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NPI 1063649978 · Lake Charles, LA · Ambulatory Surgical Clinic/Center
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Imperial Calcasieu Surgical Center LLC is a ambulatory surgical clinic/center provider located in Lake Charles, Louisiana. This profile covers 33 Medicare and 7 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 | Imperial Calcasieu Surgical Center LLC |
| Address | 1757 Imperial Blvd |
| City | Lake Charles |
| State | LA |
| ZIP | 70605 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 18, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $193.8K |
The provider’s payer mix is heavily Medicare-weighted: lifetime Medicare revenue is $2.9M versus total Medicaid revenue of $193.8K, so Medicare represents the dominant share of billed outpatient surgical revenue for this entity. This gap indicates the facility operates primarily in the Medicare market with Medicaid playing a much smaller role in scale and financial impact.
Medicare revenue is concentrated among a few high-revenue procedures: the precomputed top 3 Medicare codes by revenue account for 56.3% of this provider's total Medicare revenue, led by 66984 (36.1% of Medicare revenue), with 63685 (10.4%) and 64483 (9.8%) also major contributors. That concentration means a majority of Medicare dollars flow from a narrow set of cataract and spine/interventional-pain services, exposing the profile to utilization trends in those specific service lines.
The procedural mix and the Ambulatory Surgical Clinic/Center taxonomy point to two primary service lines: ophthalmology and interventional spine/pain. High-revenue ophthalmic work is visible via 66984 (cataract extraction with IOL) while a cluster of high-volume pain codes (64483 transforaminal epidural injection, 64635 facet joint neurolysis, 64493 facet injections, and neurostimulator codes like 63685/63655) indicate the center also performs substantial outpatient spine and neuromodulation procedures.
Medicaid revenue is extremely concentrated in cataract surgery: the precomputed top 3 Medicaid codes account for 99.4% of Medicaid revenue, and 66984 alone generates $185.7K (95.7% of Medicaid revenue) with 1.8K claims at an average paid/claim of $106. This contrasts with the Medicare average paid/claim for 66984 ($791), highlighting a material payer rate differential for the same dominant procedure across payers.
Several interventional pain/spine codes are national volume outliers under Medicare, signaling a competitive specialty footprint in those services: 64483 ranks #25 of 8202 providers nationally (100th percentile; extreme outlier), 64635 ranks #24 of 5957 providers nationally (100th percentile; extreme outlier), and 64493 ranks #44 of 7519 (99th percentile; extreme outlier). These rankings suggest the provider is far above typical national volume for specific epidural and facet procedures, marking it as a notable regional performer in interventional spine work.
Cataract surgical competitive standing is solid but less extreme than its pain program: Medicare 66984 ranks #1695 of 15965 providers nationally (89th percentile; typical, unremarkable volume) and in-state Medicaid 66984 ranks #13 of 63 providers (81th percentile; typical, unremarkable volume). This indicates the center is a known cataract surgery provider with meaningful volume, but its market position for cataracts is not as exceptionally concentrated as its interventional pain volumes.
Medicaid claims include very large counts of quality/process codes with no associated revenue, which may reflect extensive documentation/reporting rather than payment activity: G8918 appears with 3K claims (ranks #2 of 35 in-state, 97th percentile; notably above typical state volume) and G8907 with 3.3K claims (ranks #3 of 53 in-state, 96th percentile; notably above typical state volume), both reported at $0 revenue. Analysts should treat these as evidence of high perioperative quality/process coding capture on Medicaid claims rather than a source of reimbursement.
The provider’s NPI was enumerated on 2009-06-18 (~17 years ago), indicating an established ambulatory surgical operation with over a decade of activity. That tenure, combined with concentrated procedural specialties and the dual focus on ophthalmology and interventional spine care, suggests established referral relationships and an operational model built around outpatient surgical throughput.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
33 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… | 1,280 | $790 | $1M |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $16,260 | $292.7K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 1,010 | $270 | $275.6K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 440 | $490 | $215.2K |
| 63655 | In this procedure, the provider removes a portion of the vertebra called the lamina and places a permanent plate/paddle electrode in the epidural space, or area between the dura membrane and the wall… | 10 | $13,190 | $145K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 540 | $250 | $136.5K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 30 | $3,610 | $122.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 420 | $190 | $77.9K |
| 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… | 130 | $470 | $59.2K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 100 | $550 | $57.1K |
Showing 1–10 of 33
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
33 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 12 | 20 | 20 | $7,420 | $141K |
| 63650 | 16 | 20 | 50 | $1,670 | $91.8K |
| 66984 | 4 | 210 | 80 | $500 | $91.3K |
| 63655 | 6 | 10 | 10 | $3,990 | $67.8K |
| 66174 | 8 | 10 | 30 | $630 | $27K |
| 67042 | 17 | 20 | 20 | $1,110 | $26.6K |
| 15823 | 2 | 20 | 30 | $510 | $24.5K |
| 64635 | 3 | 120 | 40 | $340 | $23.5K |
| 64483 | 1 | 140 | 60 | $170 | $20.2K |
| 29848 | 4 | 10 | 40 | $380 | $19.3K |
Showing 1–10 of 33
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.
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… | 1,750 | $110 | $185.7K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 130 | $40 | $4.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 60 | $50 | $2.9K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 20 | $50 | $1.2K |
| 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… | 3,340 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 10 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3,040 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
7 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… | 13 | 60 | 180 | $140 | $150.7K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 26 | 30 | 190 | $220 | $102.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 5 | 10 | 180 | $40 | $42.2K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 10 | 30 | 70 | $40 | $10.2K |
| 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… | 3 | 50 | 320 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 4 | 10 | 60 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 2 | 40 | 190 | $0 | $0 |
Other providers in the same ZIP code as Imperial Calcasieu Surgical Center LLC, ranked by combined Medicare and Medicaid revenue.
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