Loading...
NPI 1215283866 · Wausau, WI · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ec Laser And Surgery Institute Of Wi, LLC is a ambulatory surgical clinic/center provider located in Wausau, Wisconsin. This profile covers 13 Medicare and 3 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 | Ec Laser And Surgery Institute Of Wi, LLC |
| Address | 800 N 1st St |
| City | Wausau |
| State | WI |
| ZIP | 54403 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 1, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $281.3K |
EC LASER AND SURGERY INSTITUTE OF WI, LLC presents as an ophthalmic ambulatory surgical clinic centered on cataract and posterior segment procedures: its Medicare top codes are cataract-related (66984, 66991, 66982) and those three codes account for 73.9% of the provider's total Medicare revenue, while Medicaid revenue is entirely concentrated in 66984 (100.0% of Medicaid revenue). This code mix is consistent with a surgery-focused ASC that performs high volumes of lens replacement and some vitreoretinal work rather than broad multispecialty outpatient services.
Medicare revenue is materially concentrated: 66984 alone generated $733.3K (55.4% of this provider's total Medicare revenue) across 933 claims at $786 avg paid/claim, and the provider's precomputed top three Medicare codes together account for 73.9% of Medicare revenue. That level of concentration signals operational dependence on a small set of high-yield ophthalmic procedures, which makes overall Medicare revenue sensitive to changes in cataract case volume or reimbursement for these specific CPTs.
Medicaid activity is effectively a single-procedure stream: Medicaid totals $281.3K and 100.0% of that Medicaid revenue is attributed to 66984 (699 claims, $281K revenue at $402 avg paid/claim). In-state ranking for 66984 is #10 of 33 (72th percentile), indicating typical-to-above-median Medicaid cataract volume locally but little Medicaid diversification into other procedure lines.
On payer mix scale, Medicare ($1.3M) dominates the revenue base compared with Medicaid ($281.3K), so the provider’s overall economics are driven primarily by Medicare volume and payments rather than its Medicaid footprint. This asymmetric payer mix suggests network and reimbursement strategies should prioritize Medicare dynamics and the cataract surgery pathway.
Competitive standing by code is mixed: for its dominant Medicare code 66984 the provider ranks #2045 of 15965 nationally (87th percentile), characterized in the source as typical, unremarkable volume relative to peers; conversely the retinal removal code 67041 ranks #32 of 461 (93th percentile) and is labeled notably above typical national volume, indicating a relative specialty strength in some vitreoretinal procedures. These rank/percentile signals portray the practice as neither a national outlier for cataract overall but as having pockets of above-typical activity in retinal surgery.
The practice has an established presence in the Medicare/Medicaid landscape with an NPI enumerated on 2012-08-01 (~14 years ago), which supports interpretation of the observed billing profile as a stable operational pattern rather than a short-term anomaly. Tenure of this length is consistent with an ASC that has developed a focused surgical service mix over multiple years.
There are procedure-level gaps and lower-volume lines that temper the view of the practice as a broad ocular services center: codes such as 65756 (rank #373 of 567, 28th percentile) and J1096 (rank #210 of 282, 25th percentile) show comparatively low national percentiles, and 66710 sits at the 13th percentile (rank #248 of 300). These lower percentiles suggest limited activity in full-thickness corneal transplant and certain glaucoma laser procedures relative to peers, indicating the clinic's operational emphasis is concentrated in cataract and select retinal work rather than a wide spectrum of corneal and glaucoma services.
Ancillary service signals reinforce surgical specialization: the provider reports V2785 (processing, preserving and transporting corneal tissue) on Medicare with 20 claims and $74.1K revenue (5.6% of Medicare revenue) and ranks #136 of 231 (37th percentile), suggesting some involvement in corneal transplant workflows but at modest volume. Together with the dominant cataract billing, this points to an ASC that manages tissue-related logistics and occasional corneal procedures in support of its primary lens- and retina-focused surgical lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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… | 930 | $790 | $733.3K |
| 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… | 70 | $2,360 | $155.8K |
| 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… | 120 | $760 | $88.8K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,700 | $74.1K |
| 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… | 50 | $1,420 | $68.2K |
| 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… | 30 | $1,420 | $45.3K |
| 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… | 20 | $1,390 | $30.6K |
| 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… | 60 | $500 | $30.3K |
| 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… | 60 | $470 | $27.9K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,420 | $24.2K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 6 | 10 | 410 | $100 | $80.8K |
| V2785 | 4 | 10 | 20 | $3,940 | $78.7K |
| 66984 | 137 | 310 | 350 | $50 | $66.4K |
| 66991 | 5 | 30 | 30 | $1,270 | $53.3K |
| 66982 | 6 | 80 | 20 | $490 | $21.7K |
| 65756 | 8 | 10 | 20 | $1,030 | $21.7K |
| 67042 | 8 | 20 | 20 | $870 | $20.8K |
| 67041 | 1 | 20 | 20 | $960 | $20.2K |
| 15823 | 5 | 30 | 30 | $540 | $19.4K |
| 67904 | 3 | 20 | 20 | $590 | $18.9K |
Showing 1–10 of 13
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.
3 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… | 700 | $400 | $281K |
| 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… | 130 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 130 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
3 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… | 10 | 30 | 210 | $310 | $207.3K |
| 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… | 19 | 40 | 130 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | 20 | 220 | $0 | $0 |
Other providers in the same ZIP code as Ec Laser And Surgery Institute Of Wi, LLC, ranked by combined Medicare and Medicaid revenue.
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.