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NPI 1093960395 · Hickory, NC · Ambulatory Surgical Clinic/Center
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Graystone Eye Surgery Center LLC is a ambulatory surgical clinic/center provider located in Hickory, North Carolina. This profile covers 20 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 | Graystone Eye Surgery Center LLC |
| Address | 2424 Century Pl Se |
| City | Hickory |
| State | NC |
| ZIP | 28602 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 1, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $65.2K |
This entity operates as an ophthalmology-focused ambulatory surgical center: the case mix is dominated by cataract surgery and intraocular lens procedures (notably 66984, 66821, 66982) and also includes retina (67041, 67036, 67042) and glaucoma device work (66991, 66183), plus oculoplastic procedures (67900, 15823). The distribution of codes indicates a facility set up to perform both high-volume routine cataract cases and a meaningful set of more complex anterior and posterior segment surgeries.
Medicare revenue is concentrated in a very small set of procedures: the precomputed top 3 Medicare codes by revenue account for 80.0% of the provider’s total Medicare revenue. Those leading codes are 66984 ($1.6M, 69.9% of Medicare revenue), 66821 ($151K, 6.4%), and 66982 ($84.8K, 3.6%), which together drive the vast majority of Medicare receipts.
Medicaid billing is almost entirely concentrated in a single procedure line: the top 3 Medicaid codes account for 100.0% of Medicaid revenue, and 66984 alone represents $64.8K (100.0% of this provider’s Medicaid revenue). Medicaid activity is therefore narrowly focused on cataract/lens insertion services rather than a broader service mix.
The provider’s payer mix is effectively Medicare-dominant: total Medicare revenue is $2.3M compared with total Medicaid revenue of $65.2K, indicating Medicare-driven volume and revenue underpinning the center’s operations. Medicaid plays a very small role in the practice’s overall revenue scale.
Competitive standing on Medicare cataract procedures is strong: 66984 ranks #939 of 15,965 providers nationally (94th percentile) and is described as notably above typical national volume, and 66821 ranks #130 of 10,087 providers nationally (99th percentile) with the same "notably above typical" characterization. These positions suggest the center is a major regional/national-volume provider for routine cataract extraction and related laser capsulotomy work.
Several specialized procedure codes point to above-typical regional performance in retina and complex cataract care: 67041 (removal of retinal membrane/vitreous) appears with $69.1K revenue and ranks #30 of 461 providers nationally (noted as notably above typical national volume), while complex cataract and device codes such as 66982 and 66991 are present at measurable volumes. Together these entries indicate capability to perform both posterior-segment and complex anterior-segment surgeries beyond straightforward cataract cases.
On the Medicaid side the provider’s competitive placement is more modest: 66984 for Medicaid ranks #21 of 74 in-state (73rd percentile), characterized as typical or unremarkable state volume, so the center is above median but not among the highest statewide performers for Medicaid cataract billing. Additionally, the facility reports high counts of quality/administrative G-codes (G8907 and G8918 with ~1.5K claims each and $0 revenue) that rank in the 95th percentile in-state, indicating extensive reporting of preoperative/process measures rather than reimbursed service lines.
The provider is an established operation with longevity: NPI enumerated on 2008-12-01 (~18 years ago), supporting an inference of sustained specialty surgical activity. Combined with concentrated Medicare revenue and consistently high national percentiles on key ophthalmic codes, this suggests a stable, Medicare-oriented ambulatory surgical center specializing in cataract and related ophthalmic surgery.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 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… | 2,100 | $780 | $1.6M |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 800 | $190 | $151K |
| 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… | 110 | $750 | $84.8K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 50 | $1,410 | $69.1K |
| 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… | 30 | $2,380 | $66.5K |
| 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. | 40 | $1,390 | $54.3K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 30 | $1,420 | $42.7K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 30 | $1,350 | $41.9K |
| 67040 | The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the… | 20 | $1,430 | $32.8K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 60 | $500 | $28.3K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 106 | 580 | 230 | $70 | $73.7K |
| 66991 | 16 | 30 | 30 | $1,280 | $51.4K |
| 15823 | 15 | 50 | 50 | $520 | $40.3K |
| 66183 | 11 | 10 | 30 | $1,200 | $35.9K |
| 67904 | 28 | 40 | 30 | $570 | $31.7K |
| 65820 | 12 | 40 | 30 | $790 | $31.4K |
| 67042 | 9 | 30 | 20 | $990 | $23.8K |
| 67041 | 1 | 10 | 20 | $1,050 | $23.2K |
| 67040 | 2 | 10 | 20 | $1,100 | $20.9K |
| 66982 | 13 | 130 | 30 | $100 | $20.8K |
Showing 1–10 of 20
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… | 800 | $80 | $64.8K |
| G8907 | Patient 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… | 1,490 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1,490 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina 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… | 21 | 70 | 130 | $160 | $107.5K |
| G8907 | Patient 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… | 4 | 60 | 170 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3 | 40 | 70 | $0 | $0 |
Other providers in the same ZIP code as Graystone Eye Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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