Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Candescent Eye Surgicenter LLC (NPI 1023399318)

Field	Value
Entity Type	Organization
Organization	Candescent Eye Surgicenter LLC
Address	444 Quaker Ln
City	Warwick
State	RI
ZIP	02886
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 31, 2011

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

CANDESCENT EYE SURGICENTER LLC in WARWICK, RI is registered as an Ambulatory Surgical Clinic/Center and has lifetime Medicare revenue of $1.5M with no Medicaid billing on file, making it effectively a Medicare-only billed surgical center in the available claims data. The NPI was enumerated 2011-08-31 (~15 years ago), indicating an established presence in the market rather than a newly created practice.

The provider’s activity and payer revenue are heavily driven by cataract and intraocular procedures: 66984 ($945.5K, 64.5% of Medicare revenue), 66991 ($137.1K, 9.4%), and 66982 ($125.4K, 8.6%). These codes — together accounting for 84.5% of Medicare revenue — signal an operation focused on high-volume cataract extraction with intraocular lens placement and related anterior-segment procedures typical of an ambulatory eye surgical center.

Revenue concentration is pronounced: a single code, 66984, represents $945.5K or 64.5% of Medicare revenue and the precomputed top-3 codes together equal 84.5% of total Medicare receipts. This level of concentration implies that overall revenue is sensitive to procedural volume and reimbursement changes tied to cataract surgery and immediate adjunct procedures.

Competitive standing on key entries is mixed but generally within typical ranges for national peers: 66984 ranks #1876 of 15965 providers (88th percentile; typical, unremarkable volume for this code), 66982 ranks #174 of 4580 (96th percentile; typical, unremarkable volume for this code), and 66991 ranks #296 of 1445 (79th percentile; typical, unremarkable volume for this code). The combination of a high absolute share from 66984 and a very high percentile for 66982 suggests above-average activity on some complex cataract techniques while remaining a broadly typical-volume cataract provider overall.

Ancillary ophthalmic products and in-procedure drug utilization are meaningful contributors: J1096 (dexamethasone lacrimal ophthalmic insert) accounts for $155.4K (10.6% of Medicare revenue) and ranks #75 of 282 (74th percentile; typical, unremarkable volume for this code), while J1097 (phenylephrine/ketorolac irrigation) contributes $32.7K (2.2%) and ranks #325 of 443 (27th percentile; typical, unremarkable volume for this code). This mix indicates routine use of intraoperative pharmacologic adjuncts and implants, which has implications for supply purchasing, per-case costs, and ancillary revenue capture.

Most reported codes fall into the platform’s supplied “typical, unremarkable volume” band rather than extreme outlier categories; lower-percentile entries such as 66174 (rank #578 of 741, 18th percentile; typical, unremarkable volume for this code) and J1097 (27th percentile) show pockets of below-median activity but no flagged statistical extremes. The overall pattern is of a focused surgical clinic with a concentrated case mix rather than a diversified multi-service provider, so operational and contracting strategies should reflect exposure to procedure-specific volume swings.

Given the lack of Medicaid billing on file, the provider’s payer mix is effectively single-payer Medicare with $1.5M in lifetime Medicare revenue and no Medicaid revenue recorded; this creates both operational clarity (narrow payer negotiations) and exposure risk if Medicare volume or reimbursement changes. Analysts should treat competitive benchmarking and risk assessments using Medicare-only comparisons and note that in-state Medicaid competitive positioning cannot be assessed from the available claims data.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 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…	1,100	$860	$945.5K
J1096	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	1,570	$100	$155.4K
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…	50	$2,590	$137.1K
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…	150	$870	$125.4K
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.	50	$840	$44.6K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	440	$80	$32.7K
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	$1,280	$24.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Candescent Eye Surgicenter LLC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1096	1	10	1,570	$100	$154.8K
66984	17	40	370	$80	$71.1K
J1097	1	10	440	$80	$32.7K
66991	2	10	30	$800	$26.5K
66982	2	10	30	$410	$25.2K
65820	1	10	30	$740	$22.3K
66174	3	10	20	$450	$13.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Candescent Eye Surgicenter LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Candescent Eye Health Surgicenter, LLC	MA	Ambulatory Surgical Clinic/Center	$1.1M	$369.1K
Richard Sayegh	RI	Ophthalmology Physician	$378.1K	$0
Dean Loporchio	RI	Retina Specialist (Ophthalmology) Physician	$242.6K	$0
Alex Gerber	RI	Ophthalmology Physician	$226.6K	$0
Nermin Graise	RI	Ophthalmology Physician	$185.9K	$0
Eleftherios Alexandrou	RI	Ophthalmology Physician	$172.7K	$0
Leah Kammerdiener	RI	Ophthalmology Physician	$79.6K	$3.9K

Nearby Providers

Other providers in the same ZIP code as Candescent Eye Surgicenter LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Bay Residential Services Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$145.8M
Kent County Memorial Hospital	RI	General Acute Care Hospital	$0	$90.8M
Avatar Residential, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$72.9M
Thrive Behavioral Health, Inc.	RI	Community/Behavioral Health Agency	$0	$71.9M
Bayada Home Health Care, Inc.	RI	Home Health Agency	$0	$69.5M
Community Living Of Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$65.7M
J.arthur Trudeau Memorial Center Conversion Waivers	RI	Developmentally Disabled Services Day Training Agency	$0	$57.1M
Gateways To Change, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$54.5M
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
J, Arthur Trudeau Memorial Center	RI	Developmentally Disabled Services Day Training Agency	$0	$33.9M

Candescent Eye Surgicenter LLC — Billing Profile & Reimbursement Data

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Candescent Eye Surgicenter LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References