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NPI 1053319053 · New Albany, IN · Ambulatory Surgical Clinic/Center
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Eye Surgery Center Of New Albany, LLC is a ambulatory surgical clinic/center provider located in New Albany, Indiana. This profile covers 9 Medicare and 3 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 | Eye Surgery Center Of New Albany, LLC |
| Address | 520 W 1st St |
| City | New Albany |
| State | IN |
| ZIP | 47150 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 13, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $972.6K |
The provider’s billing mix is strongly ophthalmic surgical care concentrated on cataract procedures: Medicare receipts show 66984 generates $1.2M (76.1% of this provider's total Medicare revenue) and the next two Medicare cataract-related codes, 66991 and 66982, add $109.8K (6.7%) and $74.6K (4.6%) respectively, with the top three Medicare codes accounting for 87.4% of Medicare revenue. Medicaid billing mirrors this specialization with 66984 producing $948K (97.3% of Medicaid revenue), indicating the organization operates primarily as an ambulatory cataract surgery center rather than a broad multispecialty facility.
Revenue is highly concentrated by code for both payers: the precomputed share of top-3 Medicare codes is 87.4%, driven overwhelmingly by 66984, and the precomputed share of top-3 Medicaid codes is 100.0%, driven even more heavily by Medicaid 66984 at $948K (97.3%). This concentration implies financial exposure to volume or reimbursement changes for a small set of cataract-related procedures.
Payer mix shows Medicare represents the larger single source at $1.6M in lifetime Medicare revenue versus $972.6K in lifetime Medicaid revenue, so the provider draws meaningful business from both programs but is not Medicaid-only or Medicare-only. Both payers matter to the center’s topline, with Medicare slightly larger in scale.
National competitive standing on Medicare cataract work is above median by percentile but characterized in the source labels as not an extreme outlier: 66984 ranks #1374 of 15965 (91th percentile, typical, unremarkable volume), 66982 ranks #361 of 4580 (92th percentile, typical, unremarkable volume), and 66991 ranks #383 of 1445 (72th percentile, typical, unremarkable volume). These placements indicate higher-than-median national activity for these codes while the dataset still classifies their volumes as typical rather than exceptional.
By contrast, the provider is a leading Medicaid cataract provider in-state: Medicaid 66984 ranks #5 of 62 providers in-state (93th percentile; notably above typical state volume) and V2632 ranks #1 of 8 in-state (100th percentile; notably above typical state volume). These in-state rankings suggest the center is a significant local destination for Medicaid-covered cataract procedures.
Ancillary corneal services are present but not dominant: Medicare V2785 (processing/preserving corneal tissue) produced $73.2K (4.5% of Medicare revenue) with a high avg paid/claim of $3487 yet ranks #130 of 231 nationally (42th percentile, typical, unremarkable volume), and Medicare 65756 (full corneal transplant) contributed $30.1K (1.8% of Medicare revenue) with a midrank #270 of 567 (49th percentile, typical, unremarkable volume). This pattern suggests occasional higher-priced tissue or transplant work complements the center’s core cataract practice without matching its volume concentration.
The provider has longstanding presence in the datasets, with NPI enumeration on 2005-07-13 (~21 years ago), which supports interpreting its billing patterns as established operational behavior rather than a short-lived or newly launched practice. Longevity combined with the Medicaid in-state rankings indicates entrenched local market participation for cataract procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 1,610 | $780 | $1.2M |
| 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 | $2,390 | $109.8K |
| 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 | $750 | $74.6K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,490 | $73.2K |
| 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. | 30 | $1,430 | $48.7K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 20 | $1,330 | $31.8K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,440 | $30.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 80 | $190 | $14.3K |
| 65400 | In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,… | 30 | $320 | $8.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
3 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… | 2,940 | $320 | $948K |
| V2632 | Posterior chamber intraocular lens | 1,620 | $20 | $25.9K |
| 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… | 1,010 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
3 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… | 5 | 60 | 350 | $270 | $229.7K |
| V2632 | Posterior chamber intraocular lens | 1 | 10 | 240 | $10 | $4.9K |
| 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… | 8 | 70 | 320 | $0 | $0 |
Other providers in the same ZIP code as Eye Surgery Center Of New Albany, LLC, ranked by combined Medicare and Medicaid revenue.
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