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NPI 1043216617 · Muskogee, OK · Ambulatory Surgical Clinic/Center
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Triad Surgery Center LLC is a ambulatory surgical clinic/center provider located in Muskogee, Oklahoma. This profile covers 8 Medicare and 2 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 | Triad Surgery Center LLC |
| Address | 3131 Military Blvd |
| City | Muskogee |
| State | OK |
| ZIP | 74401 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $879.6K |
Service-line profile: TRIAD SURGERY CENTER LLC’s billing mix is concentrated in anterior-segment ophthalmic surgery consistent with its Ambulatory Surgical Clinic/Center taxonomy, driven by high-volume cataract procedures (codes 66984, 66991) and secondary-cataract laser treatment (66821). The prominence of intraocular lens insertion and YAG capsulotomy codes indicates the center operates primarily as an outpatient cataract surgery and follow-up treatment facility rather than a broad multi-specialty surgical center.
Medicare revenue concentration: The provider’s Medicare revenue is heavily concentrated in a few procedures — the precomputed top 3 Medicare codes (66984, 66991, 66821) account for 92.1% of total Medicare revenue. In particular, 66984 generates $1.1M (83.0% of this provider's total Medicare revenue), making it the single dominant Medicare revenue driver.
Medicaid revenue concentration: Medicaid billing is effectively mono-code concentrated — the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and 66984 alone produces $878.9K (99.9% of this provider's total Medicaid revenue). This indicates Medicaid volumes and revenue are almost entirely dependent on standard cataract extraction with IOL insertion.
Payer mix and scale: TRIAD reports $1.3M in total Medicare revenue and $879.6K in total Medicaid revenue, so while Medicare is the larger single-payer source in absolute dollars, Medicaid represents a substantial secondary payer line for the same core cataract service. The center should be considered a dual-payer ophthalmic outpatient provider rather than single-payer dependent.
National competitive standing on Medicare cataract work: For the dominant Medicare code 66984 the provider ranks #1595 of 15965 (90th percentile) — a relatively high national rank even while the code-level label is “typical, unremarkable volume for this code.” Other Medicare codes tied to cataract care show mixed standing: 66821 ranks in the 97th percentile (typical, unremarkable volume) whereas 66991 is at the 36th percentile, indicating above-average performance for some cataract-related services but modest volume for others.
State competitive standing on Medicaid cataract work: On Medicaid, 66984 ranks #3 of 35 in-state (94th percentile) and is flagged as “notably above typical state volume for this code,” signaling that TRIAD is one of the leading Medicaid cataract surgery providers in Oklahoma by volume. This strong in-state position for the staple Medicaid code suggests meaningful market share in Medicaid-funded cataract care.
Oculoplastics and ancillary procedures: The provider also bills oculoplastic codes (for example, 67904 with 123 Medicare claims and $57.7K revenue, 4.6% of Medicare revenue) and other eyelid repair codes, indicating a supplemental service line beyond cataract extraction. These ancillary procedures are smaller contributors to revenue compared with cataract codes but include some higher-percentile national rankings (e.g., 67904 at the 93rd percentile), suggesting competitive strength in selected reconstructive/oculoplastic procedures.
Tenure and likely referral stability: The NPI was enumerated on 2005-06-28 (~21 years ago), indicating a long-established operation. That tenure, combined with the concentrated, repeat-service nature of cataract and follow-up procedures, is consistent with sustained referral flows and a stable outpatient surgical volume base rather than a newly formed or transient practice.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 1,370 | $770 | $1.1M |
| 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 | $2,330 | $58.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 370 | $160 | $58.2K |
| 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… | 120 | $470 | $57.7K |
| 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… | 30 | $530 | $13.8K |
| 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… | 20 | $790 | $12.6K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 40 | $330 | $12.5K |
| 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. | 40 | $80 | $2.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
2 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… | 2,700 | $330 | $878.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 20 | $50 | $900 |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
2 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… | 3 | 40 | 170 | $340 | $211.6K |
| 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 | 20 | $50 | $760 |
Other providers in the same ZIP code as Triad Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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