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NPI 1295766202 · Oklahoma City, OK · Ambulatory Surgical Clinic/Center
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Mcgee Eye Surgery Center LLC is a ambulatory surgical clinic/center provider located in Oklahoma City, Oklahoma. This profile covers 42 Medicare and 2 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 | Mcgee Eye Surgery Center LLC |
| Address | 1000 N Lincoln Blvd |
| City | Oklahoma City |
| State | OK |
| ZIP | 73104 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $2M |
MCGEE EYE SURGERY CENTER LLC’s case mix is consistent with a specialty ambulatory surgical center focused on cataract and anterior-segment procedures: the top Medicare and Medicaid revenue drivers are cataract extraction/lens insertion codes such as 66984 and complex IOL placement 66982, and the Medicare list also includes glaucoma canal expansion 66174, corneal tissue processing V2785, and corneal transplant 65756, indicating a mix of cataract, glaucoma, and corneal services performed in an ASC setting. This pattern fits the facility taxonomy (Ambulatory Surgical Clinic/Center) and suggests the site is organized to support high-throughput cataract work plus higher-acuity anterior-segment surgeries.
Revenue concentration on Medicare is high: the provider reports $2.8M in total Medicare revenue and its top 3 Medicare codes account for 59.7% of that Medicare revenue, led by 66984 ($1.1M, 40.6%), then 66174 ($314.1K, 11.7%), and 66982 ($198.9K, 7.4%). This indicates a reliance on a small set of surgical codes for the majority of Medicare receipts, making those services material to the facility’s payer performance.
Medicaid revenue is even more concentrated: total Medicaid revenue is $2M and the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 66984 generating $1.4M (70.3%) and 66982 generating $605.8K (29.7%). For Medicaid payers, this provider functions effectively as a cataract surgery site with almost all state-plan billing tied to lens-extraction/IOL procedures.
On payer mix the facility draws meaningful business from both programs: Medicare revenue ($2.8M) exceeds Medicaid ($2M) but both payers represent large, material streams. The center is not single-payer dependent; contracting or utilization management strategies should consider significant volumes across both Medicare and Medicaid populations.
Nationally, the provider shows mixed competitive standing by code: 66174 ranks #3 of 741 providers nationally (100th percentile) and is described as an "extreme outlier, far above typical national volume" for that code, and 66982 ranks #51 of 4580 (99th percentile; notably above typical national volume), signaling unusually high national volume for specific glaucoma and complex-IOL procedures, while 66984 sits at the 91th percentile (rank #1491 of 15965) and is characterized as typical, unremarkable volume for cataract surgery relative to national peers. This suggests the center is a regional/national referral destination for certain glaucoma and complex anterior-segment procedures even if its basic cataract volume is not exceptional nationally.
State-level Medicaid positioning is dominant for cataract services: 66984 ranks #1 of 35 providers in-state (100th percentile; notably above typical state volume), and 66982 is listed as #1 of 1 provider in-state (no state peer comparison available), indicating the center is a top Medicaid cataract/IOL provider in Oklahoma and may hold market share advantages for contracted Medicaid networks. Payers negotiating with state Medicaid plans should note the provider’s outsized role in covered cataract procedures.
Several additional codes are flagged as statistical outliers on Medicare, reflecting specialized or high-volume ancillary services: 15823 (upper eyelid skin trimming) is an "extreme outlier, far above typical national volume" (rank #23 of 1718, 99th percentile) and 66710 (ciliary body destruction) ranks #3 of 300 (99th percentile; extreme outlier), indicating the ASC also bills notable volumes for eyelid procedures and certain glaucoma interventions beyond routine cataract care. These outlier signals point to ancillary service lines that materially contribute to surgical mix and should be reviewed when assessing case complexity and resource needs.
The center’s NPI was enumerated on 2006-07-06 (~20 years ago), reflecting long operational tenure; combined with concentrated, high-volume billing in specific glaucoma and cataract codes, this tenure supports characterization as an established specialty ASC with focused procedural capabilities. For payers and provider network planners, the combination of longevity plus concentrated high-volume codes suggests predictable capacity in cataract and selected glaucoma services well-suited to inclusion in specialty surgical networks.
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… | 1,490 | $730 | $1.1M |
| 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. | 230 | $1,400 | $314.1K |
| 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… | 270 | $730 | $198.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 60 | $3,390 | $193.1K |
| 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… | 270 | $420 | $114.4K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 70 | $1,390 | $103K |
| 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. | 40 | $2,090 | $90K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 130 | $480 | $61.7K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 540 | $100 | $53.4K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 40 | $1,370 | $49.3K |
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 |
|---|---|---|---|---|---|
| V2785 | 1 | 10 | 30 | $3,590 | $118.4K |
| J1096 | 3 | 10 | 560 | $100 | $89.9K |
| 66984 | 5 | 350 | 40 | $430 | $69.3K |
| 66174 | 1 | 10 | 40 | $890 | $54.2K |
| 15823 | 2 | 40 | 50 | $510 | $39.7K |
| 67042 | 6 | 10 | 30 | $980 | $37.1K |
| 65756 | 1 | 10 | 30 | $1,110 | $36.6K |
| 67904 | 8 | 20 | 50 | $540 | $35.2K |
| 66183 | 1 | 10 | 20 | $1,420 | $29.8K |
| 66982 | 1 | 60 | 30 | $590 | $27.1K |
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.
2 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… | 3,390 | $420 | $1.4M |
| 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… | 1,210 | $500 | $605.8K |
How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oklahoma median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1 | 10 | 1,210 | $500 | $605.5K |
| 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 | 40 | 170 | $340 | $211.6K |
Other providers in the same ZIP code as Mcgee Eye Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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