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NPI 1205917101 · Dedham, MA · Ambulatory Surgical Clinic/Center
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Cataract & Laser Center, Inc. is a ambulatory surgical clinic/center provider located in Dedham, Massachusetts. This profile covers 9 Medicare and 2 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 | Cataract & Laser Center, Inc. |
| Address | 333 Elm St |
| City | Dedham |
| State | MA |
| ZIP | 02026 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $595.9K |
This entity operates as an ambulatory surgical clinic/center with a practice profile heavily concentrated in cataract surgery: the single CPT 66984 (cataract removal with intraocular lens insertion) dominates both Medicare and Medicaid billing and is central to its clinical footprint. On Medicare 66984 accounts for $1.9M and 81.2% of the provider's Medicare revenue, while on Medicaid 66984 accounts for $595.9K and 100.0% of the provider's Medicaid revenue, indicating the center primarily delivers routine cataract surgical services rather than a broader mix of ophthalmic procedures.
Medicare revenue scale is $2.4M versus Medicaid revenue of $595.9K, showing the provider generates materially more revenue from Medicare than Medicaid while still maintaining meaningful Medicaid activity tied entirely to 66984. The presence of both payers confirms a mixed-payer ambulatory surgery practice, but Medicaid volume and revenue are concentrated entirely in the single cataract CPT 66984.
Revenue concentration on Medicare is extreme: the precomputed top-three Medicare codes account for 89.7% of Medicare revenue, with 66984 alone representing 81.2% of that payer’s revenue. This concentration signals limited procedure diversification on Medicare and a dependency on high-volume cataract cases to drive top-line performance.
On competitive standing for its signature procedure, 66984 ranks #937 of 15,965 providers nationally (94th percentile) and is explicitly noted as "notably above typical national volume for this code," positioning the center as a high-volume national outlier for cataract extraction with lens insertion. By contrast, several other Medicare codes (for example 66982 at the 94th percentile but described as "typical, unremarkable volume," and 66991 at the 60th percentile) show only modest or typical relative activity, indicating the practice’s prominence is concentrated on standard cataract extraction rather than more complex or variable ophthalmic procedures.
Within Medicaid peers in-state, 66984 ranks #8 of 63 providers (89th percentile) and is described as "typical, unremarkable volume" for the state context; this suggests the center is among the more active Medicaid cataract providers locally but not uniquely dominant statewide. The Medicaid top-3 codes are reported to represent 100.0% of Medicaid revenue, reinforcing that the provider’s Medicaid footprint is narrowly focused on a single service line.
Procedure-level pricing and ancillary supply use are visible in the Medicare mix: notable non-surgical items include J1097 (ophthalmic irrigation solution) with 888 claims and $67.5K revenue, and device/drainage procedures such as 66183 (32 claims, $63.1K revenue). These entries suggest routine intraoperative pharmaceutical and glaucoma-device activity supports the cataract surgery workflow, but such items remain small contributors to total Medicare revenue compared with 66984.
There are detectable statistical contrasts among less-common codes: 66821 (YAG capsulotomy) appears at low relative activity nationally (ranks #9292 of 10087, 6th percentile), while 66183 (anterior chamber device insertion) ranks #64 of 289 providers nationally (77th percentile). In plain terms, the center is a high-volume cataract surgeon nationally but shows divergent, procedure-specific footprints for specialty glaucoma or laser procedures—some are above-average, others are below-average compared with peers.
The provider has a long-enumerated NPI (enumerated on 2006-10-18 (~20 years ago)), indicating stable tenure in the market. Combined with the high national percentile for 66984 and concentrated revenue streams, this longevity points to an established ambulatory cataract surgery business model that is highly dependent on volume of standard cataract extraction with lens implantation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 2,110 | $920 | $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… | 110 | $920 | $103K |
| 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… | 40 | $2,780 | $99.9K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 890 | $80 | $67.5K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 30 | $1,970 | $63.1K |
| 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. | 40 | $1,260 | $50.4K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 30 | $1,670 | $45K |
| 67010 | The provider removes most of the vitreous humor, the gelatinous material that gives shape to the eye, to provide access to the retina or to remove material within the vitreous that obstructs vision.… | 20 | $940 | $16K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 20 | $220 | $3.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
2 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… | 1,830 | $330 | $595.9K |
| 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… | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
2 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… | 8 | 60 | 330 | $380 | $352.9K |
| 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… | 30 | 40 | 350 | $1 | $560 |
Other providers in the same ZIP code as Cataract & Laser Center, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Toward Independent Living & Learning, Inc. | MA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $16.5M |
| Mohmmad Munir | MA | Psychiatry Physician | $116.5K | $1.3M |
| New England Baptist Surgery Center LLC | MA | Ambulatory Surgical Clinic/Center | $940.8K | $0 |
| Tomoya Sakai | MA | Pain Medicine (Physical Medicine & Rehabilitation) Physician | $324.9K | $0 |
| Andrew Gillies | MA | Ophthalmology Physician | $285.9K | $0 |
| Michael Malone | MA | Urology Physician | $163K | $3.7K |
| India Michel | MA | Family Nurse Practitioner | $161.1K | $0 |
| Dedham Pharmacy & Medical Supply | MA | Community/Retail Pharmacy | $155.3K | $0 |
| Micah Hemani | MA | Urology Physician | $126.8K | $0 |
| Alene Conant | MA | Internal Medicine Physician | $119.1K | $0 |
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