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NPI 1174538748 · Beverly Hills, CA · Ambulatory Surgical Clinic/Center
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Specialty Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Beverly Hills, California. This profile covers 27 Medicare and 5 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 | Specialty Surgical Center, LLC |
| Address | 9001 Wilshire Blvd |
| City | Beverly Hills |
| State | CA |
| ZIP | 90211 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 30, 2006 |
| NPI Deactivated | November 14, 2025 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6.5M |
| Medicaid | $552.7K |
SPECIALTY SURGICAL CENTER, LLC presents as an ophthalmic-focused ambulatory surgical center: the Medicare and Medicaid code mix is dominated by cataract and intraocular lens procedures (notably 66984, 66991, 66982) alongside glaucoma interventions (66174, 66183) and corneal services (V2785, 65756). Code descriptions and the large volumes for cataract extraction and intraocular lens insertion indicate the center operates primarily as a high-volume eye surgery ASC with ancillary revenue from ophthalmic pharmaceuticals and tissue processing (for example, J1097 and V2785).
Revenue concentration is high on a small set of eye-surgery codes: the top 3 Medicare codes by revenue account for 71.2% of the provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of the provider's total Medicaid revenue. In Medicare, 66984 alone represents $3.5M of Medicare revenue (53.7% of the provider’s Medicare total), signaling extreme dependence on a single high-revenue procedure for overall payer performance.
The provider’s payer mix is heavily weighted toward Medicare at scale: lifetime Medicare revenue is $6.5M versus lifetime Medicaid revenue of $552.7K, so Medicare is the dominant commercial scale driver for this ASC. Medicaid billing is present but comparatively small in dollar terms and appears concentrated in the same core cataract procedure set rather than representing a distinct service line.
Competitive standing against peers shows national outperformance on several cataract and combined cataract‑plus‑glaucoma codes: 66984 ranks #345 of 15965 providers nationally (98th percentile; extreme outlier) and 66991 ranks #6 of 1445 providers nationally (100th percentile; extreme outlier), indicating this center is an unusually large national volume provider for these procedures. Other Medicare codes such as 66982 (rank #45 of 4580, 99th percentile; notably above typical national volume) and 66174 (rank #4 of 741, 100th percentile; extreme outlier) reinforce that several specialized glaucoma and complex cataract procedures are performed at much higher-than-typical volumes relative to national peers.
Medicaid competitive positioning is more modest and state‑typical: 66984 accounts for $514.9K (93.3% of the provider's Medicaid revenue) and ranks #29 of 382 in-state (93rd percentile; typical, unremarkable volume), while 66982 ranks #7 of 41 in-state (83rd percentile; typical, unremarkable). This suggests the practice’s strong national profile on Medicare does not translate to a proportionally dominant footprint in the Medicaid population within its state.
High-volume supply/drug utilization is evident in Medicare billing: J1097 appears in 6.4K claims for $484.3K of Medicare revenue (7.5% of the provider’s Medicare total) and ranks #21 of 443 providers nationally (95th percentile; notably above typical national volume). Frequent use of ophthalmic irrigation/medication items alongside surgical CPTs implies integrated perioperative pharmaceutical billing contributes materially to revenue and case throughput.
Service breadth includes advanced and complex ophthalmic procedures beyond routine cataract surgery — the Medicare code mix lists complex intraocular lens procedures (66982, 66987, 66989), glaucoma drainage and implant codes (66174, 66183, 66180), vitreoretinal surgeries (67036, 67042) and corneal transplant codes (65756). That mix supports a profile of an ASC that handles both high-volume routine cataract cases and a pipeline of more complex anterior and posterior segment ophthalmic surgeries, which can justify higher facility utilization and referral capture.
Tenure is long enough to suggest established operations: the NPI was enumerated on 2006-07-30 (~20 years ago), indicating the center has been active in Medicare/Medicaid billing for approximately two decades, which aligns with the mature, high-volume procedural footprint reflected in the claims and revenue data.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 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… | 3,530 | $990 | $3.5M |
| 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… | 220 | $2,980 | $649.4K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 6,370 | $80 | $484.3K |
| 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… | 280 | $960 | $270.2K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2,560 | $100 | $253K |
| 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. | 220 | $1,130 | $249.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 50 | $3,500 | $185.2K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 60 | $2,640 | $161.1K |
| 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. | 70 | $1,750 | $115.7K |
| 66989 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction using complex techniques and devices. The provider also inserts one or more anterior… | 30 | $2,980 | $95.3K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 2 | 30 | 1,020 | $80 | $135.3K |
| 66984 | 1 | 1,250 | 90 | $690 | $122.8K |
| J1096 | 2 | 20 | 290 | $100 | $89.7K |
| V2785 | 1 | 10 | 20 | $3,390 | $77.9K |
| 66991 | 2 | 180 | 30 | $1,940 | $77.7K |
| 66989 | 6 | 20 | 30 | $2,030 | $65K |
| 66988 | 10 | 20 | 50 | $1,120 | $53.8K |
| 66183 | 5 | 40 | 20 | $1,720 | $53.4K |
| 65820 | 32 | 110 | 20 | $1,150 | $42.5K |
| 66174 | 2 | 140 | 30 | $860 | $37.1K |
Showing 1–10 of 27
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.
5 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… | 2,120 | $240 | $514.9K |
| 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… | 170 | $200 | $33.9K |
| V2632 | Posterior chamber intraocular lens | 230 | $10 | $3.2K |
| 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… | 330 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
5 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… | 29 | 380 | 210 | $510 | $333.1K |
| 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… | 7 | 40 | 60 | $470 | $64.3K |
| V2632 | Posterior chamber intraocular lens | 34 | 90 | 160 | $50 | $23.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 78 | 90 | 80 | $1 | $480 |
| 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… | 31 | 120 | 90 | $1 | $360 |
Other providers in the same ZIP code as Specialty Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Neurological Institute Of Los Angeles | CA | Neurology Physician | $0 | $36M |
| Robertson Adhc | CA | Adult Day Care Clinic/Center | $0 | $26.9M |
| Som Kohanzadeh | CA | Plastic and Reconstructive Surgery Physician | $14.7M | $0 |
| Ohrelle Laboratories Inc | CA | Clinical Medical Laboratory | $576.7K | $6.2M |
| Gather Labs LLC | CA | Clinical Medical Laboratory | $2.7M | $2.1M |
| Jonathan Eskenazi | CA | Neurology Physician | $2.9M | $407.6K |
| David Parks | CA | Retina Specialist (Ophthalmology) Physician | $2.8M | $353.4K |
| R Swamy Venuturupalli | CA | Rheumatology Physician | $2.8M | $0 |
| Daniel Esmaili | CA | Ophthalmology Physician | $2.7M | $2.2K |
| Demijon Dicen | CA | Physician Assistant | $2.3M | $0 |
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