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NPI 1184686792 · Columbia, SC · Ophthalmologic Surgery Clinic/Center
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Columbia Eye Surg Center Inc is a ophthalmologic surgery clinic/center provider located in Columbia, South Carolina. This profile covers 18 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 | Columbia Eye Surg Center Inc |
| Address | 1920 Pickens St |
| City | Columbia |
| State | SC |
| ZIP | 29201 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | April 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.5M |
| Medicaid | $1.2K |
COLUMBIA EYE SURG CENTER operates as a high-volume cataract surgery center: the top Medicare revenue driver is 66984 (2.8K claims, $754 avg paid/claim, $2.1M revenue), which alone represents 59.5% of the provider’s Medicare revenue. The code mix also includes intraocular lens/device insertions and glaucoma-related procedures (66991, 66982) and high-volume post-cataract laser treatment (66821), indicating the practice manages both primary cataract cases and common downstream services.
Revenue concentration on Medicare is pronounced — the precomputed top-3 Medicare codes account for 72.6% of this provider’s Medicare revenue, with 66984, 66991, and V2785 collectively driving that share. This concentration signals dependence on cataract surgery and related device/tissue services for most Medicare receipts, which has implications for payer negotiations and risk sensitivity to changes in cataract reimbursement.
Medicaid billing is effectively limited and concentrated: total Medicaid revenue is $1.2K and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue. All Medicaid revenue shown is tied to 66984 (478 claims, $2 avg paid/claim, $956 revenue), so Medicaid represents a negligible payer channel compared with Medicare’s $3.5M.
Competitive standing on key cataract and laser services is consistently above typical national volumes: 66984 ranks #582 of 15965 providers nationally (96th percentile) and 66821 ranks #79 of 10087 providers (99th percentile, described as an extreme outlier). 66991 also ranks highly (#67 of 1445, 95th percentile) and V2785 ranks #25 of 231 (90th percentile), together indicating the center is a regional/national high-volume provider for multiple specialty ophthalmic procedures.
The practice offers a broader surgical portfolio beyond routine cataract work: Medicare billing includes corneal tissue processing (V2785, 59 claims, $3760 avg paid/claim, $221.8K revenue), full-thickness endothelial corneal transplants (65756), vitreoretinal procedures (67042, 67036), and eyelid surgery (67904, 15823). While these codes are smaller contributors to total revenue, their presence demonstrates procedural breadth that can support referral capture and ancillary service lines.
Several codes are flagged as statistical outliers or notably above typical national volume, which underscores operational specialization: 66821 (YAG capsulotomy) is labeled an "extreme outlier, far above typical national volume," and 65855 (trabeculoplasty) is similarly an "extreme outlier" at the national level. Other codes such as 66984 and 66991 are described as "notably above typical" volumes, reinforcing that this center runs a concentrated, high-throughput ophthalmic surgical practice.
Payer mix is heavily Medicare-skewed: Medicare revenue of $3.5M dwarfs Medicaid revenue of $1.2K, indicating the provider is effectively Medicare-dominant and minimally reliant on state Medicaid dollars. For network planning and utilization management, this means reimbursement policy changes for Medicare cataract and device codes will materially affect the provider’s financial profile, whereas Medicaid policy changes would have negligible direct revenue impact.
Tenure and local market footprint are consistent with an established specialty center: the NPI was enumerated on 2006-04-06 (~20 years ago), aligning with sustained high volumes on core ophthalmic procedures. This long enrollment period, combined with high national-percentile ranks on several cataract and glaucoma codes, supports characterization as a well-established surgical center with entrenched service capacity in its market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 2,770 | $750 | $2.1M |
| 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… | 100 | $2,330 | $239.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 60 | $3,760 | $221.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 1,210 | $180 | $217.1K |
| 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. | 120 | $1,370 | $165.9K |
| 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 | $750 | $125.7K |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 580 | $160 | $94.6K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 60 | $1,400 | $78.6K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 130 | $480 | $63K |
| 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… | 100 | $450 | $44.7K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 6 | 10 | 960 | $100 | $151.9K |
| V2785 | 2 | 10 | 20 | $3,730 | $145.6K |
| 66984 | 22 | 270 | 210 | $170 | $141.3K |
| 66991 | 3 | 20 | 30 | $1,520 | $62.2K |
| J7351 | 1 | 10 | 330 | $160 | $56.5K |
| 65820 | 2 | 40 | 30 | $980 | $40.4K |
| 67036 | 9 | 20 | 20 | $1,110 | $40.1K |
| 65756 | 2 | 20 | 20 | $1,140 | $35.4K |
| 15823 | 8 | 40 | 40 | $520 | $33.1K |
| 67042 | 10 | 30 | 20 | $1,150 | $32.3K |
Showing 1–10 of 18
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… | 480 | $1 | $960 |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina 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… | 11 | 40 | 110 | $120 | $48K |
Other providers in the same ZIP code as Columbia Eye Surg Center Inc, ranked by combined Medicare and Medicaid revenue.
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