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NPI 1275700957 · Boise, ID · Ambulatory Surgical Clinic/Center
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Pacific Cataract And Laser Institute Inc PC is a ambulatory surgical clinic/center provider located in Boise, Idaho. This profile covers 4 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 | Pacific Cataract And Laser Institute Inc PC |
| Address | 2822 S Vista Avenue |
| City | Boise |
| State | ID |
| ZIP | 83705 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 13, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $731.7K |
| Medicaid | $91.1K |
PACIFIC CATARACT AND LASER INSTITUTE INC PC operates as an Ambulatory Surgical Clinic/Center focused on cataract-related services: its Medicare and Medicaid billing is dominated by cataract extraction with intraocular lens insertion (66984) and related procedures such as posterior capsulotomy (66821) and less-frequent complex or combined lens/drainage procedures (66991, 66982). The code mix indicates a specialized ophthalmic surgical practice primarily performing routine cataract surgeries with some follow-up laser and occasional advanced procedures.
Medicare is the primary public payer for this provider, with total Medicare revenue of $731.7K versus total Medicaid revenue of $91.1K, indicating Medicare accounts for the bulk of public-payer billing activity on file for this entity. This profile is not a single-payer practice: both payers appear, but Medicare is materially larger in scale.
Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 96.5% of this provider's total Medicare revenue, demonstrating heavy dependence on a very small set of ophthalmic procedures for Medicare income. On the Medicaid side the precomputed top 3 codes account for 100.0% of Medicaid revenue, and a single code, 66984, represents $91.1K (100.0% of Medicaid revenue), showing Medicaid billing is entirely concentrated in routine cataract extraction.
Within Medicare billing, code 66984 alone generates $594.5K (81.3% of the provider's Medicare revenue) and is ranked #2363 of 15965 nationally (85th percentile) and is described as "typical, unremarkable volume" for this code; this indicates a relatively strong national presence for routine cataract extraction but within expected volume ranges for peers. Code 66821 contributes $39.2K (5.4% of Medicare revenue) and ranks #716 of 10087 (93rd percentile, "typical, unremarkable volume"), suggesting the practice also performs substantial capsulotomy follow-up care relative to many peers.
More complex or combined procedures are present but limited: 66991 accounts for $71.9K (9.8% of Medicare revenue) and ranks #735 of 1445 nationally (47th percentile, "typical, unremarkable volume"), while 66982 contributes $25.9K (3.5% of Medicare revenue). This mix implies occasional management of coexisting glaucoma or complex cataract cases but that these services are a minority of billed activity.
Medicaid competitive standing is modest within-state: 66984 for Medicaid is ranked #7 of 15 Idaho providers (57th percentile, "typical, unremarkable volume") despite representing 100.0% of this provider's Medicaid revenue. That placement indicates the provider is mid‑pack among in-state Medicaid cataract billers rather than a statewide leader.
The provider has an established operating history, with its NPI enumerated on 2008-05-13 (~18 years ago), which, coupled with the concentrated code mix and stable procedure types, suggests a long-standing, specialized ambulatory cataract surgery practice rather than a broad multi-specialty surgical center. This tenure supports the interpretation that current billing patterns reflect intentional service-line focus rather than a recent shift in case mix.
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… | 720 | $830 | $594.5K |
| 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… | 30 | $2,480 | $71.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 230 | $170 | $39.2K |
| 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 | $830 | $25.9K |
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.
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… | 220 | $420 | $91.1K |
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… | 7 | 20 | 150 | $360 | $178.3K |
Other providers in the same ZIP code as Pacific Cataract And Laser Institute Inc PC, ranked by combined Medicare and Medicaid revenue.
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