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NPI 1275516718 · Boise, ID · Ambulatory Surgical Clinic/Center
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Premier Surgical Center, Inc is a ambulatory surgical clinic/center provider located in Boise, Idaho. This profile covers 8 Medicare and 1 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 | Premier Surgical Center, Inc |
| Address | 5680 W Gage St |
| City | Boise |
| State | ID |
| ZIP | 83706 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $532.6K |
| Medicaid | $9.9K |
PREMIER SURGICAL CENTER, INC is operating primarily as an ambulatory surgical ophthalmology center: its Medicare top codes are cataract extraction and intraocular lens procedures (66984, 66982, 66991) and related laser and retinal procedures, indicating the facility focuses on cataract surgery and anterior/posterior segment ophthalmic interventions rather than broad multispecialty surgery. The presence of codes such as 66984 and 66982 as the highest-revenue items signals routine cataract surgery with occasional complex/IOL-related cases.
Medicare revenue is the dominant payer for this provider: total Medicare revenue is $532.6K versus total Medicaid revenue of $9.9K, so the provider’s business is effectively Medicare-driven rather than balanced across public payers. Medicaid billing is minimal in scale relative to Medicare, making this an effectively single-payer (Medicare) operation for public programs.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes by revenue account for 81.6% of the provider’s total Medicare revenue, indicating that a small set of cataract- and IOL-related procedures generate the bulk of Medicare income for this center. This concentrated mix suggests operational specialization around those procedures rather than a diversified case portfolio.
On Medicaid the revenue picture is even more concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with a single code, 66984, representing all reported Medicaid billings ($9.9K, 18 claims). That implies Medicaid activity is narrowly confined to routine cataract extraction with IOL insertion.
Competitive standing on key Medicare codes is modest to typical: 66984 (the top Medicare code) generates $322K (60.4% of Medicare revenue) and the provider ranks #3382 of 15965 nationally, at the 79th percentile — a solid but not dominant national position reflecting typical, unremarkable volume for cataract extraction. For 66982 the provider ranks #602 of 4580 (87th percentile), indicating above-average relative activity on complex IOL techniques compared with peers, while 66991 ranks lower (#1076 of 1445, 22th percentile) consistent with fewer drainage-device combined procedures.
Medicaid competitive standing in-state is limited: the Medicaid activity for 66984 ranks #14 of 15 in-state (0th percentile) and represents all Medicaid revenue, which suggests the provider is a minor participant in Medicaid-covered cataract surgery within Idaho. Medicaid volumes are small (18 claims) compared with Medicare volumes for the same code (397 claims).
Tenure is long: the provider’s NPI was enumerated on 2005-11-29 (~21 years ago), indicating an established facility with two decades of enrollment in the national provider system, which supports interpretation of the reported case mix as stable rather than transient.
Procedure-level utilization patterns show a mix of routine and some higher-complexity cases: high frequency, lower-paid cataract extractions (66984) dominate by volume and revenue, while less-frequent, higher-paid procedures such as 66991 ($2480 avg paid/claim) and 66174 ($1121 avg paid/claim) contribute meaningful per-claim revenue and indicate the facility performs both straightforward cataract work and selective glaucoma/drainage or anterior segment procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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… | 400 | $810 | $322K |
| 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 | $830 | $60.4K |
| 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… | 20 | $2,480 | $52.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 190 | $200 | $36.6K |
| 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. | 20 | $1,120 | $23.5K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 10 | $1,460 | $19K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 40 | $400 | $16.1K |
| 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. | 30 | $100 | $3K |
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
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.
1 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… | 20 | $550 | $9.9K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
1 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… | 14 | 20 | 150 | $360 | $178.3K |
Other providers in the same ZIP code as Premier Surgical Center, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Safeway Inc | ID | Community/Retail Pharmacy | $76.1M | $330 |
| Albertsons LLC | ID | Community/Retail Pharmacy | $29M | $0 |
| American Drug Stores LLC | ID | Community/Retail Pharmacy | $27.3M | $0 |
| Vons Companies Inc | ID | Community/Retail Pharmacy | $12.7M | $0 |
| Nai Saturn Eastern LLC | ID | Community/Retail Pharmacy | $12.6M | $0 |
| Smiles 4 Kids | ID | Dentist | $0 | $9.6M |
| Acme Markets Inc | ID | Community/Retail Pharmacy | $9.5M | $0 |
| Randalls Food & Drugs LP | ID | Community/Retail Pharmacy | $6.7M | $0 |
| Shaws Supermarkets Inc | ID | Community/Retail Pharmacy | $5.5M | $0 |
| Saint Alphonsus Regional Medical Center Inc | ID | General Acute Care Hospital | $0 | $5.1M |
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