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NPI 1073791158 · Hattiesburg, MS · Ophthalmologic Surgery Clinic/Center
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Southern Eye Surgery Center LLC is a ophthalmologic surgery clinic/center provider located in Hattiesburg, Mississippi. This profile covers 16 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 | Southern Eye Surgery Center LLC |
| Address | 1420 S 28th Ave |
| City | Hattiesburg |
| State | MS |
| ZIP | 39402 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | January 31, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $664.3K |
SOUTHERN EYE SURGERY CENTER LLC is an ophthalmologic surgery center focused heavily on cataract surgery and related anterior-segment procedures. The top Medicare codes are 66984, 66991, and 66982 and these procedures together account for 60.6% of the provider's total Medicare revenue, indicating cataract extraction with intraocular lens placement and combined cataract/glaucoma procedures are the core service line driving Medicare activity. Medicaid billing is similarly concentrated on cataract procedures, with 66984 alone representing 92.0% of the provider's total Medicaid revenue, supporting a business model centered on high-volume cataract care across payers.
Revenue concentration is pronounced across both payers, with the precomputed top-three share showing that 60.6% of Medicare revenue is tied to three cataract/glaucoma codes while Medicaid revenue is overwhelmingly dependent on a single code, 66984, at 92.0%. This concentration suggests payment risk or sensitivity for the practice if reimbursement or utilization for cataract procedures changes, and it implies limited diversification into non-cataract ophthalmic services in the billing mix presented.
In absolute scale the practice reports $1.2M in total Medicare revenue versus $664.3K in total Medicaid revenue, so Medicare represents the larger single-payer source while Medicaid is a meaningful secondary payer but substantially smaller. The presence of sizeable revenue from both payers indicates a mixed payer panel rather than a strictly single-payer reliance, but the provider’s Medicaid activity is heavily dominated by high-volume, lower-paid cataract claims (66984 paid $310 avg/claim in Medicaid vs $709 avg/claim in Medicare for the same code).
Competitive standing by code shows a mix of modest-to-strong positioning: for Medicare 66984 ranks #2487 of 15965 providers nationally (84th percentile), which indicates unremarkable but well-above-average national presence by volume for routine cataract extraction. Conversely, the provider is notably above typical national volume for code 66183 (rank #24 of 289, 92th percentile) — suggesting relatively strong specialization or referral traction in glaucoma drainage device placement compared with peers.
For Medicaid within Mississippi the provider is among the higher-volume performers for cataract work: 66984 ranks #7 of 42 in-state (85th percentile) and 66821 ranks #3 of 12 in-state (82th percentile), consistent with the practice being a meaningful regional provider of cataract surgery and YAG capsulotomy services. The single-state ranks imply this center competes effectively for routine cataract cases regionally but is not necessarily dominant across every subspecialty code reported in Medicaid.
Procedure-level observations show a difference in case mix intensity: Medicare billings include higher-reimbursement, lower-frequency complex retinal and glaucoma procedures (for example 67036, 66183, 67041 and several vitrectomy codes), whereas Medicaid activity is concentrated in high-volume, lower-paid cataract and post-cataract laser services (66984 and 66821). This pattern is consistent with a freestanding eye surgery center that handles large volumes of straightforward cataract cases and also performs select higher-complexity anterior- and posterior-segment operations for Medicare beneficiaries.
The provider’s NPI was enumerated on 2008-01-31 (~18 years ago), indicating a long tenure in the market; that duration supports the development of steady referral streams for routine cataract care that are evident in both Medicare and Medicaid volumes. Established presence combined with the observed code ranks suggests sustained operational activity rather than a recent entrant or transient practice.
A few codes are statistical outliers relative to peers and worth noting for utilization focus: Medicare code 66183 is labeled notably above typical national volume (92th percentile), indicating unusually high relative activity in insertion of an anterior chamber pressure-reducing device compared with national peers. In the Medicaid dataset, G8918 (patient without preoperative order for iv antibiotic SSI prophylaxis) ranks notably above typical state volume (94th percentile), which flags a high frequency of that administrative quality code in claims but does not, by itself, indicate clinical conclusions; it may reflect documentation, coding practices, or case-mix differences.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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… | 650 | $710 | $462.3K |
| 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… | 70 | $2,150 | $148.5K |
| 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… | 150 | $720 | $110.7K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 60 | $1,890 | $106K |
| 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 | $1,280 | $69.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 370 | $170 | $65.1K |
| 66989 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction using complex techniques and devices. The provider also inserts one or more anterior… | 20 | $2,130 | $51K |
| V2785 | Processing, preserving and transporting corneal tissue | 10 | $3,510 | $45.6K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 20 | $1,300 | $31.2K |
| 67039 | 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… | 20 | $1,240 | $26.1K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 17 | 240 | 70 | $470 | $90.5K |
| V2785 | 2 | 10 | 20 | $3,680 | $77.2K |
| 66991 | 5 | 20 | 40 | $1,300 | $62.6K |
| 66183 | 1 | 10 | 20 | $1,430 | $37.1K |
| 67041 | 4 | 10 | 20 | $1,090 | $35.9K |
| 66989 | 1 | 10 | 20 | $1,400 | $30.8K |
| 66174 | 8 | 10 | 50 | $680 | $29.2K |
| 67042 | 11 | 10 | 30 | $1,000 | $27.9K |
| 67036 | 3 | 10 | 20 | $890 | $25.7K |
| 15823 | 22 | 40 | 40 | $460 | $25.2K |
Showing 1–10 of 16
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… | 1,970 | $310 | $611.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 590 | $80 | $48.4K |
| 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… | 10 | $330 | $4.6K |
| 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… | 2,530 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 2,520 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi 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… | 7 | 40 | 300 | $180 | $191.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 3 | 10 | 160 | $50 | $18.3K |
| 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… | 1 | 10 | 10 | $330 | $4.6K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3 | 40 | 140 | $1 | $590 |
| 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… | 7 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Southern Eye Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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