Loading...
NPI 1255797726 · Bloomfield, CT · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Bloomfield Asc LLC is a ambulatory surgical clinic/center provider located in Bloomfield, Connecticut. This profile covers 8 Medicare and 6 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 | Bloomfield Asc LLC |
| Address | 580 Cottage Grove Rd |
| City | Bloomfield |
| State | CT |
| ZIP | 06002 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 13, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $692.3K |
Business profile: BLOOMFIELD ASC LLC is organized as an Ambulatory Surgical Clinic/Center and its billing mix is overwhelmingly ophthalmic: the provider’s top Medicare codes are 66984, 66991, and 66183, which correspond to cataract extraction/implantation and anterior chamber glaucoma device insertion, and these three codes together drive 92.9% of the provider’s Medicare revenue. The code mix indicates the facility primarily delivers same-day eye surgery and associated intraocular device procedures rather than a broad mix of general surgical services.
Revenue concentration (Medicare): Medicare revenue is concentrated in a very small set of interventions — top code 66984 alone accounts for $760.9K and 76.0% of the provider’s total Medicare revenue, while the top three Medicare codes together account for 92.9% of Medicare receipts. This level of concentration implies the provider’s Medicare financial performance is highly sensitive to volume or pricing changes for a handful of ophthalmic procedures.
Revenue concentration (Medicaid): Medicaid billing is essentially single-code driven: code 66984 appears on 5.6K claims and is reported as $694.6K and 100.0% of the provider’s total Medicaid revenue, with the precomputed top-3 share for Medicaid also 100.0%. For Medicaid, revenue and claims are therefore almost entirely dependent on cataract extraction with lens insertion.
Payer mix and pricing signals: The provider reports $1M in total Medicare revenue versus $692.3K in total Medicaid revenue, so both payers contribute materially but Medicare is the larger source by headline dollars. Comparing unit payments for the same dominant procedure shows a Medicare average payment of $892 per claim for 66984 versus a Medicaid average payment of $123 per claim for 66984, highlighting a major payer-driven reimbursement gap for the same service.
Competitive standing (Medicare national): For its largest Medicare code 66984 the provider ranks #2149 of 15965 nationally (87th percentile) and the dataset labels that volume as typical and unremarkable for the code; other high-revenue Medicare codes such as 66991 (rank #415 of 1445, 70th percentile) and 66183 (rank #129 of 289, 52th percentile) likewise sit in moderate percentiles. These rankings suggest BLOOMFIELD ASC is a modest but established participant nationally for common ophthalmic procedures rather than a dominant national center of excellence.
Competitive standing (Medicaid in-state): For Medicaid, code 66984 is an extreme outlier in the state (rank #2 of 39, 97th percentile) and produces nearly all reported Medicaid revenue, which indicates the center is a major state-level provider for that specific cataract procedure by volume. Other Medicaid codes return negligible revenue and low ranks in-state, reinforcing that the ASC’s Medicaid footprint is highly concentrated and regionally prominent only for cataract surgery.
Operational/quality documentation signals: Several Medicaid-listed codes reflect perioperative quality documentation rather than revenue — for example, G8916 has 294 claims and G8907 has 312 claims but both show $0 revenue. The presence of high counts for these zero-dollar quality codes suggests active capture of safety/quality measures even though they do not contribute to billed revenue.
Tenure and stability: The provider’s NPI was enumerated on 2016-01-13 (~10 years ago), indicating it has roughly a decade of recorded activity under its current NPI, which supports interpretation of its reported revenue and volume pattern as established rather than transient. Given the concentration in a narrow set of ophthalmic codes and sustained claim counts, the business appears operationally stable within its specialty niche.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 850 | $890 | $760.9K |
| 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 | $2,700 | $118.8K |
| 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. | 20 | $2,390 | $50.2K |
| 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… | 30 | $870 | $29.6K |
| 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… | 10 | $1,630 | $17.9K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 30 | $410 | $10.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 40 | $230 | $8.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 20 | $210 | $4.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 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.
6 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… | 5,650 | $120 | $694.6K |
| V2632 | Posterior chamber intraocular lens | 60 | $1 | $170 |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 30 | $1 | $80 |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 10 | $1 | $40 |
| 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… | 310 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 290 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 64 | 70 | 570 | $480 | $626.7K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 76 | 80 | 990 | $260 | $592K |
| 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 | 40 | 380 | $310 | $334K |
| V2632 | Posterior chamber intraocular lens | 10 | 10 | 110 | $1 | $10 |
| 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… | 6 | 30 | 110 | $0 | $0 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 1 | 10 | 10 | $0 | $0 |
Other providers in the same ZIP code as Bloomfield Asc 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.