Loading...
NPI 1295710002 · Scottsdale, AZ · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Scottsdale Eye Surgery Center, P.C is a ambulatory surgical clinic/center provider located in Scottsdale, Arizona. This profile covers 42 Medicare and 9 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 | Scottsdale Eye Surgery Center, P.C |
| Address | 8414 N 90th St |
| City | Scottsdale |
| State | AZ |
| ZIP | 85258 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 14, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.7M |
| Medicaid | $1.9M |
SCOTTSDALE EYE SURGERY CENTER, P.C. is operating as an ambulatory surgical clinic/center with a heavy procedural focus on cataract extraction and posterior-segment retinal surgery; its top Medicare revenue driver is 66984 (3.1K claims, $831 avg paid/claim, $2.6M revenue, 46.4% of Medicare revenue), and high-revenue retinal procedures such as 67042 (340 claims, $1494 avg paid/claim, $508K revenue, 9.1%) and 67041 (181 claims, $1497 avg paid/claim, $271K revenue, 4.9%) are prominent in the mix. The presence of V2785 (115 claims, $3621 avg paid/claim, $416.4K revenue, 7.5%) and corneal transplant codes like 65756 (90 claims, $1522 avg paid/claim, $137K revenue, 2.5%) further indicates integrated corneal tissue and transplant activity alongside cataract and vitreoretinal services.
Revenue is highly concentrated within a small set of procedures on both payers: the top 3 Medicare codes account for 63.0% of the provider's Medicare revenue, and the top 3 Medicaid codes account for 97.7% of the provider's Medicaid revenue. On Medicaid this concentration is especially acute, with 66984 alone representing $1.4M and 74.9% of Medicaid revenue and 67113 contributing $400.7K (21.4%), indicating that a very small number of services drive nearly the entire Medicaid billing base.
Payer mix favors Medicare in scale: the center reports Total Medicare revenue of $5.7M versus Total Medicaid revenue of $1.9M, making Medicare the dominant revenue source while Medicaid remains a meaningful but much smaller contributor. Medicaid volumes are nevertheless tightly focused on cataract and complex retinal repair codes (66984 and 67113), whereas Medicare receipts show a broader portfolio of high-cost retinal and corneal procedures.
The provider is a national outlier on several posterior-segment codes, signaling a specialized vitreoretinal footprint: 67042 ranks #1 of 1087 providers nationally (100th percentile; extreme outlier) and 67041 ranks #1 of 461 providers nationally (100th percentile; extreme outlier), while 67113 also ranks #1 of 297 providers nationally (100th percentile; extreme outlier). Meanwhile, 66984 ranks #459 of 15965 providers nationally (97th percentile; notably above typical national volume), so the center combines very high retinal procedure volume with markedly above-typical cataract throughput.
In-state competitive standing on Medicaid shows dominance in key service lines: 66984 ranks #4 of 75 providers in-state (96th percentile; notably above typical state volume) and 67113 ranks #1 of 3 providers in-state (100th percentile), indicating the facility is among the leading Medicaid providers in Arizona for cataract and complex retinal repair. Several other specialized codes reported as #1 within the state (e.g., V2785, 67042, 67036) further support a market position concentrated in specialty ophthalmic surgery.
Corneal services appear to be a high-value niche for the center: V2785 (Processing, preserving and transporting corneal tissue) contributes $416.4K to Medicare revenue (7.5%) and ranks #3 of 231 providers nationally (99th percentile; notably above typical national volume), and V2785 also appears on the Medicaid ledger (12 claims, $2117 avg paid/claim, $25.4K revenue). The relatively high avg paid/claim for V2785 ($3621 on Medicare) and the presence of full-thickness corneal transplant code 65756 at notable national rank suggests the center handles substantial corneal tissue workflows and transplant procedures in addition to cataract and retina work.
The practice generates ancillary surgical volume in oculoplastic and eyelid procedures that supplement its core revenue lines: 15823 (234 claims, $493 avg paid/claim, $115.4K revenue, 2.1% of Medicare revenue) and 67904 (139 claims, $527 avg paid/claim, $73.3K revenue, 1.3%) indicate steady eyelid/oculoplastic activity. These codes provide a non-trivial supplementary revenue stream and broaden the clinical scope beyond purely cataract and vitreoretinal surgery, consistent with a full-service ophthalmic ambulatory surgery center.
The center has been enumerated for an extended period (NPI enumerated 2005-12-14, ~21 years ago), reflecting an established presence in the market; combined with its high national percentiles and several #1 ranks on complex retinal procedures, the facility should be considered an entrenched specialty surgical provider for ophthalmology when evaluating network strategy, referral patterns, or competitive benchmarking.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
42 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… | 3,120 | $830 | $2.6M |
| 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… | 340 | $1,490 | $508K |
| V2785 | Processing, preserving and transporting corneal tissue | 120 | $3,620 | $416.4K |
| 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… | 180 | $1,500 | $271K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 170 | $1,480 | $250.3K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 140 | $1,500 | $206.4K |
| 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… | 230 | $820 | $186.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 820 | $200 | $161.9K |
| 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… | 60 | $2,530 | $147K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 90 | $1,520 | $137K |
Showing 1–10 of 42
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
42 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 2 | 270 | 150 | $580 | $159.7K |
| V2785 | 1 | 10 | 30 | $3,500 | $146.8K |
| 66991 | 9 | 60 | 30 | $1,540 | $56.9K |
| 67041 | 1 | 20 | 30 | $1,220 | $51K |
| 15823 | 4 | 40 | 50 | $520 | $49.9K |
| 67042 | 1 | 40 | 30 | $1,160 | $46.5K |
| 66174 | 17 | 30 | 40 | $840 | $43.5K |
| 67113 | 1 | 20 | 20 | $1,190 | $40.3K |
| 67036 | 1 | 30 | 30 | $1,030 | $37.9K |
| 65756 | 1 | 10 | 20 | $1,250 | $37.6K |
Showing 1–10 of 42
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.
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… | 3,900 | $360 | $1.4M |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 330 | $1,230 | $400.7K |
| V2785 | Processing, preserving and transporting corneal tissue | 10 | $2,120 | $25.4K |
| 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… | 30 | $880 | $23K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 10 | $1,020 | $12.2K |
| 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… | 10 | $530 | $6.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 20 | $50 | $860 |
| 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 | 130 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
9 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… | 4 | 80 | 390 | $330 | $311.6K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 1 | 10 | 50 | $1,270 | $165.1K |
| V2785 | Processing, preserving and transporting corneal tissue | 1 | 10 | 10 | $2,120 | $25.4K |
| 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… | 1 | 10 | 30 | $880 | $23K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 19 | 20 | 90 | $100 | $22.8K |
| 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… | 11 | 20 | 30 | $320 | $18.7K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 1 | 10 | 10 | $1,020 | $12.2K |
| 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… | 13 | 20 | 140 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 7 | 20 | 40 | $0 | $0 |
Other providers in the same ZIP code as Scottsdale Eye Surgery Center, P.C, 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.