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NPI 1295782316 · Saint Joseph, MO · Ophthalmologic Surgery Clinic/Center
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Murphy Watson Burr Surgery Center Inc is a ophthalmologic surgery clinic/center provider located in Saint Joseph, Missouri. This profile covers 11 Medicare and 3 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 | Murphy Watson Burr Surgery Center Inc |
| Address | 5202 Faraon St |
| City | Saint Joseph |
| State | MO |
| ZIP | 64506 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | May 27, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $89.6K |
This entity operates as an ophthalmologic surgery center focused on cataract and related anterior-segment procedures, as evidenced by Medicare top codes 66984, 66982 and 66821 and the presence of oculoplastic code 15823. The code mix (primary lens insertion, complex lens procedures, and laser capsulotomy) indicates the center performs both primary cataract surgery and high-volume postoperative/adjunct procedures rather than a broad multispecialty surgical slate.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 84.2% of this provider's total Medicare revenue, driven primarily by 66984 ($904K, 67.8% of Medicare revenue), then 66982 ($113.8K, 8.5%) and 66821 ($105.6K, 7.9%). This concentration shows the practice’s Medicare portfolio is dominated by cataract-related services.
Medicaid billing is essentially single-code driven: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue and Medicaid revenue is concentrated entirely in 66984 ($89.5K, 100.0% of Medicaid revenue). Two additional Medicaid-level quality/administrative codes (G8918 and G8907) appear in the file but show $0 paid and do not contribute to Medicaid revenue.
Payer mix is Medicare-dominant in scale: reported Medicare revenue is $1.3M versus Medicaid revenue of $89.6K, indicating Medicare is the primary revenue source for clinical activity and Medicaid plays a much smaller role. Operational planning, capacity decisions, and payer negotiations are therefore likely to be most sensitive to Medicare reimbursement and volume trends.
Competitive standing varies by code: 66821 ranks #159 of 10087 providers nationally (98th percentile) and is labeled notably above typical national volume, while 15823 ranks #80 of 1718 (95th percentile) and is also notably above typical national volume. By contrast, the high-revenue cataract extraction 66984 ranks #1847 of 15965 (88th percentile) and is characterized as typical/unremarkable volume nationally, and 66982 ranks #180 of 4580 (96th percentile) at a high but still described as typical volume.
The practice offers some glaucoma-related interventions and higher-complexity implants at smaller scale: 66991 contributes $70.5K (5.3% of Medicare revenue) to the Medicare mix, indicating occasional combined cataract-and-drainage-device cases. This suggests a service line that includes both routine cataract care and selective glaucoma device procedures rather than a primary glaucoma surgery center.
The provider shows operational continuity and volume: Medicare claims for 66984 total 1.1K claims and Medicaid shows 278 claims for 66984, reflecting repeated surgical throughput across payers for the same high-volume cataract procedure. Coupled with NPI enumeration on 2006-05-27 (~20 years ago), this supports classification as an established, procedure-focused ambulatory surgery center.
Revenue concentration presents a business vulnerability: because a large share of Medicare revenue is tied to a small set of cataract-related codes (top 3 = 84.2%), the provider’s financial performance is sensitive to changes in cataract volume or reimbursement. Strategic diversification into additional procedures or payers would reduce exposure, while current data suggest continued reliance on cataract services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 1,130 | $800 | $904K |
| 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… | 140 | $800 | $113.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 660 | $160 | $105.6K |
| 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… | 160 | $500 | $81.5K |
| 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 | $2,430 | $70.5K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 30 | $730 | $19.8K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 40 | $500 | $19.6K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 20 | $580 | $11.1K |
| 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. | 50 | $100 | $4.6K |
| 11441 | The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 0.6 to 1.0 cm in diameter and also performs a simple… | 30 | $70 | $1.8K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
3 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… | 280 | $320 | $89.5K |
| 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… | 80 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
3 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… | 12 | 60 | 80 | $280 | $53.5K |
| 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… | 16 | 30 | 100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 5 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as Murphy Watson Burr Surgery Center Inc, ranked by combined Medicare and Medicaid revenue.
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