Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Heritage Eye Surgery Center, LLC (NPI 1083837926)

Field	Value
Entity Type	Organization
Organization	Heritage Eye Surgery Center, LLC
Address	6922 S. Western
City	Oklahoma City
State	OK
ZIP	73139
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicare	$722.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 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…	480	$800	$385.7K
J1096	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	1,620	$100	$162.3K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	1,410	$80	$107.4K
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…	40	$810	$28.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	150	$180	$27.4K
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…	30	$410	$10.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Heritage Eye Surgery Center, LLC — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	3	10	1,410	$80	$111.4K
J1096	1	10	560	$100	$89.9K
66984	31	350	40	$430	$69.3K
15823	26	40	50	$510	$39.7K
66982	24	60	30	$590	$27.1K
66821	26	220	40	$210	$15.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Heritage Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Powell	OK	Ophthalmology Physician	$311.5K	$0

Nearby Providers

Other providers in the same ZIP code as Heritage Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$53.3M
Ace Hts, Inc	OK	Developmentally Disabled Services Day Training Agency	$0	$29.9M
Hope Community Services, Inc.	OK	Community/Behavioral Health Agency	$0	$16.1M
Oklahoma Mental Health Council	OK	Community/Behavioral Health Agency	$0	$5M
New Life Youth's & Family Counseling Services, Inc	OK	Community/Behavioral Health Agency	$0	$3.5M
Dental Depot 62nd & South Western PLLC	OK	General Practice Dentistry	$0	$3.5M
Dental Depot South	OK	General Practice Dentistry	$0	$3.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$3.1M
Oklahoma Center For Orthopaedic & Multi-specialty Surgery, LLC	OK	General Acute Care Hospital	$0	$2.8M
Empowerment Community Services	OK	Community/Behavioral Health Agency	$0	$2.6M

Heritage Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

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Heritage Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References