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NPI 1144287350 · Stoneham, MA · Ophthalmologic Surgery Clinic/Center
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North Shore Cataract And Laser Center, LLC is a ophthalmologic surgery clinic/center provider located in Stoneham, Massachusetts. This profile covers 8 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 | North Shore Cataract And Laser Center, LLC |
| Address | 91 Montvale Ave |
| City | Stoneham |
| State | MA |
| ZIP | 02180 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | May 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $705.4K |
NORTH SHORE CATARACT AND LASER CENTER, LLC operates squarely as an ophthalmologic surgery clinic/center with a procedural mix dominated by cataract extraction and intraocular lens placement: 66984 is the clear centerpiece of both payers. The Medicare and Medicaid top-code lists show routine extracapsular cataract removal with IOL insertion as the primary service line, supplemented by a small volume of more complex lens procedures and glaucoma-related interventions.
Revenue is highly concentrated in a narrow set of procedures: the top 3 Medicare codes account for 95.9% of the provider's total Medicare revenue, and the top 3 Medicaid codes account for 100.0% of total Medicaid revenue. This concentration signals material dependence on cataract-related procedures for both payers and a limited diversification of billed service lines.
The provider has meaningful activity across both payers but Medicare is larger in scale: total Medicare revenue is $2.5M while total Medicaid revenue is $705.4K. That profile makes the practice Medicare-dominant but still materially engaged with Medicaid, rather than being effectively single-payer.
For Medicare, 66984 drives the vast majority of volume and revenue (84.3% of the provider's total Medicare revenue) and this code ranks #744 of 15965 providers nationally (95th percentile; notably above typical national volume). The provider also reports nontrivial national rankings for 66982 (rank #116 of 4580, 97th percentile) and 66991 (rank #318 of 1445, 77th percentile), indicating above-average to high relative activity on core cataract and combined cataract/glaucoma device procedures compared with national peers.
On Medicaid the provider is comparatively prominent for the main cataract code: 66984 accounts for 100.0% of the provider's Medicaid revenue with 2.7K claims and $704.5K revenue, and it ranks #6 of 63 providers in-state (92th percentile; typical, unremarkable volume). That in-state ranking positions the center as one of the larger Medicaid cataract providers in Massachusetts despite the dataset labeling the volume as typical for that specific code in-state.
Payer payment patterns for the flagship procedure differ sharply by payer: Medicare reports 66984 at $878 avg paid/claim on 2.4K Medicare claims, while Medicaid reports 66984 at $262 avg paid/claim on 2.7K Medicaid claims. These reported averages show materially different per‑claim payment levels between the two payers for the same procedure, which has implications for revenue per-case and payer mix economics.
The provider offers adjunct glaucoma and laser services alongside high-volume cataract surgery: codes such as 66991 (combined IOL insertion and aqueous drainage device), 66174 (aqueous outflow canal expansion), and 65855 (trabeculoplasty) appear on the Medicare list, though they represent much smaller shares of revenue. This mix indicates the center performs some glaucoma device and laser procedures in addition to routine cataract surgery, suggesting clinical capability for combined cataract/glaucoma cases but a clear focus on lens surgery as the primary revenue driver.
The practice is long-tenured on file, with NPI enumeration dated 2006-05-01 (~20 years ago), which supports an interpretation of an established operational footprint and likely steady referral relationships that align with the high cumulative claim volumes reported for cataract 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.
8 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… | 2,390 | $880 | $2.1M |
| 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… | 180 | $880 | $153.3K |
| 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… | 50 | $2,650 | $135.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 170 | $220 | $36.6K |
| 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. | 20 | $1,030 | $21.5K |
| 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… | 40 | $540 | $20.6K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 220 | $80 | $16.4K |
| 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. | 60 | $110 | $6.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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… | 2,690 | $260 | $704.5K |
| 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… | 350 | $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
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… | 6 | 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… | 18 | 40 | 350 | $1 | $560 |
Other providers in the same ZIP code as North Shore Cataract And Laser Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dha Endoscopy LLC | MA | Ambulatory Surgical Clinic/Center | $898.4K | $0 |
| Donald Grande | MA | Dermatology Physician | $586.3K | $26.9K |
| Imaging Consultants Inc | MA | Mobile Radiology Clinic/Center | $472.8K | $4.5K |
| Sameer Kapasi | MA | Pain Medicine Physician | $324.4K | $0 |
| Cvs Pharmacy Inc | MA | Pharmacy | $323.3K | $0 |
| Aimee Leonard | MA | MOHS-Micrographic Surgery Physician | $316.1K | $0 |
| Evan Zahner | MA | Orthopaedic Surgery Physician | $289.8K | $0 |
| Abraham Shurland | MA | Sports Medicine (Orthopaedic Surgery) Physician | $277.2K | $0 |
| Shant Parseghian | MA | Endocrinology, Diabetes & Metabolism Physician | $238.5K | $16.8K |
| Northeast Ambulatory Center Inc | MA | Ambulatory Surgical Clinic/Center | $107.8K | $142.2K |
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