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NPI 1174540850 · Wilmington, DE · Anesthesiology Physician
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Rockland Surgery Center, L.P. is a anesthesiology physician provider located in Wilmington, Delaware. This profile covers 23 Medicare and 1 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 | Rockland Surgery Center, L.P. |
| Address | 2710 Centerville Rd |
| City | Wilmington |
| State | DE |
| ZIP | 19808 |
| Taxonomy | Anesthesiology Physician |
| NPI Enumerated | July 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $280K |
The provider’s billed services are overwhelmingly ophthalmic and cataract-focused: the top Medicare CPT codes are dominated by cataract extraction and intraocular lens procedures (notably 66984, 66991 and 66982) and corneal processing (V2785), and Medicaid billing is exclusively for 66984. This code mix indicates the operation functions principally as a surgical site performing high volumes of cataract-related procedures and related anterior-segment ophthalmic care.
Medicare revenue is concentrated in a very small set of services: the precomputed top 3 Medicare codes (66984, 66991, V2785) account for 71.0% of the provider’s total Medicare revenue, with 66984 alone representing $1.4M or 56.8% of Medicare receipts. Such concentration shows that a few high-value ophthalmic procedures drive the bulk of Medicare billing.
Medicaid activity is effectively single-code concentrated: the provider reports $280K in total Medicaid revenue and the precomputed top-3 Medicaid codes cover 100.0% of that revenue, all coming from 66984 (775 claims, $361 avg paid/claim, $279.8K). In-state competitive standing on this code is strong — 66984 ranks #2 of 11 providers in-state at the 90th percentile — making the provider a leading local supplier for Medicaid-funded cataract extraction.
Overall payer mix is skewed toward Medicare by scale: lifetime Medicare revenue is $2.4M versus $280K in Medicaid. Medicare is the primary revenue source for this entity while Medicaid plays a much smaller, highly concentrated role tied to a single cataract code.
Relative national competitiveness on key Medicare cataract and anterior-segment codes is above average: 66984 ranks #1388 of 15965 providers nationally (91th percentile), 66991 ranks #101 of 1445 (93th percentile), 66982 ranks #232 of 4580 (95th percentile), and 66821 ranks #243 of 10087 (98th percentile). Although the dataset labels many of these volumes as "typical, unremarkable," their placement in high national percentiles indicates materially greater procedure activity than many peers for specific ophthalmic services.
The provider’s Medicare top-25 list also includes glaucoma drainage/shunt codes (0449T, 66180, 66170) and corneal transplant (65756), indicating capacity for more complex anterior-segment and glaucoma procedures beyond routine cataract surgery. These additional codes contribute smaller shares individually but together suggest a broader surgical capability within ophthalmology.
Despite the ophthalmology-dominant billing profile, the recorded taxonomy is Anesthesiology Physician and the NPI was enumerated on 2006-07-17 (~20 years ago). The long tenure combined with a focused, high-revenue ophthalmic code mix is consistent with an established surgical facility or practice that concentrates on high-volume cataract and anterior-segment procedures.
There are no top codes flagged as extreme statistical outliers in the supplied notes; most are described as "typical, unremarkable volume" nationally. However, the high revenue concentration (71.0% of Medicare revenue in the top 3 Medicare codes and 100.0% of Medicaid revenue in 66984) implies business sensitivity to changes in cataract procedure volumes or reimbursement for these specific services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 1,590 | $860 | $1.4M |
| 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… | 90 | $2,520 | $224.2K |
| V2785 | Processing, preserving and transporting corneal tissue | 40 | $3,280 | $117.9K |
| 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… | 130 | $870 | $110.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 460 | $210 | $97.2K |
| 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. | 40 | $1,580 | $66.2K |
| 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… | 120 | $480 | $55.4K |
| 28299 | The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes double osteotomy, cutting and realigning one or more toe… | 20 | $3,270 | $49K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 30 | $1,580 | $44.1K |
| 0449T | The provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device… | 20 | $2,380 | $40.5K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 1 | 50 | 70 | $590 | $163.6K |
| V2785 | 1 | 10 | 30 | $3,250 | $90.9K |
| 66991 | 1 | 10 | 50 | $1,590 | $85.6K |
| 15823 | 3 | 10 | 60 | $550 | $60.3K |
| 66982 | 6 | 20 | 60 | $700 | $60K |
| 65820 | 3 | 10 | 50 | $1,150 | $52.8K |
| 0449T | 3 | 10 | 20 | $1,490 | $37.3K |
| 66821 | 1 | 30 | 140 | $230 | $37.1K |
| 66180 | 3 | 10 | 20 | $1,530 | $30.6K |
| 28299 | 1 | 10 | 10 | $1,950 | $27.3K |
Showing 1–10 of 23
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.
1 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… | 780 | $360 | $279.8K |
How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Delaware median
1 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… | 2 | 10 | 380 | $300 | $112K |
Other providers in the same ZIP code as Rockland Surgery Center, L.P., ranked by combined Medicare and Medicaid revenue.
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