Loading...
NPI 1114253093 · Evansville, IN · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Crescent City Surgery Center LLC is a ambulatory surgical clinic/center provider located in Evansville, Indiana. This profile covers 17 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 | Crescent City Surgery Center LLC |
| Address | 6201 E Columbia St |
| City | Evansville |
| State | IN |
| ZIP | 47715 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 27, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $165K |
CRESCENT CITY SURGERY CENTER LLC presents as an ophthalmic-focused ambulatory surgical center: its Medicare and Medicaid billing is dominated by cataract and posterior‑segment ophthalmic procedures, with high-volume codes for cataract extraction/intraocular lens insertion (66984) and multiple vitrectomy/retinal repair codes (67036, 67108, 67041, 67042) appearing in the top CPTs reported. The code mix — heavy on cataract, vitreoretinal, and corneal procedures — is consistent with a specialty eye surgery center rather than a general ambulatory surgery facility.
Medicare revenue concentration is high: the precomputed top three Medicare codes account for 73.1% of the provider's total Medicare revenue, with a single code, 66984, alone representing $1.4M and 61.4% of the provider's Medicare revenue. That concentration indicates a business model strongly centered on cataract surgery for the Medicare population.
Medicaid billing is effectively single-procedure dominated: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, and Medicaid revenue in total is $165K with $164.8K (749 claims, $220 avg paid/claim) attributable to 66984. This suggests the center accepts Medicaid primarily for cataract procedures and has little Medicaid diversification across other ophthalmic procedures.
Payer mix is heavily Medicare‑weighted: lifetime Medicare revenue is $2.3M versus lifetime Medicaid revenue of $165K, indicating Medicare is by far the principal payer driving this center's volume and revenue. Analysts should treat the facility as effectively Medicare‑centric when assessing revenue risk and utilization trends.
Competitive standing for cataract services is broad but not extreme: for Medicare, 66984 ranks #1205 of 15965 providers nationally (92th percentile; typical, unremarkable volume for this code), and for Medicaid 66984 ranks #22 of 62 in-state (66th percentile; typical, unremarkable volume). In practice, the center delivers substantial cataract volume without being an outlier at the national level for that single procedure.
The practice appears to be a regional leader in complex posterior‑segment surgery: several vitreoretinal and retinal repair codes show high national standing and are flagged as "notably above typical national volume" — for example, 66821 (555 claims, $109.3K; 98th percentile), 67036 (71 claims, $104.7K; 96th percentile), 67108 (64 claims, $94.2K; 97th percentile), and 67041 (58 claims, $85.8K; 97th percentile). These elevated percentiles indicate a disproportionate focus and capacity for complex retinal and vitrectomy procedures relative to most providers.
The center also reports meaningful corneal-related activity: V2785 (processing/preserving corneal tissue) generated $152.5K (42 claims, $3631 avg paid/claim), representing 6.5% of Medicare revenue and ranking #39 of 231 providers nationally (82th percentile), while full corneal transplant 65756 contributed $47.4K (32 claims). This combination of tissue processing and transplant codes supports an operational capability in corneal surgery and eye-bank related services.
The provider is an established operation with longstanding enrollment: the NPI was enumerated 2009-10-27 (~17 years ago), which, combined with concentrated cataract and specialty retinal volumes, suggests a stable, specialized ambulatory surgical center that has maintained consistent ophthalmic surgical activity over time. Analysts should consider tenure alongside the high Medicare dependence when evaluating future capacity or payer‑mix shifts.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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… | 1,770 | $810 | $1.4M |
| V2785 | Processing, preserving and transporting corneal tissue | 40 | $3,630 | $152.5K |
| 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 | $820 | $120.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 560 | $200 | $109.3K |
| 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. | 70 | $1,470 | $104.7K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 60 | $1,470 | $94.2K |
| 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… | 60 | $1,480 | $85.8K |
| 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… | 40 | $1,480 | $57.6K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 30 | $1,480 | $47.4K |
| 67039 | 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… | 30 | $1,480 | $37K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 2 | 10 | 30 | $2,930 | $182K |
| 66984 | 6 | 450 | 50 | $480 | $87.5K |
| 65756 | 7 | 20 | 30 | $1,030 | $49.5K |
| 67042 | 3 | 20 | 20 | $1,310 | $47K |
| 67113 | 3 | 10 | 20 | $1,400 | $44.8K |
| 65820 | 19 | 30 | 30 | $840 | $38.6K |
| 67036 | 2 | 10 | 30 | $1,040 | $37.4K |
| 67039 | 2 | 10 | 20 | $1,280 | $34.5K |
| 67108 | 2 | 20 | 20 | $1,150 | $32.2K |
| 66982 | 6 | 120 | 30 | $600 | $29.4K |
Showing 1–10 of 17
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… | 750 | $220 | $164.8K |
| 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… | 400 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana 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… | 22 | 60 | 350 | $270 | $229.7K |
| 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… | 24 | 70 | 320 | $0 | $0 |
Other providers in the same ZIP code as Crescent City Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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.