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    OpenPayerNPI Medicare & MedicaidIsurgery, LLC
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    Isurgery, LLC — Billing Profile & Reimbursement Data

    NPI 1194960732 · Aberdeen, SD · Ambulatory Surgical Clinic/Center

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    Isurgery, LLC is a ambulatory surgical clinic/center provider located in Aberdeen, South Dakota. This profile covers 7 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationIsurgery, LLC
    Address905 N 3rd St
    CityAberdeen
    StateSD
    ZIP57401
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 11, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$998.3K
    Medicaid$0

    Key Findings

    ISURGERY, LLC is operating as an ophthalmic ambulatory surgical clinic/center, with its Medicare billing dominated by cataract and intraocular procedures; the largest single code by revenue is 66984 (cataract with intraocular lens insertion) which generated $447.4K and accounts for 43.2% of the provider’s Medicare revenue, and complementary codes for intraocular lens work (66991) and ophthalmic irrigation/medication (J1097) together form the primary clinical footprint. Revenue concentration is high: the precomputed top three Medicare codes account for 86.2% of total Medicare revenue, indicating a focused service line heavily weighted toward cataract surgery and associated intraoperative medications and devices. The provider’s Medicare footprint is material in scale with total Medicare revenue of $998.3K and no Medicaid billing on file; this makes ISURGERY, LLC effectively a single-payer (Medicare-focused) billing entity in the available data. Competitive standing by code is mixed: for 66991 the provider ranks #74 of 1445 (95th percentile), described as notably above typical national volume, suggesting strength in combined cataract plus anterior segment drainage device procedures, while for 66984 it ranks #2667 of 15965 (83rd percentile), indicating typical but unremarkable national volume for routine cataract extraction. The pharmacy/irrigation supply code J1097 shows a substantial contribution ($213.1K, 20.6% of Medicare revenue) with a rank of #108 of 443 (76th percentile), reflecting routine but significant use of intraoperative ophthalmic irrigation/medication that supports the surgical service line. Several secondary ophthalmic and periocular procedures appear in the top codes but at much lower revenue shares (e.g., 67041 $28.9K, 2.8% and 66982 $14.7K, 1.4%), indicating the center performs a limited mix of retina and complex cataract cases in addition to high-volume routine cataract surgery. Tenure is long enough to establish a stable billing history: the NPI was enumerated on 2008-12-11 (~18 years ago), consistent with an established ambulatory surgical practice rather than a new entrant. There are no Medicaid claims on file (none below), so analyses of payer mix, state Medicaid competitiveness, or cross-payer referral patterns cannot be supported from the available billing records and any assessment should treat Medicaid activity as absent in this dataset.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…580$770$447.4K
    66991The 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$2,320$231.5K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml2,800$80$213.1K
    J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg85,600$1$85.6K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…30$1,150$28.9K
    66982The 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$780$14.7K
    15823In 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…30$470$14.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10973104,710$80$422.5K
    6699141070$1,370$119.4K
    669841013040$410$67.7K
    1582381050$510$50.6K
    J240311085,600$1$47.6K
    6704141030$1,190$35.6K
    66982192040$580$25K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Isurgery, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John BormesSDOphthalmology Physician$2.6M$0
    Alexander RingeisenMNRetina Specialist (Ophthalmology) Physician$1.1M$0
    Lucas SchnaidtSDOphthalmology Physician$42.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Isurgery, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adjustment Training Center, Inc.SDDevelopmentally Disabled Services Day Training Agency$0$40.3M
    Northeastern Mental Health CenterSDMental Health Counselor$0$10.1M
    Vision Care Associates, LLPSDOptometrist$0$6M
    Sanford Health NetworkSDGeneral Acute Care Hospital$0$4.4M
    Avera St. Luke'sSDFamily Medicine Physician$0$2.3M
    Sanford Health NetworkSDGeneral Acute Care Hospital$0$1.9M
    Avera At HomeSDHome Health Agency$0$1.6M
    Avera St LukesSDGeneral Acute Care Hospital$0$1.5M
    Ty HansonSDDermatology Physician$1.2M$0
    Fettig And Drake Dds PCSDGeneral Practice Dentistry$0$1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Dakota Distribution
    Isurgery, LLC — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota