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NPI 1124116264 · Boston, MA · Ambulatory Surgical Clinic/Center
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Boston Eye Surgery & Laser Center Trust is a ambulatory surgical clinic/center provider located in Boston, Massachusetts. This profile covers 19 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 | Boston Eye Surgery & Laser Center Trust |
| Address | 50 Staniford St |
| City | Boston |
| State | MA |
| ZIP | 02114 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $415.8K |
BOSTON EYE SURGERY & LASER CENTER TRUST’s billing profile is dominated by cataract surgery and corneal procedures, with Medicare top codes focused on lens implantation and corneal tissue processing (notably 66984, V2785, and 66982). The code mix — high-volume extracapsular cataract extraction with intraocular lens insertion (66984 and 66982) alongside substantial corneal transplant/processing activity (V2785, 65756) — indicates the facility operates primarily as an ophthalmic ambulatory surgical center with both routine cataract surgery and specialized corneal services.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes by revenue account for 74.9% of the provider’s total Medicare revenue, signaling dependence on a small set of surgical ophthalmology procedures for most Medicare receipts. For Medicaid the top 3 codes account for 100.0% of Medicaid revenue, reflecting an even more concentrated Medicaid case mix dominated by a single procedure.
On scale, Medicare revenue ($2.1M) substantially exceeds Medicaid revenue ($415.8K), indicating the provider’s commercial footprint is weighted toward Medicare beneficiaries and that Medicaid represents a smaller share of lifetime billed revenue. This payer mix suggests patient volume and reimbursement scale are primarily driven by older (Medicare) populations typical for cataract care.
Code-level competitive standing is mixed. For Medicare, 66984 is the largest revenue generator ($1.2M, 54.5% of Medicare revenue) and ranks in the 89th percentile nationally (rank #1704 of 15965), indicating a solid, unremarkable but above-average cataract surgery volume compared with peers. V2785 (processing corneal tissue) ranks #16 of 231 providers nationally (93rd percentile) and 65756 (corneal transplant) ranks #28 of 567 (95th percentile); both are described as notably above typical national volume, highlighting relative specialty strength in corneal services.
On Medicaid, 66984 again dominates (1.4K claims, $402.4K, 96.9% of Medicaid revenue) and ranks #11 of 63 in-state (84th percentile), indicating the facility also performs high Medicaid-volume cataract procedures relative to other in-state ambulatory surgical centers. Medicaid activity beyond cataract surgery is minimal: the remaining Medicaid revenue is split across 66982 and G8907 and represents only small fractions of total Medicaid receipts.
The provider’s tenure is long-standing: the NPI was enumerated on 2006-10-11 (~20 years ago), suggesting institutional stability and an established presence in the local market. This longevity, combined with concentrated surgical volumes, supports characterization as an established ambulatory eye surgery center rather than a new entrant.
Where the provider is an outlier, it is in corneal-related activity: V2785 processing ranks in the 93rd percentile and 65756 corneal transplant is in the 95th percentile nationally, each labeled notably above typical national volume. These elevated percentiles imply the center offers corneal services at a higher-than-typical rate for ambulatory surgical centers and may serve as a regional hub for corneal tissue processing and transplants.
Despite specialty strengths, several retinal and glaucoma procedure codes (e.g., 67041, 67042, 67113, 66170) show modest national ranks and are characterized as typical, unremarkable volume; this suggests the facility’s core capability is anterior-segment surgery (cataract/cornea) with less emphasis on posterior-segment or complex glaucoma procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 1,270 | $920 | $1.2M |
| V2785 | Processing, preserving and transporting corneal tissue | 70 | $3,470 | $236K |
| 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… | 220 | $910 | $199.3K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 60 | $1,660 | $94.8K |
| 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… | 30 | $2,790 | $78.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 360 | $220 | $77.6K |
| 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. | 30 | $1,620 | $50.3K |
| 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… | 20 | $1,680 | $40.3K |
| 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… | 20 | $1,680 | $38.6K |
| 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. | 20 | $1,670 | $33.4K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 64 | 330 | 170 | $200 | $143.2K |
| V2785 | 1 | 10 | 20 | $3,630 | $101.6K |
| 66991 | 23 | 50 | 30 | $1,640 | $70.7K |
| 65820 | 12 | 30 | 30 | $1,050 | $37.9K |
| 66982 | 6 | 140 | 30 | $680 | $36.9K |
| 67904 | 13 | 20 | 40 | $650 | $27.3K |
| 67042 | 7 | 30 | 20 | $1,170 | $25.7K |
| 65756 | 1 | 10 | 20 | $1,220 | $25.5K |
| 15823 | 15 | 40 | 30 | $610 | $24.8K |
| 67041 | 2 | 10 | 10 | $1,250 | $22.5K |
Showing 1–10 of 19
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… | 1,430 | $280 | $402.4K |
| 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… | 30 | $430 | $10.8K |
| 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… | 1,980 | $1 | $2K |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts 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… | 11 | 60 | 330 | $380 | $352.9K |
| 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… | 8 | 10 | 110 | $430 | $152.3K |
| 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 | 40 | 350 | $1 | $560 |
Other providers in the same ZIP code as Boston Eye Surgery & Laser Center Trust, ranked by combined Medicare and Medicaid revenue.
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