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NPI 1104880723 · Asheville, NC · Ambulatory Surgical Clinic/Center
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Wnc Eye Surgery Centers Inc is a ambulatory surgical clinic/center provider located in Asheville, North Carolina. This profile covers 18 Medicare and 2 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 | Wnc Eye Surgery Centers Inc |
| Address | 8b Medical Park Dr |
| City | Asheville |
| State | NC |
| ZIP | 28803 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3M |
| Medicaid | $273.5K |
WNC EYE SURGERY CENTERS INC operates as an ambulatory surgical clinic/center with a clear ophthalmic and anterior segment surgical focus: the Medicare top codes are dominated by cataract extraction and lens implantation (66984, 66982, 66821), frequent use of the intraoperative ophthalmic irrigation agent J1097, plus activity in corneal tissue processing (V2785) and eyelid procedures (15823, 67908). This mix of codes indicates the facility primarily performs high-volume cataract procedures with ancillary corneal and oculoplastics services rather than a broad multispecialty surgical practice.
Medicare revenue is concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 82.0% of the provider’s total Medicare revenue, and those individual contributors are 66984 (57.9% of Medicare revenue), J1097 (19.6%), and 66821 (4.5%). These three lines (combined with a total Medicare revenue of $3M) anchor the center’s Medicare business model around cataract surgery and associated intraoperative therapies.
Medicaid billing is effectively single-line for clinical revenue: total Medicaid revenue is $273.5K and 100.0% of that Medicaid revenue is associated with 66984. In-state competitive data show 66984 ranks #7 of 74 providers (92th percentile), indicating the center is a prominent Medicaid cataract provider within North Carolina while Medicaid revenue remains much smaller in scale than Medicare.
The payer mix is heavily Medicare-dominant: the practice reports $3M in Medicare revenue versus $273.5K in Medicaid revenue, so Medicare represents the vast majority of reported public-payer volume and revenue for this facility. Medicaid is accepted and used for cataract cases, but it is a secondary revenue stream in absolute scale compared with Medicare.
On national competitive standing for its highest-volume Medicare codes, WNC EYE SURGERY CENTERS shows above-typical volume: 66984 ranks #834 of 15965 providers (95th percentile; notably above typical national volume), J1097 ranks #10 of 443 providers (98th percentile; notably above typical national volume), and 66821 ranks #148 of 10087 providers (99th percentile; notably above typical national volume). These ranks indicate the center is a major national-volume performer for cataract procedures and the specific intraoperative medication billed under J1097.
The center’s historical presence is long-standing: the NPI was enumerated on 2006-04-12 (~20 years ago), consistent with an established ambulatory surgical center likely maintaining steady procedural throughput and referral relationships in the region. That tenure, combined with the concentrated cataract/corneal procedure mix, supports an operational profile of a mature specialty eye surgery center.
Beyond cataract dominance, several procedure lines show unusually high volume relative to peers and suggest procedural breadth in anterior segment care: 65855 (laser trabeculoplasty) appears at the 97th percentile (notably above typical national volume) and 67908 (blepharoptosis procedure) is at the 96th percentile (notably above typical national volume). These signals imply meaningful activity in glaucoma-related laser interventions and select oculoplastic procedures in addition to the high-volume cataract work.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 2,240 | $770 | $1.7M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 7,710 | $80 | $586.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 690 | $190 | $133.2K |
| 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 | $730 | $109.1K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $3,770 | $105.6K |
| 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… | 140 | $470 | $67.8K |
| 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… | 20 | $2,290 | $50.3K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 30 | $1,360 | $39.5K |
| 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… | 70 | $510 | $34.8K |
| 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. | 20 | $1,410 | $26.7K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 10 | 1,240 | $80 | $151.9K |
| V2785 | 3 | 10 | 30 | $3,760 | $101.5K |
| 66984 | 96 | 580 | 230 | $70 | $73.7K |
| 66991 | 23 | 30 | 30 | $1,280 | $51.4K |
| 15823 | 6 | 50 | 50 | $520 | $40.3K |
| 67904 | 19 | 40 | 30 | $570 | $31.7K |
| 65820 | 29 | 40 | 30 | $790 | $31.4K |
| 67908 | 1 | 10 | 40 | $490 | $22.1K |
| 66982 | 11 | 130 | 30 | $100 | $20.8K |
| 65756 | 4 | 20 | 20 | $970 | $20.3K |
Showing 1–10 of 18
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.
2 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… | 2,320 | $120 | $273.5K |
| 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… | 230 | $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
2 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… | 7 | 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… | 21 | 60 | 170 | $0 | $0 |
Other providers in the same ZIP code as Wnc Eye Surgery Centers Inc, ranked by combined Medicare and Medicaid revenue.
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