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NPI 1023570488 · Everett, WA · Ambulatory Surgical Clinic/Center
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Sight Partners is a ambulatory surgical clinic/center provider located in Everett, Washington. This profile covers 14 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 | Sight Partners |
| Address | 2707 Colby Ave Ste 1200 |
| City | Everett |
| State | WA |
| ZIP | 98201 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 4, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.9M |
| Medicaid | $342.1K |
SIGHT PARTNERS in EVERETT, WA operates as an ambulatory surgical clinic/center with a code mix dominated by cataract and anterior-segment ophthalmic procedures; the presence of high-volume cataract extraction and IOL insertion codes (66984, 66991, 66982) plus glaucoma and corneal procedure codes indicates a concentrated specialty surgical practice focused on cataract surgery and related anterior-segment services. The Medicare top codes show both routine cataract procedures and adjunct glaucoma/complex IOL work in the mix, while Medicaid billing mirrors the cataract-heavy profile, suggesting the facility’s primary service line is cataract surgery and post‑op care.
Medicare revenue is concentrated: total Medicare revenue is $4.9M and the provider’s top 3 Medicare codes account for 87.9% of that Medicare revenue. The single code 66984 generates $3.8M (76.9% of Medicare revenue), which confirms that routine cataract extraction with IOL placement is the principal Medicare income driver for this entity.
Medicaid billing is similarly concentrated but much smaller in scale: total Medicaid revenue is $342.1K and the top 3 Medicaid codes represent 96.5% of Medicaid revenue. On Medicaid the same cataract procedure 66984 drives $260.7K (76.2% of Medicaid revenue), so the provider’s Medicaid footprint is functionally an extension of its cataract surgery volume rather than a distinct service line.
Competitive standing for core cataract work is strong at both the national and state levels. For Medicare, 66984 is ranked #207 of 15965 providers (99th percentile) and characterized as an "extreme outlier," and 66821 is also a 99th percentile "extreme outlier," indicating unusually high national volumes for those cataract-related procedures; on Medicaid, 66984 ranks #1 of 51 in-state (100th percentile) and is described as "notably above typical state volume," signaling local dominance for that procedure.
Several adjunct procedures and supplies contribute modestly to revenue and reflect service breadth beyond routine cataract surgery. For Medicare, codes such as 66982 ($192.3K, 3.9% of Medicare revenue) are present and labeled as "typical, unremarkable volume," while V2785 (processing corneal tissue) contributes $100.2K (2.0% of Medicare revenue) and ranks in the mid‑peer range (55th percentile); these items indicate the center handles a subset of corneal and complex anterior segment work but not at outsized peer levels.
The provider is heavily Medicare‑dependent: Medicare revenue ($4.9M) far exceeds Medicaid revenue ($342.1K), so payer mix risk is concentrated on Medicare reimbursement and referral patterns. While the center is not single‑payer, any significant changes in Medicare ophthalmology reimbursement or referral flows for cataract procedures would have a material impact given the revenue concentration in a small set of codes.
High concentration in a few codes creates revenue sensitivity: because the top 3 Medicare codes account for 87.9% of Medicare revenue and the top 3 Medicaid codes account for 96.5% of Medicaid revenue, shifts in utilization or payment for those specific cataract and related codes would disproportionately affect overall revenues. This concentration amplifies operational and reimbursement risk tied to the cataract service line rather than being diversified across many unrelated procedures.
SIGHT PARTNERS’ NPI was enumerated on 2019-04-04 (~7 years ago), consistent with an established ambulatory surgical center that has rapidly scaled cataract volumes to become a high-volume regional and national participant for selected ophthalmic codes. The combination of tenure and the extremity of certain code‑level rankings supports the conclusion that the site has built a concentrated, high-volume cataract surgery business within a relatively short operating window.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 4,370 | $870 | $3.8M |
| 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… | 110 | $2,590 | $289.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 1,270 | $200 | $252.5K |
| 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… | 220 | $870 | $192.3K |
| 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. | 80 | $1,320 | $111.2K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $4,010 | $100.2K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,690 | $38.8K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 20 | $2,110 | $35.9K |
| 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 | $2,310 | $34.7K |
| 66710 | The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure. | 30 | $700 | $22.3K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 1 | 460 | 50 | $560 | $97.5K |
| V2785 | 5 | 10 | 30 | $3,540 | $91.9K |
| 66991 | 3 | 40 | 40 | $1,470 | $63.1K |
| 65820 | 14 | 20 | 20 | $1,120 | $37K |
| 66183 | 8 | 10 | 20 | $1,530 | $33.6K |
| 66180 | 4 | 10 | 20 | $1,750 | $31.5K |
| 65756 | 6 | 20 | 20 | $1,270 | $27.9K |
| 66982 | 1 | 120 | 30 | $720 | $27.3K |
| 66174 | 1 | 10 | 20 | $910 | $25.6K |
| J1096 | 1 | 10 | 220 | $100 | $21.7K |
Showing 1–10 of 14
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… | 4,270 | $60 | $260.7K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 620 | $60 | $36K |
| V2632 | Posterior chamber intraocular lens | 100 | $350 | $33.5K |
| 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… | 180 | $70 | $11.9K |
| 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… | 2,490 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington 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… | 1 | 50 | 410 | $180 | $154K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 2 | 10 | 250 | $110 | $33.3K |
| 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… | 2 | 10 | 90 | $150 | $16.1K |
| V2632 | Posterior chamber intraocular lens | 8 | 20 | 100 | $40 | $15.9K |
| 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… | 2 | 50 | 90 | $1 | $1 |
Other providers in the same ZIP code as Sight Partners, ranked by combined Medicare and Medicaid revenue.
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