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NPI 1235201369 · Sun Prairie, WI · Ambulatory Surgical Clinic/Center
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Dean Health Systems, Inc. is a ambulatory surgical clinic/center provider located in Sun Prairie, Wisconsin. This profile covers 21 Medicare and 4 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 | Dean Health Systems, Inc. |
| Address | 2850 Okeeffe Ave |
| City | Sun Prairie |
| State | WI |
| ZIP | 53590 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $750K |
DEAN HEALTH SYSTEMS, INC. in Sun Prairie, WI is an ambulatory surgical clinic with a long NPI tenure (enumerated ~20 years ago), indicating an established outpatient surgical operation focused on ophthalmic and oculoplastic procedures based on its top codes. The Medicare code mix is dominated by cataract and posterior-segment eye surgeries (notably 66984, 66982, 67042) and a range of glaucoma and retinal procedures, consistent with an ophthalmology ambulatory surgery center model rather than general ambulatory care.
Medicare revenue totals $1.8M while Medicaid revenue is $750K, so Medicare represents the larger payer by scale for this provider; the dataset shows activity on both payers rather than a single-payer profile. This payer mix suggests the clinic serves a significant Medicare population but also has meaningful Medicaid volume that supports broader access.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 59.3% of total Medicare revenue, driven chiefly by 66984 which alone contributes $839.6K (47.6% of Medicare revenue). That concentration reflects dependence on high-volume cataract extraction with IOL insertion as the principal revenue generator in the Medicare book of business.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with code 41899 (dental/unlisted oral procedure) generating $635.8K or 84.9% of Medicaid revenue and 66984 contributing the remaining Medicaid share. This indicates Medicaid activity is narrowly focused and dominated by a single unlisted dental-related procedure in the state dataset.
Competitive standing on key Medicare procedures is generally modest-to-typical nationally: 66984 ranks #1959 of 15965 (88th percentile) indicating notably typical, unremarkable national volume for cataract surgery relative to peers, while 66982 ranks at the 96th percentile (very strong relative volume for that code). Several specialized retinal and glaucoma codes (e.g., 67042 at 93rd percentile, 66174 at 83rd) show above-average activity, supporting the center’s role in complex anterior and posterior segment surgery.
In the state Medicaid market, 41899 ranks #2 of 36 in-state (97th percentile) and is described as notably above typical state volume; this makes the provider a major in-state reporter of that unlisted dental/adjoining-structure procedure. By contrast, its Medicaid cataract activity (66984) is midpack in-state (53rd percentile), indicating the provider’s Medicaid strength is concentrated in non-ophthalmic or miscoded/unlisted services rather than routine cataract cases.
Procedure-level outliers and notable percentile flags reinforce specialization: codes labeled "notably above typical" for Medicaid 41899 and high-percentile Medicare codes (e.g., 66982 at 96th, 67042 at 93rd) suggest pockets of above-average service volume, while many other Medicare codes are described as "typical, unremarkable volume," indicating a mixed competitive footprint with both specialty strengths and broad baseline ophthalmic activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 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… | 1,010 | $830 | $839.6K |
| 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 | $820 | $110.8K |
| 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… | 60 | $1,590 | $95.3K |
| 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. | 60 | $1,580 | $92.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,290 | $75.7K |
| 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… | 30 | $2,640 | $68.7K |
| 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 | $1,590 | $63.6K |
| 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 | $1,590 | $50.8K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 100 | $490 | $50K |
| 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. | 30 | $1,590 | $46.1K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 2 | 10 | 20 | $3,940 | $78.7K |
| 66984 | 133 | 310 | 350 | $50 | $66.4K |
| 66991 | 18 | 30 | 30 | $1,270 | $53.3K |
| 66174 | 1 | 10 | 30 | $920 | $31.2K |
| 66183 | 6 | 10 | 20 | $1,250 | $27.4K |
| 66180 | 3 | 10 | 20 | $1,550 | $26.3K |
| 65820 | 4 | 20 | 20 | $870 | $25.2K |
| 66982 | 4 | 80 | 20 | $490 | $21.7K |
| 65756 | 7 | 10 | 20 | $1,030 | $21.7K |
| 67042 | 1 | 20 | 20 | $870 | $20.8K |
Showing 1–10 of 21
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 3,740 | $170 | $635.8K |
| 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… | 260 | $440 | $113.1K |
| 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… | 80 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 80 | $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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 2 | 40 | 150 | $530 | $381.9K |
| 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… | 16 | 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… | 28 | 40 | 130 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 14 | 20 | 220 | $0 | $0 |
Other providers in the same ZIP code as Dean Health Systems, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sun Prairie Area School District | WI | Local Education Agency (LEA) | $0 | $2.3M |
| Luedtke-storm-mackey Chiropractic Clinic Sc | WI | Chiropractor | $0 | $1.3M |
| City Of Sun Prairie | WI | Land Ambulance | $421K | $846K |
| O Connell Pharmacy Ltd | WI | Long Term Care Pharmacy | $91.4K | $345.1K |
| Christopher Kirkpatrick | WI | Ophthalmology Physician | $288.6K | $0 |
| Walgreen Co | WI | Pharmacy | $201K | $46.6K |
| Costco Wholesale Corporation | WI | Community/Retail Pharmacy | $175.8K | $0 |
| Michael Yablick | WI | Ophthalmology Physician | $165.5K | $0 |
| Leo Schug | WI | Internal Medicine Physician | $126.4K | $0 |
| Wal-mart Stores East LP | WI | Community/Retail Pharmacy | $110.7K | $930 |
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