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NPI 1306093604 · Las Vegas, NV · Ambulatory Surgical Clinic/Center
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Box Canyon Surgery Center LLC is a ambulatory surgical clinic/center provider located in Las Vegas, Nevada. This profile covers 23 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 | Box Canyon Surgery Center LLC |
| Address | 2555 Box Canyon Dr |
| City | Las Vegas |
| State | NV |
| ZIP | 89128 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 19, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $565.4K |
BOX CANYON SURGERY CENTER LLC presents as an ambulatory surgical clinic/center with a clear ophthalmology focus: the cataract extraction and intraocular lens insertion code 66984 is the single largest revenue driver across both payers (Medicare revenue for 66984 is $946.9K, representing 48.4% of the provider's Medicare revenue, and Medicaid revenue for 66984 is $566K, representing 100.0% of the provider's Medicaid revenue). The prominence of cataract-related codes in both Medicare and Medicaid indicates the facility operates primarily as a cataract surgery center with ancillary anterior-segment ophthalmic services.
Revenue concentration is high on both programs: the provider's top three Medicare codes account for 66.5% of its Medicare revenue, and the top three Medicaid codes account for 100.0% of its Medicaid revenue. This level of concentration signals material dependence on a small set of ophthalmic procedures for topline reimbursement, especially Medicaid where a single code (66984) drives all reported Medicaid revenue.
On payer scale the facility is Medicare-dominant in absolute dollars: total Medicare revenue is $2M versus total Medicaid revenue of $565.4K. While Medicaid is meaningful, Medicare is the larger source of lifetime revenue and therefore will be the more important payer for contract negotiations and utilization oversight.
National competitive standing for the provider's leading Medicare ophthalmic codes is above-average but not extreme: 66984 ranks #1918 of 15965 providers nationally (88th percentile) and 66991 ranks #120 of 1445 providers nationally (92th percentile), both described as typical, unremarkable volume at relatively high national percentiles. These placements indicate the center is a solid regional/national performer in cataract procedures rather than a high-volume national outlier.
For Medicaid specifically, the provider's volume in 66984 is regionally significant: 66984 ranks #3 of 28 providers in-state (93th percentile; notably above typical state volume). That ranking, coupled with 100.0% of Medicaid revenue coming from 66984, positions the center as a leading state provider of Medicaid-funded cataract surgery but also exposes it to state-policy or payment changes that affect that single service.
The code mix beyond cataract suggests a broader anterior-segment and glaucoma service line: notable Medicare revenue items include glaucoma drainage/shunt procedures (66180, 66174), corneal tissue processing and transplant codes (V2785, 65756), and ancillary ophthalmic drug supplies (J1096, J1097). That spread indicates capability to manage complex anterior-segment cases and corneal workups, supporting a specialty surgical profile rather than a general ambulatory surgery mix.
Non-ophthalmic services appear as low-volume adjuncts on Medicare claims: spinal and facet injection codes (64493, 64483, 64635 and related injection codes) show modest Medicare revenue shares but rank at middling percentiles nationally. These entries likely reflect occasional non-ophthalmic procedures performed at the center or by co-located practitioners rather than core business lines.
The practice has a long operational tenure with NPI enumeration dated 2008-08-19 (~18 years ago), which supports interpretation of the observed volumes as steady-state operations rather than a startup artifact. Combined with the observed payer and procedure concentration, the tenure suggests a stable, ophthalmology-focused ASC with material exposure to cataract-service demand and reimbursement trends.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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… | 1,060 | $900 | $946.9K |
| 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… | 80 | $2,730 | $221.5K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1,370 | $100 | $132.7K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,110 | $80 | $84.2K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $3,170 | $79.2K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 30 | $2,220 | $68.9K |
| 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… | 70 | $840 | $59.6K |
| 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. | 50 | $1,090 | $48.9K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 150 | $310 | $45.5K |
| 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 | $1,310 | $44.4K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 2 | 10 | 1,110 | $80 | $220.9K |
| 66984 | 3 | 120 | 80 | $590 | $121.4K |
| V2785 | 2 | 10 | 30 | $3,270 | $78.6K |
| J1096 | 1 | 10 | 720 | $100 | $69.7K |
| 66991 | 1 | 20 | 30 | $1,760 | $56.4K |
| 15823 | 4 | 10 | 30 | $540 | $33.5K |
| 67904 | 8 | 10 | 30 | $620 | $30.9K |
| 65820 | 2 | 10 | 30 | $1,160 | $30.1K |
| 66982 | 6 | 30 | 30 | $710 | $29.7K |
| 66180 | 1 | 10 | 20 | $1,490 | $28.3K |
Showing 1–10 of 23
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… | 1,890 | $300 | $566K |
| 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… | 670 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 210 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada 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… | 3 | 30 | 340 | $280 | $158K |
| 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… | 7 | 40 | 190 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 13 | 20 | 250 | $0 | $0 |
Other providers in the same ZIP code as Box Canyon Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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