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NPI 1083674196 · Meridian, ID · Ambulatory Surgical Clinic/Center
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Vision Care Center Of Idaho LLC is a ambulatory surgical clinic/center provider located in Meridian, Idaho. This profile covers 3 Medicare and 1 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 | Vision Care Center Of Idaho LLC |
| Address | 3071 E Franklin Rd |
| City | Meridian |
| State | ID |
| ZIP | 83642 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $456K |
| Medicaid | $62.7K |
The provider operates as an ambulatory surgical clinic with a clear procedural focus on intraocular lens implantation and cataract extraction, supplemented by limbal glaucoma procedures; the top billed codes are 66984, 65820, and 66982, whose descriptions indicate routine cataract surgery with lens insertion and a smaller volume of more complex intraocular lens work and limbus incision for aqueous drainage. This code mix is consistent with an ophthalmic surgical center rather than a broad multispecialty clinic.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 100.0% of this provider's Medicare revenue, with 66984 alone representing 82.2% of Medicare revenue ($375.1K) and 65820 contributing 15.3% ($69.9K). Each of these Medicare codes is described in the source data as having "typical, unremarkable volume," and their reported ranks (66984: #3040 of 15965, 65820: #280 of 1249, 66982: #4187 of 4580) should be interpreted in that context.
Medicaid activity is narrowly concentrated and effectively single-code: the precomputed top three Medicaid codes account for 100.0% of Medicaid revenue, and 66984 alone accounts for 100.0% of this provider's Medicaid revenue ($62.6K from 146 claims). That Medicaid billing sits at rank #8 of 15 providers in-state (50th percentile) and is labeled "typical, unremarkable volume," indicating a middle-tier in-state presence for this procedure.
Payer mix is skewed strongly toward Medicare in scale: total Medicare revenue is $456K versus total Medicaid revenue of $62.7K, so Medicare represents the dominant payer by dollars for this practice. Given that Medicaid revenue is entirely concentrated in 66984 while Medicare covers a broader set of the same surgical codes, the practice functions as Medicare-focused in revenue terms.
Competitive standing is modest-to-solid rather than dominant: for Medicare 66984 the practice ranks #3040 of 15965 providers nationally (81th percentile) and that percentile, paired with the data label "typical, unremarkable volume," suggests a reasonable national footprint for routine cataract work but not an outsized market dominance. For Medicaid, the in-state rank of #8 of 15 for 66984 (50th percentile) indicates a mid-level state competitor for that procedure rather than a leading pediatric glaucoma or complex-IOL center.
The clinic shows clear payer-level price variation that affects revenue: average paid per claim for 66984 is reported as $793 on Medicare versus $429 on Medicaid, which helps explain why the same procedure generates a far larger dollar share for Medicare even though both payers show meaningful claim counts for 66984. This demonstrates the impact of payer reimbursement differences on the practice's revenue mix without implying any change in clinical volume patterns.
The provider has been enumerated for a prolonged period, with NPI registration dated 2006-03-23 (~20 years ago), indicating long tenure in the Medicare/Medicaid billing environment; this tenure supports interpreting the observed code mix as an established operational pattern rather than a temporary or startup phase.
None of the top-billed codes are flagged as statistical outliers in the source notes; all three principal Medicare codes and the Medicaid top code carry the plain-English label "typical, unremarkable volume," so there are no immediate red flags for unusually high or anomalous billing intensity among the top revenue drivers.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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… | 470 | $790 | $375.1K |
| 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. | 50 | $1,490 | $69.9K |
| 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… | 10 | $790 | $11.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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.
1 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… | 150 | $430 | $62.6K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
1 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… | 8 | 20 | 150 | $360 | $178.3K |
Other providers in the same ZIP code as Vision Care Center Of Idaho LLC, ranked by combined Medicare and Medicaid revenue.
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