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NPI 1114923471 · Boise, ID · Ambulatory Surgical Clinic/Center
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Surgicare Center Of Idaho, LLC is a ambulatory surgical clinic/center provider located in Boise, Idaho. This profile covers 7 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 | Surgicare Center Of Idaho, LLC |
| Address | 360 E Mallard Dr |
| City | Boise |
| State | ID |
| ZIP | 83706 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 22, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $208.6K |
SURGICARE CENTER OF IDAHO, LLC operates primarily as an ambulatory surgical clinic focused on ophthalmic procedures: the Medicare and Medicaid top codes (66984, 66821, 66991, 66982) are all cataract- and anterior-segment related procedures, indicating the facility’s service-line is concentrated on cataract extraction, intraocular lens insertion, and related laser posterior capsulotomy and glaucoma interventions. The presence of high-volume cataract codes across both payers suggests the center functions as a high-throughput eye surgery clinic rather than a multi-specialty ASC.
Revenue concentration is high for both payers: precomputed figures show the top 3 Medicare codes account for 92.4% of the provider’s total Medicare revenue, and the top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue. This concentration implies financial performance is heavily dependent on a small set of ophthalmology procedures—chiefly 66984 and related cataract/lens codes.
Medicare dominates this provider’s public-payer mix in scale: lifetime Medicare revenue is $1.1M compared with $208.6K in Medicaid, indicating Medicare receipts are roughly five times larger than Medicaid receipts. While both payers are represented, the center is effectively Medicare-led in revenue terms and Medicaid is a much smaller contributor to overall public-payer volume.
Code-level competitive standing is mixed. For Medicare, 66984 (cataract extraction with lens insertion) accounts for $756.1K and 71.8% of Medicare revenue and ranks #2063 of 15965 providers nationally (87th percentile), which is a solid national volume but described as typical rather than dominant. By contrast, Medicare code 66821 ranks #191 of 10087 (98th percentile) and is labeled notably above typical national volume, indicating the center has exceptional activity for posterior capsulotomy procedures versus peers.
On Medicaid, the provider’s 66984 activity also dominates Medicaid revenue: 66984 represents $206.4K and 98.7% of Medicaid revenue and ranks #5 of 15 in-state (71st percentile). That ranking places the center among the higher-volume in-state performers for this procedure but not as an outlier; Medicaid billing is concentrated almost entirely in a single cataract code.
Several Medicare codes show typical peer standing while one stands out: 66984 and 66982 are characterized as typical, unremarkable volume despite high share of the center’s Medicare revenue, whereas 66821 is explicitly noted as notably above typical national volume, signaling a particular strength in laser capsulotomy relative to national peers. This mix suggests the center performs routine cataract surgery at expected volumes but has a disproportionately large capsulotomy service compared with most providers.
The NPI was enumerated on 2005-06-22 (~21 years ago), indicating the center has long tenure in its market. That sustained presence combined with concentrated cataract throughput supports an interpretation of an established, specialized ambulatory ophthalmic practice rather than a recently launched entrant.
Procedure-level reimbursement patterns differ between payers: average paid/claim for Medicaid 66984 is listed as $264 while Medicare 66984 shows $821 avg paid/claim, and the Medicaid 66984 volume (782 claims) closely mirrors Medicare 66984 claims (921) but generates far less revenue per claim. This suggests payer reimbursement differentials significantly affect revenue composition even when volumes by procedure are similar.
The Medicaid code mix includes minor non-procedural items (V2632 and G8907) that together account for a small residual of Medicaid revenue beyond 66984; these appear to be administrative or implant supply codes rather than separate service lines, reinforcing that clinical revenue is almost exclusively driven by cataract procedures in the Medicaid population.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 920 | $820 | $756.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 550 | $210 | $113.6K |
| 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… | 40 | $2,470 | $103.6K |
| 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 | $810 | $67.3K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 70 | $100 | $7K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 30 | $140 | $3.8K |
| 68760 | The provider closes the lacrimal punctum with heat cauterization, ligation, or laser. The procedure shrinks the punctum and causes scarring, which results in closure. The procedure is performed to… | 30 | $50 | $1.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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… | 780 | $260 | $206.4K |
| V2632 | Posterior chamber intraocular lens | 700 | $1 | $1.4K |
| 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… | 130 | $10 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho 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… | 5 | 20 | 150 | $360 | $178.3K |
| V2632 | Posterior chamber intraocular lens | 1 | 10 | 400 | $10 | $2.1K |
| 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… | 14 | 20 | 210 | $1 | $680 |
Other providers in the same ZIP code as Surgicare Center Of Idaho, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Safeway Inc | ID | Community/Retail Pharmacy | $76.1M | $330 |
| Albertsons LLC | ID | Community/Retail Pharmacy | $29M | $0 |
| American Drug Stores LLC | ID | Community/Retail Pharmacy | $27.3M | $0 |
| Vons Companies Inc | ID | Community/Retail Pharmacy | $12.7M | $0 |
| Nai Saturn Eastern LLC | ID | Community/Retail Pharmacy | $12.6M | $0 |
| Smiles 4 Kids | ID | Dentist | $0 | $9.6M |
| Acme Markets Inc | ID | Community/Retail Pharmacy | $9.5M | $0 |
| Randalls Food & Drugs LP | ID | Community/Retail Pharmacy | $6.7M | $0 |
| Shaws Supermarkets Inc | ID | Community/Retail Pharmacy | $5.5M | $0 |
| Saint Alphonsus Regional Medical Center Inc | ID | General Acute Care Hospital | $0 | $5.1M |
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