Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ophthalmology Surgical Center, Inc (NPI 1174525521)

Field	Value
Entity Type	Organization
Organization	Ophthalmology Surgical Center, Inc
Address	92 Tuscarora St
City	Harrisburg
State	PA
ZIP	17104
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	August 15, 2005

Payer Source	Total Paid
Medicare	$404.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 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…	300	$800	$240.1K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	1,060	$80	$80.6K
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	$1,500	$43.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	120	$210	$24.8K
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…	20	$790	$11.9K
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.	50	$90	$4.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Ophthalmology Surgical Center, Inc — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	10	30	840	$80	$119.3K
66984	112	670	80	$530	$97.8K
65820	24	50	30	$950	$36.2K
66982	175	200	30	$640	$23.2K
66821	81	420	50	$230	$18.3K
65855	50	170	30	$160	$7.1K

Nearby Providers

Other providers in the same ZIP code as Ophthalmology Surgical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hamilton Health Center, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$37.4M
Community Lifeteam, Inc.	PA	Land Ambulance	$2.7M	$17.3M
Cmu	PA	Case Management Agency	$0	$15.8M
Pinnacle Health Medical Services	PA	Family Medicine Physician	$0	$14.1M
Cmu	PA	Case Management Agency	$0	$9.6M
Yujian Chen	PA	Foot & Ankle Surgery Podiatrist	$223.6K	$0
Jonathan Enterline	PA	Diagnostic Radiology Physician	$187.4K	$12.1K
David Loran	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$146.2K	$0
Nathaniel Melton	PA	Surgery Physician	$94.4K	$0
Ahmad Abrishamchian	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$94.1K	$0

Ophthalmology Surgical Center, Inc — Billing Profile & Reimbursement Data

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Ophthalmology Surgical Center, Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References