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NPI 1043502792 · Honolulu, HI · Ambulatory Surgical Clinic/Center
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Pacific Asc LLC is a ambulatory surgical clinic/center provider located in Honolulu, Hawaii. This profile covers 20 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 | Pacific Asc LLC |
| Address | 650 Iwilei Rd |
| City | Honolulu |
| State | HI |
| ZIP | 96817 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 12, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $684.5K |
Service mix and site-of-care: The provider’s taxonomy is Ambulatory Surgical Clinic/Center and its billed codes are overwhelmingly ophthalmic surgical procedures — cataract extraction and intraocular lens placement (e.g., 66984, 66991, 66982), vitrectomy/retinal procedures (e.g., 67042, 67036, 67113), and glaucoma/laser interventions (e.g., 66174, 66710). This pattern indicates PACIFIC ASC LLC operates as an ophthalmology-focused ASC performing high-volume cataract surgery plus a meaningful volume of retina and glaucoma surgical work rather than a general multispecialty ambulatory center.
Medicare revenue concentration: PACIFIC ASC’s top three Medicare codes by revenue account for 69.7% of its total Medicare revenue, with 66984 alone contributing $1.1M (58.2% of this provider's total Medicare revenue). That concentration shows cataract extraction with intraocular lens placement is the primary Medicare revenue driver, supplemented by additional ophthalmic procedures such as 66991 and 66174.
Medicaid revenue concentration: The provider’s Medicaid billing is effectively concentrated in a single procedure set — the top three Medicaid codes account for 100.0% of Medicaid revenue and code 66984 represents $679.7K (99.3% of this provider's total Medicaid revenue). In-state rankings underline this concentration: 66984 is ranked #1 of 16 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), indicating PACIFIC ASC is the dominant Medicaid cataract surgical site in its peer set.
Payer mix and scale: Lifetime Medicare revenue of $1.9M exceeds lifetime Medicaid revenue of $684.5K, so Medicare is the larger payer by absolute dollars while Medicaid remains a meaningful secondary revenue source. However, Medicaid revenue is almost entirely driven by a single code (66984), whereas Medicare receipts show somewhat broader procedure mix within ophthalmology.
Competitive standing by code: Nationally, the provider shows mixed competitive positioning across codes — 66984 Medicare billing ranks #1833 of 15965 providers (89th percentile; typical, unremarkable volume for this code), while several retina and glaucoma procedure codes place the ASC at higher national percentiles (for example 66174 ranks in the 91th percentile and 67042 in the 93th percentile as listed), and code 66682 ranks #2 of 30 providers (97th percentile; notably above typical national volume). This suggests the center is a modest-to-strong national performer for selected specialized ophthalmic procedures but not uniformly dominant across all cataract volumes nationally.
Rate and volume dynamics across payers: Average paid-per-claim differences indicate payer rate variation on the same procedure—66984 averages $974 paid/claim for Medicare (1.1K claims) versus $539 paid/claim for Medicaid (1.3K claims). Despite lower Medicaid unit rates, the very high Medicaid claim count for 66984 drives nearly all Medicaid revenue, so changes in utilization or state fee schedules for this code would materially affect Medicaid receipts.
Operational concentration risk: Heavy dependence on a single procedure for Medicaid (66984 = 99.3% of Medicaid revenue and 100.0% of top-three share) and a small set of procedures for Medicare (top three = 69.7% of Medicare revenue) creates operational sensitivity to cataract surgical volume, payer reimbursement changes, and access to operating-room capacity. For contracting or network planning, that concentration signals limited service diversification outside ophthalmic surgery.
Tenure and market presence: The NPI was enumerated on 2011-05-12 (~15 years ago), indicating a stable market presence over more than a decade which likely contributed to the build-up of specialized ophthalmic case volume and the strong in-state Medicaid cataract footprint.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 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… | 1,140 | $970 | $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… | 40 | $2,980 | $110.3K |
| 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 | $1,450 | $110K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 60 | $1,790 | $107.3K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 50 | $1,790 | $91.3K |
| 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… | 80 | $980 | $81.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 270 | $220 | $61.1K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 20 | $1,790 | $35.9K |
| 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… | 50 | $600 | $28K |
| 67040 | The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the… | 10 | $1,800 | $23.3K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 2 | 70 | 60 | $640 | $88.9K |
| 66991 | 4 | 10 | 50 | $1,840 | $81.1K |
| 66174 | 2 | 10 | 40 | $1,000 | $48.9K |
| 67042 | 1 | 10 | 30 | $1,190 | $38.2K |
| 66988 | 1 | 10 | 20 | $1,790 | $35.9K |
| 66982 | 1 | 20 | 30 | $770 | $25.5K |
| 67040 | 1 | 10 | 10 | $1,800 | $23.3K |
| 67113 | 1 | 10 | 10 | $1,800 | $23.3K |
| 67036 | 1 | 10 | 20 | $1,050 | $23.1K |
| 66682 | 1 | 10 | 40 | $520 | $19.1K |
Showing 1–10 of 20
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… | 1,260 | $540 | $679.7K |
| V2632 | Posterior chamber intraocular lens | 30 | $180 | $4.9K |
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii 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… | 1 | 20 | 80 | $590 | $129.1K |
| V2632 | Posterior chamber intraocular lens | 5 | 10 | 130 | $20 | $5.8K |
Other providers in the same ZIP code as Pacific Asc LLC, ranked by combined Medicare and Medicaid revenue.
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