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    OpenPayerNPI Medicare & MedicaidInsight Surgery & Laser Center, LLC
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    Insight Surgery & Laser Center, LLC — Billing Profile & Reimbursement Data

    NPI 1093726309 · Zanesville, OH · Ambulatory Surgical Clinic/Center

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    Insight Surgery & Laser Center, LLC is a ambulatory surgical clinic/center provider located in Zanesville, Ohio. This profile covers 9 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)

    FieldValue
    Entity TypeOrganization
    OrganizationInsight Surgery & Laser Center, LLC
    Address3973 Northpointe Dr
    CityZanesville
    StateOH
    ZIP43701
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 11, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$820.6K
    Medicare$800.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…790$760$602K
    66982The 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…80$770$61.4K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml530$80$40.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.210$190$39.7K
    68326The provider performs a surgical repair of the conjunctiva at the location where the tissue covering the eyeball and the eyelid meet, using the patient’s own conjunctival tissue as a graft or by…20$900$21.6K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…30$470$12.8K
    15823In 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…20$460$11.1K
    67950Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…20$350$8K
    66761The 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…20$110$2.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10971320860$80$98.1K
    66984169530210$110$92.8K
    15823345050$500$35.8K
    67904264040$540$28.2K
    669822815030$470$24.9K
    6832631020$710$19.2K
    668212736050$180$15.8K
    6795041020$360$12.8K
    66761203030$160$6.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…1,930$430$821.5K
    G8907Patient 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…220$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis220$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Ohio median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The 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…790180$410$234.6K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis94040$1$100
    G8907Patient 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…165090$1$60

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel MaldovanOHCertified Registered Nurse Anesthetist$62.1K$0
    Eric HooverOHCertified Registered Nurse Anesthetist$10.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Genesis Healthcare SystemOHGeneral Acute Care Hospital$0$101.8M
    Spero Health Of Ohio, LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$46M
    Allwell Behavioral Health ServicesOHMental Health Clinic/Center (Including Community Mental Health Center)$0$35M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$28.7M
    Mid-ohio Behavioral Health LLCOHMental Health Counselor$0$28.6M
    Genesis Medical Group LLCOHGeneral Practice Physician$0$15.2M
    Genesis Emergency Physicians LLCOHEmergency Medicine Physician$0$10.8M
    Muskingum Valley Health CentersOHFederally Qualified Health Center (FQHC)$0$9.7M
    Genesis Primary Care Physicians LLCOHFamily Medicine Physician$0$7.1M
    Coler Hospice, LtdOHCommunity Based Hospice Care Agency$0$6.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Insight Surgery & Laser Center, LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Insight Surgery & Laser Center, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio