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NPI 1134293814 · Plymouth, MA · Ambulatory Surgical Clinic/Center
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Plymouth Laser Center, P.C. is a ambulatory surgical clinic/center provider located in Plymouth, Massachusetts. This profile covers 11 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 | Plymouth Laser Center, P.C. |
| Address | 146 Industrial Park Rd |
| City | Plymouth |
| State | MA |
| ZIP | 02360 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $157.2K |
PLYMOUTH LASER CENTER, P.C. operates as an ambulatory surgical center with a clinical mix dominated by cataract and anterior-segment eye procedures: the Medicare top codes are 66984, 66991, and 66821, and the code descriptions indicate extracapsular cataract extraction with intraocular lens insertion and laser capsulotomy as core services. The provider’s Medicare revenue is $2.2M and its Medicaid revenue is $157.2K, consistent with a surgical clinic focused on cataract case throughput and follow-up laser procedures rather than a broad multispecialty practice.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 88.8% of this provider’s total Medicare revenue, led overwhelmingly by 66984 which alone represents 80.2% of Medicare revenue. That concentration signals that fluctuations in cataract surgical volume or reimbursement for 66984 would materially affect the provider’s Medicare financials.
Medicaid activity is effectively single-code concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with code 66984 representing 100.0% of the provider’s Medicaid revenue. Medicaid revenue ($157.2K) is small in scale compared with Medicare ($2.2M), indicating a payer mix that is Medicare-dominant and Medicaid-minimal.
On competitive standing for the principal cataract code, the provider ranks #1067 of 15965 nationally for 66984 (93th percentile; notably above typical national volume for this code), which positions the practice as a relatively high-volume national participant for routine cataract extraction with IOL insertion. By contrast, 66991 (#553 of 1445, 60th percentile; typical, unremarkable volume for this code) and 66821 (#295 of 10087, 97th percentile; typical, unremarkable volume for this code) show more moderate national placement, indicating that the provider’s dominance is concentrated in standard cataract removals rather than all complex anterior-segment procedures.
Within the state Medicaid market, 66984 ranks #27 of 63 (58th percentile; typical, unremarkable volume for this code), implying the provider is a middle-tier Medicaid cataract performer locally despite being high-volume for Medicare 66984. Other listed Medicaid codes (G8907, J2280) show $0 revenue and therefore do not contribute to the Medicaid revenue base, reinforcing the single-procedure dependence for Medicaid.
There are service-level nuances beyond cataracts: smaller but notable Medicare activity appears in oculoplastic and glaucoma-related codes (for example, 15823 with $50.2K revenue and 65855 with $13.9K revenue). The code 65855 ranks #121 of 2796 (96th percentile; notably above typical national volume for this code), suggesting above-typical activity in selective trabecular laser procedures even though these codes are small contributors to total revenue.
The provider shows some low-volume and specialized procedure footprint as well: 66174 records $22.7K in Medicare revenue but ranks #709 of 741 providers nationally (3th percentile; typical, unremarkable volume for this code), indicating that certain MIGS or canaloplasty-type procedures are performed only rarely relative to peers. This mix suggests operational focus on high-volume cataract work while maintaining limited, selective offerings in adjunct glaucoma and oculoplastic services.
PLYMOUTH LASER CENTER, P.C. has an established operational tenure with NPI enumeration date 2006-11-17 (~20 years ago), indicating long-standing market presence; combined with the high Medicare revenue concentration in cataract services, the practice appears to be a stable, cataract-focused ambulatory surgical center whose financial and competitive position is highly sensitive to volumes and reimbursement for 66984.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 1,910 | $920 | $1.8M |
| 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 | $2,790 | $100.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 400 | $220 | $89.2K |
| 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… | 80 | $930 | $71.4K |
| 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… | 90 | $530 | $50.2K |
| 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 | $1,490 | $49.3K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 40 | $620 | $22.9K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 10 | $1,620 | $22.7K |
| 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. | 140 | $100 | $13.9K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 20 | $560 | $10.1K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 40 | 330 | 170 | $200 | $143.2K |
| 66991 | 18 | 50 | 30 | $1,640 | $70.7K |
| 65820 | 11 | 30 | 30 | $1,050 | $37.9K |
| 66982 | 29 | 140 | 30 | $680 | $36.9K |
| 66174 | 10 | 10 | 20 | $910 | $30K |
| 67904 | 12 | 20 | 40 | $650 | $27.3K |
| 15823 | 4 | 40 | 30 | $610 | $24.8K |
| 66821 | 7 | 240 | 40 | $210 | $17.4K |
| 67900 | 4 | 10 | 20 | $480 | $10.6K |
| 65855 | 12 | 100 | 30 | $160 | $8.9K |
Showing 1–10 of 11
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… | 510 | $310 | $156.9K |
| 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… | 700 | $0 | $0 |
| J2280 | Injection, moxifloxacin, 100 mg | 10 | $0 | $0 |
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… | 27 | 60 | 330 | $380 | $352.9K |
| 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 | 40 | 350 | $1 | $560 |
| J2280 | Injection, moxifloxacin, 100 mg | 2 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as Plymouth Laser Center, P.C., ranked by combined Medicare and Medicaid revenue.
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