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 New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Ocean County Eye Associates LLC (NPI 1093760019)

Field	Value
Entity Type	Organization
Organization	Ocean County Eye Associates LLC
Address	18 Mule Rd
City	Toms River
State	NJ
ZIP	08755
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

OCEAN COUNTY EYE ASSOCIATES LLC presents as an ambulatory surgical clinic/center focused primarily on ophthalmic surgery, with the largest single revenue line being cataract extraction with intraocular lens insertion (66984: $1.5M, 43.1% of Medicare revenue). The code mix — led by 66984, 66991 and high-volume ophthalmic drug codes — is consistent with an ASC that performs a high volume of cataract cases and concurrent intraocular procedures.

Revenue concentration is high: the precomputed top three Medicare codes account for 71.3% of this provider's total Medicare revenue, driven by 66984 ($1.5M, 43.1%), J1096 ($504.4K, 14.7%), and 66991 ($463.1K, 13.5%). This concentration indicates the practice’s financial performance is heavily dependent on a small set of ophthalmic surgical and drug codes.

Payer mix is effectively single-payer: Medicare revenue totals $3.4M while there is no Medicaid billing on file. The absence of Medicaid billing suggests the provider’s Medicare business is the dominant revenue stream and that the patient population or contracting footprint may be concentrated in the senior/Medicare demographic.

Competitive standing is mixed by code: the provider is an extreme national outlier for 66991 (ranks #14 of 1445 providers nationally, 99th percentile; extreme outlier, far above typical national volume for this code) and is notably above typical national volume for J1096 (ranks #7 of 282, 98th percentile). By contrast, 66984 ranks #1313 of 15965 (92th percentile; typical, unremarkable volume for this code), indicating the practice is nationally prominent for some specialized intraocular procedures but delivers a more typical volume of routine cataract surgeries.

Patterns in ophthalmic drug use support a high-touch perioperative model: J1096 has 5K claims totaling $504.4K (14.7% of Medicare revenue) and J1097 has 4.2K claims totaling $319.8K (9.3%), both showing substantial utilization relative to peers. Heavy use of those medications—one an ophthalmic steroid insert and the other an irrigation solution—suggests routine in‑procedure pharmacologic management and recurring supply needs that align with an ASC performing frequent cataract and anterior-segment procedures.

Glaucoma-focused procedures are a meaningful secondary service line: 66183 (implant) produced $153.7K (4.5% of Medicare revenue) and ranks #13 of 289 providers nationally (95th percentile; notably above typical national volume for this code), and 66174 (outflow expansion) produced $94.9K (2.8%) and ranks #28 of 741 (96th percentile; notably above typical national volume). These elevated ranks for glaucoma device and canaloplasty-type codes indicate the provider performs above-typical volumes for glaucoma interventions relative to peers, supporting a combined cataract-plus-glaucoma surgical practice profile.

The practice has operational tenure: the NPI was enumerated on 2006-05-24 (~20 years ago), indicating an established presence in the market. Coupled with $3.4M in Medicare revenue and high ranking on select codes, this longevity suggests an entrenched ASC-level operation with specialized service lines.

From a risk and strategic perspective, the provider’s reliance on a narrow set of high-revenue codes (top three = 71.3%) and exclusive Medicare exposure creates sensitivity to reimbursement and utilization policy changes that affect those specific CPT/HCPCS lines. While specialization (notably for 66991 and J1096) supports competitive advantage in certain procedures, it also concentrates revenue risk if payment or clinical guidelines shift for those codes.

Medicare: Complete Services Breakdown

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…	1,670	$890	$1.5M
J1096	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	5,040	$100	$504.4K
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…	180	$2,650	$463.1K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	4,210	$80	$319.8K
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.	70	$2,360	$153.7K
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	$880	$128.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	470	$230	$104.6K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	110	$870	$94.9K
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.	80	$960	$73.2K
67908	The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…	50	$580	$29.2K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Ocean County Eye Associates LLC — 6 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1096	2	20	860	$100	$162.9K
66984	7	370	100	$670	$141.2K
J1097	2	20	860	$80	$123.6K
66991	2	50	30	$2,020	$82.9K
66183	1	10	20	$1,580	$59.9K
65820	6	60	30	$1,130	$50.9K
66982	10	160	30	$740	$40.7K
66174	2	40	30	$860	$34.5K
67904	10	20	40	$600	$32.3K
67908	2	10	30	$560	$18.4K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Ocean County Eye Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Medical Center Inc	NJ	General Acute Care Hospital	$0	$88.3M
Preferred Behavioral Health Of Nj	NJ	Community/Behavioral Health Agency	$0	$18.3M
Community Surgical Supply Of Toms River LLC	NJ	Oxygen Equipment & Supplies (DME)	$0	$17M
Spring Oak Of Toms River Alp LLC	NJ	Assisted Living Facility	$0	$10.1M
Magnolia Gardens South LP	NJ	Assisted Living Facility	$0	$8.1M
Jersey Innovative Services LLC	NJ	Community/Behavioral Health Agency	$0	$7.9M
The Residence At Lakeridge LLC	NJ	Assisted Living Facility	$0	$7.6M
Mohammedyusuf Hajee	NJ	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Haris Amin	NJ	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
David Dickerson	NJ	Orthopaedic Surgery Physician	$171.5K	$1.7M

Ocean County Eye Associates LLC — Billing Profile & Reimbursement Data

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Ocean County Eye Associates LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References