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NPI 1063733095 · West Des Moines, IA · Ambulatory Surgical Clinic/Center
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Wolfe Surgery Center, LLC is a ambulatory surgical clinic/center provider located in West Des Moines, Iowa. This profile covers 27 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 | Wolfe Surgery Center, LLC |
| Address | 6100 Westown Pkwy |
| City | West Des Moines |
| State | IA |
| ZIP | 50266 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 14, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.1M |
| Medicaid | $1.3M |
WOLFE SURGERY CENTER, LLC’s procedure mix is strongly ophthalmic and surgical: the Medicare top codes are 66984, 66982 and 67042, which reflect high-volume cataract extraction with intraocular lens placement and vitreoretinal surgery. This pattern, combined with substantial claims counts reported on those codes, indicates the site operates as an ambulatory surgical center focused on cataract, retina/vitreous, corneal and related oculoplastic services rather than a general surgical clinic.
Medicare revenue is highly concentrated: the provider reports $4.1M in total Medicare revenue and the precomputed top three Medicare codes account for 73.3% of that Medicare revenue, with 66984 alone contributing $2.5M (60.1%). That concentration implies business risk and opportunity tied primarily to cataract surgery volumes and reimbursement for those specific CPTs.
Medicaid billing is even more concentrated around cataract procedures: the provider reports $1.3M in total Medicaid revenue and the precomputed top three Medicaid codes account for 100.0% of that Medicaid revenue, with 66984 contributing $1.2M (95.5%). Medicaid activity is therefore effectively single-service dominated—cataract surgery is the primary Medicaid revenue driver at this site.
Payer mix favors Medicare by scale: the practice reports $4.1M Medicare revenue versus $1.3M Medicaid revenue, showing Medicare as the larger payer relationship while Medicaid still accounts for meaningful cataract volume. This dual-payer footprint means contracting or policy changes affecting Medicare cataract reimbursements would have an outsized impact relative to Medicaid shifts.
National competitive standing is strong for key ophthalmic procedures: on Medicare the provider ranks in the 97th percentile for 66984, the 100th percentile for 66982, and the 99th percentile for 67042 (the latter labeled an "extreme outlier"), indicating materially higher-than-typical national volumes for both cataract and complex vitreoretinal procedures. These percentile rankings position the center as a major national-volume provider for selected ophthalmic surgeries rather than a low-volume outpost.
State-level Medicaid presence is more modest: for Medicaid 66984 ranks #2 of 10 in-state (89th percentile) which is a solid but not dominant in-state position, while 66982 is reported as #1 of 1 with no peer comparison available. In short, the center is a leading local source of Medicaid cataract procedures but does not appear to monopolize the state market.
The code mix also signals corneal and transplant capabilities beyond routine cataract work: Medicare includes V2785 (processing/preserving corneal tissue) with $186.8K (4.6% of Medicare revenue) and 65756 (full-thickness corneal transplant) with $86.3K (2.1%). Those entries, combined with transplant-related service ranks that are notably above typical volume, suggest the center manages corneal tissue workflows and performs corneal surgery as a supplemental service line.
The provider shows sustained operational tenure and throughput: the NPI was enumerated 2010-06-14 (~16 years ago), and claim volumes such as 3.1K Medicare claims for 66984 and 2.9K Medicaid claims for 66984 reflect ongoing, high-volume cataract throughput across payers. This longevity plus high procedural counts supports the characterization of an established ambulatory ophthalmic surgical center with a stable procedural focus.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 3,140 | $790 | $2.5M |
| 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… | 440 | $790 | $348K |
| 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… | 140 | $1,430 | $197.5K |
| V2785 | Processing, preserving and transporting corneal tissue | 60 | $3,220 | $186.8K |
| 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 | $2,390 | $100.4K |
| 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. | 60 | $1,440 | $89.2K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 60 | $1,440 | $86.3K |
| 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… | 130 | $610 | $81.6K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 60 | $1,420 | $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… | 170 | $440 | $72.2K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 2 | 10 | 810 | $80 | $149.5K |
| V2785 | 1 | 10 | 20 | $3,390 | $98.2K |
| 66984 | 1 | 340 | 50 | $340 | $50.4K |
| 66991 | 6 | 20 | 30 | $1,360 | $50.2K |
| 66982 | 1 | 60 | 40 | $450 | $39K |
| 66183 | 2 | 10 | 20 | $2,100 | $35.7K |
| 65820 | 5 | 10 | 50 | $710 | $35.5K |
| 15823 | 2 | 20 | 30 | $520 | $29.4K |
| 65756 | 1 | 10 | 20 | $1,070 | $28.9K |
| 67042 | 1 | 20 | 20 | $900 | $28.8K |
Showing 1–10 of 27
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… | 2,880 | $430 | $1.2M |
| 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… | 110 | $360 | $39.9K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 40 | $500 | $19.3K |
| 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… | 360 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 360 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa 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… | 2 | 10 | 130 | $580 | $506.8K |
| 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… | 1 | 10 | 110 | $360 | $39.9K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 2 | 10 | 40 | $450 | $19K |
| 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 | 10 | 50 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1 | 10 | 140 | $0 | $0 |
Other providers in the same ZIP code as Wolfe Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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