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NPI 1255397964 · West Des Moines, IA · Ambulatory Surgical Clinic/Center
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Surgery Centers Of Des Moines Ltd is a ambulatory surgical clinic/center provider located in West Des Moines, Iowa. This profile covers 26 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 | Surgery Centers Of Des Moines Ltd |
| Address | 5901 Westown Pkwy |
| City | West Des Moines |
| State | IA |
| ZIP | 50266 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $10.1K |
SURGERY CENTERS OF DES MOINES LTD is an ambulatory surgical clinic/center in WEST DES MOINES, IA with an NPI enumerated on 2006-04-21 (~20 years ago), indicating long-tenured operation in the outpatient surgical market. The taxonomy and tenure are consistent with an established ASC that has had time to build specialty referral relationships and procedural throughput.
Medicare dominates this provider’s payer mix by scale: total Medicare revenue is $2.3M compared with total Medicaid revenue of $10.1K, meaning the center is effectively Medicare-driven with a very small Medicaid footprint. This asymmetry implies payer-concentration exposure on the reimbursement and case-mix side and limits Medicaid-derived volume leverage.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 58.4% of this provider’s total Medicare revenue, with the three largest contributors being 66984, 63685, and 66991. That concentration shows the center’s finances are driven by a small set of high-revenue procedures rather than a broad, evenly distributed case mix.
Ophthalmology is the dominant service line on Medicare. Code 66984 alone generates $832.1K in revenue (37.0% of Medicare revenue) and ranks #1917 of 15965 nationally (88th percentile, labeled typical/unremarkable volume), indicating substantial cataract surgery volume for an ASC but not a national outlier. Several other eye procedures (for example 66821 and 67042) also contribute meaningfully, supporting a clinical profile centered on cataract, posterior-segment, and glaucoma-related procedures.
Within ophthalmology, the provider shows pockets of above-typical activity: code 66821 is described as notably above typical national volume (98th percentile) and 67042 is at the 93rd percentile, which together suggest particularly strong throughput for YAG capsulotomy/post-cataract care and select vitreoretinal procedures. These high percentiles point to operational depth in post-cataract and retinal services that could be a competitive advantage in the local market.
The ASC also performs specialized spine/neurostimulation work: code 63685 accounts for $343.3K (15.3% of Medicare revenue) and ranks #458 of 1281 nationally (61th percentile, typical/unremarkable volume), while 63650 contributes at a lower percentile (36th). This indicates a meaningful but not dominant neuromodulation implant program—likely a referral-driven niche that supplements the core ophthalmology business.
Medicaid activity is narrowly concentrated and modest in scale: the top Medicaid code 69436 represents 100.0% of the provider’s Medicaid revenue ($10.1K from 28 claims) and ranks #40 of 52 in-state (24th percentile). That pattern signals the center is a minor participant for state Medicaid tympanostomy volume and has minimal Medicaid diversification.
The provider’s reliance on a handful of high-value Medicare procedures (top 3 = 58.4% of Medicare revenue) creates both operational focus and revenue concentration risk; success depends on sustaining referral streams for cataract, retinal/glaucoma, and neurostimulation cases. Given the negligible Medicaid scale, strategic moves to broaden payer mix or expand lower-revenue procedure lines could reduce single-payer exposure and stabilize revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 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… | 1,060 | $790 | $832.1K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $17,160 | $343.3K |
| 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… | 60 | $2,370 | $137.6K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 40 | $3,590 | $136.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 510 | $170 | $87.7K |
| 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 | $1,430 | $87.4K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,450 | $75.9K |
| 0275T | N/A | 20 | $3,510 | $73.8K |
| 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. | 60 | $840 | $51.1K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 100 | $480 | $48.7K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 2 | 10 | 20 | $3,390 | $98.2K |
| 63650 | 3 | 10 | 40 | $2,330 | $93.3K |
| 63685 | 1 | 10 | 20 | $5,470 | $87.5K |
| 66984 | 12 | 340 | 50 | $340 | $50.4K |
| 66991 | 2 | 20 | 30 | $1,360 | $50.2K |
| 66982 | 24 | 60 | 40 | $450 | $39K |
| 65820 | 2 | 10 | 50 | $710 | $35.5K |
| 66174 | 3 | 10 | 30 | $1,020 | $32.6K |
| 15823 | 8 | 20 | 30 | $520 | $29.4K |
| 0275T | 3 | 10 | 20 | $1,530 | $29.1K |
Showing 1–10 of 26
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.
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 40 | 50 | 170 | $410 | $153.8K |
| V2632 | Posterior chamber intraocular lens | 5 | 10 | 30 | $1 | $130 |
| L8699 | Prosthetic implant, not otherwise specified | 3 | 10 | 120 | $1 | $1 |
Other providers in the same ZIP code as Surgery Centers Of Des Moines Ltd, ranked by combined Medicare and Medicaid revenue.
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