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NPI 1184678682 · Bala Cynwyd, PA · Ambulatory Surgical Clinic/Center
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Main Line Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Bala Cynwyd, Pennsylvania. This profile covers 36 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 | Main Line Surgery Center, LLC |
| Address | 10 Presidential Blvd |
| City | Bala Cynwyd |
| State | PA |
| ZIP | 19004 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.7M |
| Medicaid | $57.7K |
MAIN LINE SURGERY CENTER, LLC operates as an ophthalmic-focused ambulatory surgical center: its Medicare top codes are cataract extraction with lens insertion (66984: 2.6K claims, $830 avg paid/claim, $2.2M revenue, 46.0% of Medicare revenue), corneal tissue processing (V2785: 115 claims, $3498 avg, $402.3K, 8.6%) and vitrectomy/retinal membrane procedures (67042: 248 claims, $1530 avg, $379.4K, 8.1%). The code mix (cataract, corneal, retina and related device/drainage procedures) indicates the ASC is deliberately structured for comprehensive ophthalmology services rather than general ambulatory surgery.
Revenue concentration is high on a few procedures: the precomputed top 3 Medicare codes account for 62.7% of this provider’s Medicare revenue, and the precomputed top 3 Medicaid codes account for 100.0% of its Medicaid revenue. For Medicaid the activity is effectively single-procedure concentrated — Medicaid billing is entirely from 66984 (100 claims, $577 avg paid/claim, $57.7K revenue).
The payer mix is Medicare-dominant: lifetime Medicare revenue is $4.7M versus Medicaid revenue of $57.7K, so Medicaid represents a negligible share of total reported public-payer revenue. This profile implies commercial and Medicare contracting and referral relationships likely drive volume, while Medicaid participation is limited and focused.
Several procedure-level rankings show the center is a regional-to-national volume leader for specialty ophthalmic cases: 67042 ranks #3 of 1087 providers nationally (100th percentile; extreme outlier), V2785 ranks #3 of 231 (99th percentile; notably above typical national volume), and 66984 ranks #646 of 15965 (96th percentile; notably above typical national volume). These high percentiles indicate the center is a major player in specific subspecialty workflows—especially retina and cornea—relative to national peers.
The center also shows concentrated capacity for corneal services and tissue handling: V2785 (processing/preserving corneal tissue) contributed $402.3K and ranks #3 nationally, and full-thickness corneal transplant 65756 contributed $154.4K and ranks #7 of 567 (99th percentile; extreme outlier). Together these data suggest an integrated corneal service line that includes both tissue processing and surgical transplantation.
Glaucoma and anterior-segment device procedures form a meaningful adjunct service line: 66991 (insertion of IOL with aqueous drainage device) generated $366.4K (143 claims) and ranks #22 of 1445 (99th percentile; extreme outlier), and 66180 (implantation of an anterior chamber shunt) generated $141.2K (69 claims) and ranks #3 of 375 (99th percentile; extreme outlier). The presence of multiple high-ranking glaucoma codes signals capability in implant/drainage procedures beyond routine cataract care.
The practice appears to bill substantial volumes of intraoperative ophthalmic pharmaceuticals and small‑value supply items: J1097 (phenylephrine/ketorolac irrigation) shows 2.4K claims and $180.9K revenue (3.9% of Medicare revenue) and J2403 shows 31.2K claims for $31.2K revenue (0.7% of Medicare revenue). The combination of very high claim counts with modest per-claim payments suggests routine billing for single-use irrigation/anesthesia items across high procedural throughput.
The provider has long tenure in the registry, with NPI enumerated 2006-05-19 (~20 years ago), consistent with the concentrated specialty volumes reported. Combined with lifetime Medicare revenue of $4.7M and the code-level outlier rankings across retina, cornea and glaucoma, the profile is of an established, specialty-focused ophthalmic ASC with dominant Medicare activity and minimal Medicaid volume.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
36 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… | 2,600 | $830 | $2.2M |
| V2785 | Processing, preserving and transporting corneal tissue | 120 | $3,500 | $402.3K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 250 | $1,530 | $379.4K |
| 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… | 140 | $2,560 | $366.4K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,380 | $80 | $180.9K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 100 | $1,540 | $154.4K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 70 | $2,050 | $141.2K |
| 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. | 90 | $1,510 | $137.3K |
| 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 | $1,540 | $103.4K |
| 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… | 100 | $810 | $82.9K |
Showing 1–10 of 36
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
36 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 1 | 10 | 30 | $3,630 | $159.8K |
| J1097 | 6 | 30 | 840 | $80 | $119.3K |
| J1096 | 7 | 10 | 270 | $100 | $99.7K |
| 66984 | 1 | 670 | 80 | $530 | $97.8K |
| 66991 | 2 | 70 | 40 | $1,430 | $67K |
| 65756 | 1 | 20 | 30 | $1,200 | $38.3K |
| 66989 | 3 | 10 | 20 | $1,810 | $38K |
| 65820 | 3 | 50 | 30 | $950 | $36.2K |
| 66174 | 19 | 30 | 40 | $700 | $32.1K |
| 67042 | 1 | 50 | 20 | $1,100 | $31.9K |
Showing 1–10 of 36
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… | 100 | $580 | $57.7K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania 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… | 34 | 80 | 50 | $610 | $122.4K |
Other providers in the same ZIP code as Main Line Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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