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NPI 1255373676 · Santa Fe, NM · Ambulatory Surgical Clinic/Center
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Eye Surgery Centers Of New Mexico, LLC is a ambulatory surgical clinic/center provider located in Santa Fe, New Mexico. This profile covers 4 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 | Eye Surgery Centers Of New Mexico, LLC |
| Address | 2947 Rodeo Park Dr E |
| City | Santa Fe |
| State | NM |
| ZIP | 87505 |
| 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 |
|---|---|
| Medicare | $1.8M |
| Medicaid | $1.4M |
Business profile: EYE SURGERY CENTERS OF NEW MEXICO, LLC is enumerated as an Ambulatory Surgical Clinic/Center and the billing mix is centered on cataract surgery procedures—most revenue comes from intraocular lens insertion and related cataract-extraction codes (notably 66984, 66982, 66986), indicating the facility operates primarily as a cataract-focused ASC. The concentration of high-volume cataract codes across both payers is consistent with an outpatient surgical specialty rather than a multispecialty clinic.
Medicare revenue concentration: The provider reports $1.8M in total Medicare revenue with its top three Medicare codes accounting for 99.5% of that revenue; 66984 alone generates $1.7M (95.8% of Medicare revenue) across 2K claims at an average paid/claim of $857. That single-code dominance signals extremely high revenue concentration on routine cataract extraction with lens insertion for Medicare patients.
Medicaid revenue concentration: The provider reports $1.4M in total Medicaid revenue and its top three Medicaid codes account for 100.0% of that revenue, with 66984 comprising the entirety of Medicaid revenue ($1.4M from 2.7K claims at $494 avg paid/claim). This indicates the center’s Medicaid activity is almost exclusively driven by the same cataract procedure that dominates Medicare revenue.
Payer mix and scale: This entity has meaningful activity on both public payers — $1.8M in Medicare revenue versus $1.4M in Medicaid revenue — so it should be treated as a dual-payer surgical center rather than effectively single-payer. Both payers fund a similar service line, with Medicare slightly larger in dollar terms but Medicaid representing a substantial share of outpatient surgical volume for this provider.
Competitive standing — Medicare: For the dominant Medicare code 66984 the provider ranks #1000 of 15965 nationally (94th percentile) and is described as "notably above typical" national volume, indicating a strong national standing for that specific procedure. By contrast, supporting Medicare codes are modest contributors: 66982 ($56.8K, 3.2% of Medicare revenue) ranks #712 of 4580 (84th percentile) and 66986 ($10.2K, 0.6%) ranks #159 of 205 (8th percentile), reflecting limited diversity beyond the core cataract procedure.
Competitive standing — Medicaid and in-state nuance: For Medicaid 66984 the provider ranks #4 of 26 in-state (88th percentile), placing it among the higher-volume in-state providers for that code though not necessarily the single dominant operator. Two Medicaid-listed codes, G8907 and G8918, show high claim counts (631 and 630) but $0 revenue and rank in the mid-to-upper state percentiles (70th and 67th respectively), suggesting frequent use of non-reimbursed or reporting/quality codes in-state.
Service-line detail and outlier signals: The practice profile shows an operational focus on standard extracapsular cataract extraction with intraocular lens placement (66984) rather than extensive complex-cataract or lens-exchange work; 66982 and 66986 are present but together represent a small fraction of Medicare revenue. The dataset labels 66984 as "notably above typical national volume" for Medicare, and the provider’s heavy reliance on that single high-volume code should be viewed as a concentrated, specialized surgical business model rather than a broad ophthalmology practice.
Tenure and operational implication: The provider’s NPI was enumerated on 2006-06-11 (~20 years ago), indicating a longstanding presence in Santa Fe, NM. Combined with sustained, concentrated billing for 66984 across both Medicare and Medicaid, this tenure supports a picture of an established cataract surgery center with consistent payer relationships and a narrow procedural focus.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 2,000 | $860 | $1.7M |
| 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… | 70 | $860 | $56.8K |
| 66986 | The provider removes a previously placed intraocular lens and places a new one. | 10 | $850 | $10.2K |
| 65426 | During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft. | 10 | $680 | $8.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
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… | 2,730 | $490 | $1.4M |
| 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… | 630 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 630 | $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
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… | 4 | 30 | 280 | $400 | $607.8K |
| 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… | 4 | 10 | 210 | $1 | $40 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3 | 10 | 560 | $0 | $0 |
Other providers in the same ZIP code as Eye Surgery Centers Of New Mexico, LLC, ranked by combined Medicare and Medicaid revenue.
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