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NPI 1073845087 · Phoenix, AZ · Ambulatory Surgical Clinic/Center
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Eye Surgery Centers Of Arizona, LLC is a ambulatory surgical clinic/center provider located in Phoenix, Arizona. This profile covers 15 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 Centers Of Arizona, LLC |
| Address | 2222 E Highland Ave Ste 101 |
| City | Phoenix |
| State | AZ |
| ZIP | 85016 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 2, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.7M |
| Medicaid | $1.5M |
Service-line profile: The provider’s CPT mix is concentrated in operative ophthalmology consistent with its taxonomy as an Ambulatory Surgical Clinic/Center, with high-volume cataract surgery and intraocular lens procedures (notably 66984 and related lens codes) alongside ancillary services such as corneal tissue processing (V2785) and intraoperative irrigation (J1097). This mix indicates the site operates primarily as a cataract/IOL surgical center with supporting corneal services rather than a broad multispecialty outpatient clinic.
Medicare revenue concentration: Medicare billing is highly concentrated — the precomputed top 3 Medicare codes account for 85.1% of this provider’s total Medicare revenue, and a single code, 66984, alone contributes $2.8M (74.6% of Medicare revenue) across 3.3K claims. That concentration signals operational dependence on extracapsular cataract extraction with IOL placement as the dominant revenue driver within the Medicare population.
Medicaid revenue concentration: Medicaid billing is almost entirely focused on one procedure set — the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with 66984 responsible for $1.4M (97.4% of Medicaid revenue) over 4K claims. This indicates the provider’s Medicaid activity is effectively single-service focused around cataract extraction and lens insertion.
Payer mix and scale: The practice reports Total Medicare revenue of $3.7M versus Total Medicaid revenue of $1.5M, showing materially larger Medicare receipts while maintaining meaningful Medicaid volume, particularly for cataract surgery. The data describe a provider that is not single-payer dependent but has a clear Medicare scale advantage in absolute dollars.
Competitive standing — Medicare: For Medicare cataract work this provider is a strong national participant; 66984 ranks #397 of 15965 providers nationally (98th percentile) and 66821 ranks #100 of 10087 providers nationally (99th percentile, labeled an "extreme outlier"). Additional codes such as V2785 (rank #30 of 231, 87th percentile) and 66761 (rank #18 of 671, 97th percentile) further support that certain services are performed at volumes notably above typical national peers.
Competitive standing — Medicaid/statewide: Within Arizona Medicaid, the provider is a major cataract surgical participant — 66984 ranks #3 of 75 providers in-state (97th percentile) and 66821 ranks #8 of 24 in-state (70th percentile). The state ranking for 66984 indicates the provider is among the top in-state filers for standard extracapsular cataract extraction with IOL placement.
Tenure and operational implication: The NPI was enumerated on 2010-02-02 (~16 years ago), indicating established operations over an extended period; combined with persistent high-volume billing for 66984 across both payers, this suggests a stable, procedure-focused surgical center model rather than a recently launched initiative. Sustained volumes and high percentile ranks on cataract and related codes imply established referral pathways and capacity for high-throughput cataract/IOL cases.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 3,310 | $840 | $2.8M |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 1,040 | $200 | $210.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 50 | $3,400 | $180.3K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,360 | $80 | $179.4K |
| 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… | 60 | $2,530 | $151.9K |
| 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… | 90 | $830 | $73.7K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 50 | $1,530 | $71.7K |
| 66986 | The provider removes a previously placed intraocular lens and places a new one. | 40 | $750 | $27.1K |
| 65426 | During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft. | 20 | $690 | $13.8K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 90 | $120 | $11.6K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 1 | 270 | 150 | $580 | $159.7K |
| V2785 | 2 | 10 | 30 | $3,500 | $146.8K |
| J1097 | 1 | 10 | 510 | $80 | $58.7K |
| 66991 | 8 | 60 | 30 | $1,540 | $56.9K |
| J2403 | 4 | 10 | 57,600 | $1 | $39.5K |
| 65756 | 2 | 10 | 20 | $1,250 | $37.6K |
| 66982 | 10 | 100 | 30 | $690 | $27.5K |
| 66821 | 1 | 210 | 70 | $220 | $26.5K |
| 65426 | 3 | 10 | 20 | $620 | $14.3K |
| 66986 | 3 | 10 | 20 | $530 | $12.8K |
Showing 1–10 of 15
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… | 4,040 | $360 | $1.4M |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 360 | $90 | $31.8K |
| 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… | 10 | $610 | $7.3K |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona 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… | 3 | 80 | 390 | $330 | $311.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 8 | 20 | 90 | $100 | $22.8K |
| 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… | 14 | 20 | 30 | $320 | $18.7K |
Other providers in the same ZIP code as Eye Surgery Centers Of Arizona, LLC, ranked by combined Medicare and Medicaid revenue.
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