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NPI 1265657258 · Huntsville, AL · Ambulatory Surgical Clinic/Center
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Eye Surgery Center Of North Alabama, Inc. is a ambulatory surgical clinic/center provider located in Huntsville, Alabama. This profile covers 9 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 Center Of North Alabama, Inc. |
| Address | 3501 Memorial Pkwy Sw |
| City | Huntsville |
| State | AL |
| ZIP | 35801 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 16, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.2M |
| Medicaid | $260 |
EYE SURGERY CENTER OF NORTH ALABAMA, INC. is an ambulatory surgical center with a nearly 19-year Medicare/NPI presence (NPI enumerated 2007-04-16), indicating established operations and sustained enrollment in federal programs. The provider’s specialty mix—dominated by cataract extraction and intraocular lens procedures—aligns with an ASC focused on high-volume ophthalmic surgery rather than general outpatient surgery.
Medicare revenue dominates this provider’s payer mix: total Medicare revenue is $2.2M versus total Medicaid revenue of $264, signaling an effectively single-payer (Medicare-centric) outpatient surgery practice from a revenue perspective. Medicaid receipts are immaterial relative to Medicare and represent a negligible portion of lifetime reported public-payor revenue.
Revenue concentration on Medicare is extreme: the precomputed top 3 Medicare codes account for 88.5% of the provider’s total Medicare revenue, demonstrating tight dependence on a small set of ophthalmic procedures for most Medicare income. Specifically, cataract and glaucoma-related procedures constitute the core revenue stream for this ASC.
The single largest Medicare code is 66984, which generated $1.4M and 64.4% of this provider’s Medicare revenue; the provider ranks #1070 of 15965 nationally for 66984, placing it in the 93rd percentile and indicating notably above-typical national volume for routine extracapsular cataract extraction with intraocular lens insertion. This suggests the center is a regional high-volume cataract surgery site.
Producer-level procedure 66991 is an outlier in national comparison: with $397.7K (17.9% of Medicare revenue) and a rank of #13 of 1445 providers (99th percentile), the center is an extreme outlier for combined cataract extraction with intraocular lens prosthesis plus anterior segment aqueous drainage device insertion, implying a substantial focus on more complex cataract/glaucoma combined procedures relative to peers.
Code 66174 also stands out as a national outlier: it generated $136.9K (6.2% of Medicare revenue) and ranks #9 of 741 providers (99th percentile), described as an extreme outlier. This supports the interpretation that the center performs a high volume of glaucoma-focused interventions to expand aqueous outflow in addition to cataract surgery.
Other Medicare codes such as 66821 ($105.3K, 4.7% of Medicare revenue) rank in high national percentiles (98th) and further corroborate frequent use of laser posterior capsulotomy in post-cataract care. Several additional glaucoma-device codes (66183, 66180) appear at modest volumes and typical national percentiles, indicating the center also performs device implantation and shunt procedures but with less contribution to overall revenue.
Medicaid billing is nearly nonexistent relative to Medicare: all Medicaid revenue ($264) is attributed to code 66984 (32 claims, $8 avg paid/claim) which accounts for 100.0% of Medicaid revenue and ranks #16 of 25 in-state (38th percentile). This positions the facility as a minor in-state Medicaid participant for cataract procedures and indicates limited engagement with the state Medicaid population for its core services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 1,900 | $750 | $1.4M |
| 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… | 180 | $2,250 | $397.7K |
| 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. | 190 | $740 | $136.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 570 | $190 | $105.3K |
| 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. | 30 | $1,980 | $55.4K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 20 | $1,840 | $42.3K |
| 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… | 40 | $740 | $30.3K |
| 66710 | The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure. | 30 | $570 | $18.1K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 40 | $90 | $3.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
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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.
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… | 30 | $10 | $260 |
| 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 | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alabama 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… | 16 | 30 | 70 | $60 | $10.2K |
| 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… | 21 | 30 | 220 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 13 | 20 | 150 | $0 | $0 |
Other providers in the same ZIP code as Eye Surgery Center Of North Alabama, Inc., ranked by combined Medicare and Medicaid revenue.
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