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NPI 1205878758 · Albuquerque, NM · Ambulatory Surgical Clinic/Center
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Albuquerque Ambulatory Eye Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Albuquerque, New Mexico. This profile covers 17 Medicare and 6 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 | Albuquerque Ambulatory Eye Surgery Center, LLC |
| Address | 5901 Harper Dr Ne |
| City | Albuquerque |
| State | NM |
| ZIP | 87109 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.8M |
| Medicare | $2.7M |
Service-line profile: The facility is an Ambulatory Surgical Clinic/Center whose Medicare and Medicaid billing is dominated by cataract extraction with intraocular lens placement and vitreoretinal procedures. Medicare top codes include 66984, 66982 and 67036, and Medicaid billing is overwhelmingly concentrated in 66984, consistent with a high-throughput eye surgery center focused on cataract and retinal surgical services.
Medicare revenue concentration: This provider reports Total Medicare revenue: $2.7M, and the precomputed top 3 Medicare codes account for 79.4% of that revenue. That concentration is heavily driven by 66984 (2.4K claims, $790 avg paid/claim, $1.9M revenue; 71.4% of Medicare revenue), indicating that cataract extraction with lens insertion is the primary Medicare service line.
Medicaid revenue concentration: This provider reports Total Medicaid revenue: $4.8M, and the precomputed top 3 Medicaid codes account for 99.2% of that revenue. The Medicaid mix is overwhelmingly concentrated in 66984 (9K claims, $514 avg paid/claim, $4.6M revenue; 96.4% of Medicaid revenue), showing near-exclusive Medicaid dependence on cataract procedures for revenue.
Payer mix and scale: The provider’s Medicaid revenue ($4.8M) exceeds its Medicare revenue ($2.7M), making it effectively Medicaid-dominant by scale in the available lifetime revenue figures. The absolute volumes—notably 9K Medicaid claims for 66984 versus 2.4K Medicare claims for the same code—underscore a larger Medicaid caseload and operational emphasis on state-covered cataract cases.
National competitive standing (Medicare): For Medicare cataract and select retinal procedures this provider ranks well above typical national volumes: 66984 ranks #729 of 15,965 providers (95th percentile; notably above typical national volume), 67036 ranks #33 of 832 providers (96th percentile; notably above typical national volume), and 67041 ranks #10 of 461 providers (98th percentile; notably above typical national volume). These ranks indicate the center is a high-volume national participant for both standard cataract surgery and several complex vitreoretinal procedures.
State competitive standing (Medicaid): Within New Mexico Medicaid billing the provider is a leading state-level player for cataract and select retinal codes: 66984 ranks #2 of 26 providers in-state (96th percentile; notably above typical state volume), 66982 ranks #1 of 2 providers in-state (100th percentile), and 67113 ranks #1 of 3 providers in-state (100th percentile). These positions identify the center as a major in-state provider for Medicaid-covered ophthalmic surgeries.
Tenure and continuity: The provider’s NPI was enumerated on 2006-06-11 (~20 years ago), indicating long-standing operation in the market; that tenure supports the observed high cumulative billing volumes across both payers.
Statistical outliers and operational flags: Several codes are flagged as unusually high-volume relative to peers—beyond 66984, Medicare-level outlier ranks include 66986 (#7 of 205, 97th percentile) and multiple vitreoretinal codes with top-percentile ranks—while on Medicaid the high counts for non-revenue quality/process codes (G8918 and G8907, each 3.1K claims with $0 revenue and ranking #1 in-state) suggest intensive programmatic reporting activity alongside very high-volume Medicaid cataract surgery (9K claims for 66984). These patterns point to concentrated procedural throughput and heavy reliance on a narrow set of ophthalmic surgical codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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… | 2,410 | $790 | $1.9M |
| 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… | 140 | $780 | $107.4K |
| 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 | $1,460 | $105.1K |
| 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… | 70 | $1,450 | $98.3K |
| 67041 | In 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… | 70 | $1,430 | $94.3K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 40 | $1,440 | $57.6K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,670 | $55K |
| 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… | 110 | $490 | $52.2K |
| 67040 | The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the… | 20 | $1,460 | $33.5K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 20 | $1,460 | $32.2K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 2 | 60 | 130 | $500 | $167.1K |
| V2785 | 1 | 10 | 20 | $3,670 | $55K |
| 67041 | 1 | 10 | 20 | $1,200 | $44.5K |
| 67040 | 1 | 10 | 20 | $1,460 | $33.5K |
| 67042 | 1 | 10 | 30 | $980 | $31.3K |
| 67036 | 1 | 10 | 20 | $980 | $31.2K |
| 66982 | 1 | 30 | 40 | $660 | $31.1K |
| 67904 | 1 | 10 | 50 | $560 | $29.4K |
| 67108 | 1 | 10 | 10 | $1,160 | $23.1K |
| 67039 | 1 | 10 | 10 | $1,450 | $17.4K |
Showing 1–10 of 17
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.
6 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… | 9,000 | $510 | $4.6M |
| 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… | 210 | $460 | $95.1K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 40 | $1,080 | $40K |
| 67040 | The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the… | 50 | $720 | $36.9K |
| 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… | 3,100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3,100 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico median
6 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 | 30 | 280 | $400 | $607.8K |
| 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… | 1 | 10 | 110 | $440 | $49.9K |
| 67040 | The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the… | 1 | 10 | 50 | $720 | $36.9K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 1 | 10 | 10 | $1,340 | $26.7K |
| 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… | 1 | 10 | 210 | $1 | $40 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1 | 10 | 560 | $0 | $0 |
Other providers in the same ZIP code as Albuquerque Ambulatory Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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