger regional deliverers of that service in Kentucky.
The provider shows modest-to-low volume on several adjunct glaucoma and complex cataract codes: 66991 (26 Medicare claims, $63.2K) ranks in the 39th percentile nationally and 66982 (76 claims, $61K) ranks in the 87th percentile, indicating some capability for more complex lens procedures but with limited Medicare volume across those codes. Low national rank for procedures like 66988 (rank #76 of 115 providers for that code) and 66174/65855 in lower percentiles suggests these are occasional components of the case mix rather than core service lines.
Tenure data indicate the NPI was enumerated on 2020-12-10 (~6 years ago), so the facility has been active for multiple years but is relatively recent compared with long-established peers; this timeframe aligns with a developed but still maturing ambulatory surgery operation focused on cataract care.
Competitive standing by percentile and rank shows a bifurcated profile: nationally for Medicare cataract work the practice is a high-volume, typical provider (92nd percentile on 66984), while for several specialized adjunct procedures it sits at typical or below-typical volumes, meaning it is a regional cataract center without dominant breadth across more specialized ophthalmic surgeries.
Medicaid-specific codes beyond cataract work are minimal: V2632 (posterior chamber intraocular lens) accounts for 4.5% of Medicaid revenue and ranks #3 of 17 in-state (88th percentile), reinforcing the facility’s role as a major state-level provider of basic IOL services but not of a wider procedural mix; quality/safety billing code G8907 appears with volume but $0 revenue and low in-state rank, indicating administrative or compliance reporting rather than a revenue source.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 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… | 1,680 | $810 | $1.4M |
| 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… | 30 | $2,430 | $63.2K |
| 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… | 80 | $800 | $61K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 20 | $1,460 | $33.5K |
| 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. | 20 | $770 | $14.6K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 20 | $100 | $2.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
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… | 1,770 | $470 | $826.6K |
| V2632 | Posterior chamber intraocular lens | 670 | $60 | $38.9K |
| 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… | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
3 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… | 13 | 70 | 210 | $310 | $290K |
| V2632 | Posterior chamber intraocular lens | 3 | 20 | 180 | $50 | $17.8K |
| 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… | 17 | 20 | 260 | $1 | $1 |
Other providers in the same ZIP code as John Kenyon American Eye Institute LLC, ranked by combined Medicare and Medicaid revenue.
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