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NPI 1023057916 · Pine Bluff, AR · Ambulatory Surgical Clinic/Center
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Physicians Day Surgery Center is a ambulatory surgical clinic/center provider located in Pine Bluff, Arkansas. This profile covers 15 Medicare and 5 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 | Physicians Day Surgery Center |
| Address | 2705 S Orlando St |
| City | Pine Bluff |
| State | AR |
| ZIP | 71603 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $266.5K |
Business/service-line profile: PHYSICIANS DAY SURGERY CENTER is cataloged as an Ambulatory Surgical Clinic/Center and its billing mix is dominated by ophthalmic surgical and oculoplastic work—chiefly cataract extraction/lens insertion (66984), routine ophthalmic irrigation/ketorolac supply (J1097), and upper eyelid skin surgery (15823). The prominence of these codes indicates an operation structured around high-volume cataract cases with ancillary oculoplastic procedures and consistent use of intraoperative ophthalmic medications and supplies.
Medicare revenue concentration: The provider’s Medicare topline ($2.2M) is heavily concentrated in a few codes — the precomputed top-3 codes account for 78.6% of this provider's total Medicare revenue. In particular, 66984 represents 51.0% of Medicare revenue, J1097 represents 21.5%, and 15823 represents 6.1%, signaling that a small set of procedure types drive the majority of Medicare receipts.
Medicaid revenue concentration and in-state standing: On the Medicaid side the provider is nearly single-code dependent — the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with 66984 alone at 97.8% ($260K). That same Medicaid 66984 volume ranks #2 of 40 in-state (97th percentile; notably above typical state volume for this code), indicating a leading position in cataract procedures among Arkansas Medicaid providers.
Payer mix and scale: Medicare payments ($2.2M) substantially exceed Medicaid payments ($266.5K), making Medicare the dominant payer by scale for this site. While the center bills both payers, its financial footprint is primarily Medicare-driven, with Medicaid representing a much smaller share of reported lifetime revenue.
Competitive standing across codes: Competitive metrics are mixed — for Medicare 66984 ranks #1393 of 15965 (91th percentile; typical, unremarkable volume for this code) while J1097 ranks #22 of 443 (95th percentile; notably above typical national volume) and 15823 ranks #17 of 1718 (99th percentile; extreme outlier, far above typical national volume). This pattern suggests the center is a routine national-level contributor for cataract cases but an unusually high-volume national outlier for certain oculoplastic and ophthalmic supply codes.
Operational throughput signal: High claim counts for key items underline procedural throughput — Medicare shows 1.6K claims for 66984 and 6.4K claims for J1097 (yielding $1.1M and $483.2K respectively), and Medicaid shows 1.2K claims for 66984 (yielding $260K). The large J1097 claim volume (Medicare 6.4K claims) implies consistent, repeated use of the ophthalmic irrigation/ketorolac product across many cases, consistent with a focused cataract surgical workflow.
Tenure and stability: The provider’s NPI was enumerated on 2006-06-06 (~20 years ago), indicating two decades of credentialing/operation which supports interpretation of these volume patterns as established rather than nascent. This longevity aligns with the sustained Medicare revenue base and the facility’s high-volume code mix.
Code-level anomalies and low-revenue items: Several Medicaid-listed codes show minimal or zero paid amounts despite nonzero claim counts (for example J1097 on Medicaid shows $1 avg paid/claim and G8918/G8907 show $0 revenue), indicating the presence of administrative/quality capture or low-reimbursement items in the Medicaid claims set. Also, the national label for 15823 as an "extreme outlier, far above typical national volume for this code" flags an unusually high relative volume for upper eyelid procedures that merits attention when benchmarking peer practice patterns.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 1,590 | $720 | $1.1M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 6,360 | $80 | $483.2K |
| 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… | 310 | $450 | $137.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 460 | $190 | $84.2K |
| 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… | 40 | $2,220 | $79.9K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 160 | $470 | $76.8K |
| 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… | 100 | $740 | $72.2K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 40 | $1,340 | $53.5K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 90 | $470 | $42K |
| 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. | 30 | $1,330 | $37.1K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 10 | 2,090 | $80 | $212.3K |
| 66984 | 3 | 210 | 60 | $430 | $90.5K |
| 66991 | 6 | 10 | 40 | $1,440 | $66.2K |
| 67904 | 1 | 10 | 90 | $530 | $49.1K |
| 15823 | 1 | 20 | 70 | $490 | $47.3K |
| 66174 | 7 | 10 | 30 | $930 | $41.7K |
| J1096 | 3 | 10 | 110 | $100 | $35.2K |
| 65820 | 2 | 10 | 40 | $1,060 | $34K |
| 66982 | 4 | 50 | 30 | $590 | $22.9K |
| 66821 | 3 | 120 | 80 | $200 | $22.7K |
Showing 1–10 of 15
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.
5 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… | 1,200 | $220 | $260K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 510 | $10 | $5.6K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 110 | $1 | $110 |
| 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… | 90 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 90 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
5 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… | 2 | 40 | 60 | $250 | $77.5K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 3 | 20 | 90 | $30 | $10.9K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2 | 10 | 110 | $10 | $1.2K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 9 | 30 | 40 | $1 | $30 |
| 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… | 15 | 30 | 50 | $1 | $20 |
Other providers in the same ZIP code as Physicians Day Surgery Center, ranked by combined Medicare and Medicaid revenue.
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