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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Eye Surgery Center Of Augusta, LLC (NPI 1104987957)

Field	Value
Entity Type	Organization
Organization	Eye Surgery Center Of Augusta, LLC
Address	3658 J Dewey Gray Cir
City	Augusta
State	GA
ZIP	30909
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicare	$3.2M
Medicaid	$0

Key Findings

EYE SURGERY CENTER OF AUGUSTA, LLC operates as an ambulatory surgical clinic/center with a procedure mix dominated by cataract extraction and intraocular procedures; its top revenue-driving codes are 66984 (2.1K claims, $763 avg paid/claim, $1.6M revenue, 50.0% of Medicare revenue), J1097 (8K claims, $76 avg paid/claim, $604.7K revenue, 19.1%), and 66821 (1.3K claims, $195 avg paid/claim, $259.9K revenue, 8.2%), which together reflect routine cataract surgery, perioperative ophthalmic irrigation use, and post‑cataract YAG capsulotomy services.

Revenue concentration is very high: the precomputed top-3 Medicare codes account for 77.3% of the provider’s total Medicare revenue, out of a lifetime Medicare total of $3.2M. That concentration signals a business model heavily dependent on cataract-related services rather than a broad procedural mix.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $3.2M and Medicaid billing is listed as none below, so there is no Medicaid revenue on file. This limited payer diversification raises exposure to Medicare pricing and utilization changes and reduces Medicaid contracting leverage.

The provider is a national-volume leader for routine cataract extraction: 66984 ranks #944 of 15965 providers nationally (94th percentile; notably above typical national volume for this code) with 2.1K claims and $1.6M in revenue, indicating outsized procedural volume for a single ASC/clinic compared with peers.

J1097 (ophthalmic irrigation solution) activity is particularly concentrated and unusually high: the code shows 8K claims and $604.7K revenue and ranks #8 of 443 providers nationally (98th percentile; notably above typical national volume for this code). This suggests the center either performs a very high throughput of irrigation‑using procedures or bills irrigation consistently across many cases.

66821 (YAG capsulotomy) is an extreme outlier for national volume: it ranks #68 of 10087 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) with 1.3K claims and $259.9K revenue, consistent with a large post‑cataract follow‑up practice or high rates of posterior capsular opacification treatment.

Glaucoma and implant procedures are a visible secondary service line: 66991 (100 claims, $2324 avg paid/claim, $232.4K revenue) ranks #74 of 1445 providers nationally (95th percentile; notably above typical national volume for this code), 65820 (104 claims, $1402 avg paid/claim, $145.8K revenue) ranks #52 of 1249 providers nationally (96th percentile; notably above typical national volume), and 66179 (51 claims, $1829 avg paid/claim, $93.3K revenue) ranks #3 of 26 providers nationally (92th percentile; notably above typical national volume). Together these entries indicate capacity for glaucoma drainage and implant procedures beyond routine cataract work.

The NPI was enumerated 2006-12-13 (~20 years ago), indicating long tenure in the market. Given that longevity plus the high national ranks on multiple cataract and glaucoma codes, the center appears to be an established regional operator with specialized ophthalmic procedural scale but limited payer diversification due to absent Medicaid billing.

Medicare: Complete Services Breakdown

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…	2,080	$760	$1.6M
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	7,960	$80	$604.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	1,330	$200	$259.9K
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…	100	$2,320	$232.4K
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.	100	$1,400	$145.8K
66179	In this procedure, the provider places, by external approach, an aqueous shunt, an implantable device in the aqueous humor of the eye. The shunt facilitates drainage and thereby reduces the overall…	50	$1,830	$93.3K
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…	80	$720	$60.8K
V2785	Processing, preserving and transporting corneal tissue	20	$3,490	$59.3K
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…	80	$480	$37.8K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	20	$1,430	$25.7K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Eye Surgery Center Of Augusta, LLC — 5 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	1	20	760	$80	$120.4K
V2785	7	10	20	$3,460	$110.7K
66984	40	410	190	$160	$103.1K
66179	1	10	50	$1,280	$65.2K
66991	1	40	30	$1,620	$60.1K
65820	3	40	30	$1,000	$39K
65756	11	20	20	$1,180	$31.9K
15823	11	60	40	$520	$23.5K
66982	10	110	20	$490	$21.9K
66821	2	270	60	$210	$20.9K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Faircloth Bakeman Partnership	GA	Oral and Maxillofacial Surgery (Dentist)	$0	$4M
Augusta Obstetrics And Gynecology Specialists, LLC	GA	Obstetrics & Gynecology Physician	$0	$3.7M
Oksana Demediuk	GA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Pediatricare Pm	GA	Pediatrics Physician	$0	$2.8M
Doctors Hospital Of Augusta LLC	GA	General Acute Care Hospital	$0	$2.2M
Joseph M Still Burn Centers, Inc	GA	Specialist	$0	$2M
Eugene Long	GA	Hematology & Oncology Physician	$1.9M	$0
Ranjit Dhaliwal	GA	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Dennis Marcus	GA	Ophthalmology Physician	$1.8M	$0
David Squires	GA	Hematology & Oncology Physician	$1.6M	$0

Eye Surgery Center Of Augusta, LLC — Billing Profile & Reimbursement Data

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Eye Surgery Center Of Augusta, 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