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    OpenPayerNPI Medicare & MedicaidShoreline Asc, LLC
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    Shoreline Asc, LLC — Billing Profile & Reimbursement Data

    NPI 1285687145 · Muskegon, MI · Ophthalmologic Surgery Clinic/Center

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    Shoreline Asc, LLC is a ophthalmologic surgery clinic/center provider located in Muskegon, Michigan. This profile covers 7 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)

    FieldValue
    Entity TypeOrganization
    OrganizationShoreline Asc, LLC
    Address1298 E Sherman Blvd
    CityMuskegon
    StateMI
    ZIP49444
    TaxonomyOphthalmologic Surgery Clinic/Center
    NPI EnumeratedMay 19, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$592.9K
    Medicaid$301.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…530$790$420K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml1,210$80$91.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.250$190$47.4K
    66982The 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$800$26.5K
    66761The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of…30$130$3.5K
    65855In 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.20$100$1.9K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.10$130$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10975101,310$80$172.2K
    669842848070$470$69.5K
    669824513030$630$22.2K
    66821431040$230$13.4K
    65855638030$160$6.5K
    67840283020$180$4.8K
    6676131020$170$4.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…810$370$302K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The 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…2050310$400$267.7K

    Nearby Providers

    Other providers in the same ZIP code as Shoreline Asc, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moka CorporationMIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$126.2M
    Mercy Health PartnersMIGeneral Acute Care Hospital$0$98.1M
    Senior Resources Of West MichiganMICase Management Agency$0$31.5M
    Mgh Family Health CenterMIFederally Qualified Health Center (FQHC)$0$24.4M
    Hackley Community Care Center IncMIFederally Qualified Health Center (FQHC)$0$23.1M
    Orthopaedic Associates Of Muskegon, PCMIOrthopaedic Surgery Physician$0$7.1M
    Port City PediatricsMIPediatrics Physician$0$5.9M
    Radiology Muskegon PCMIDiagnostic Radiology Physician$0$5.9M
    Mercy Specialty ServicesMIInternal Medicine Physician$0$5.3M
    Paul RaphaelianMIRetina Specialist (Ophthalmology) Physician$1.5M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Shoreline Asc, LLC — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan
    Medicaid Revenue by Year vs. Michigan Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Shoreline Asc, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan