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NPI 1306958103 · Scranton, PA · Ambulatory Surgical Clinic/Center
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Nei Ambulatory Surgery Center Inc PC is a ambulatory surgical clinic/center provider located in Scranton, Pennsylvania. This profile covers 21 Medicare and 5 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 | Nei Ambulatory Surgery Center Inc PC |
| Address | 204 Mifflin Ave |
| City | Scranton |
| State | PA |
| ZIP | 18503 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $353.3K |
Business/service-line: NEI AMBULATORY SURGERY CENTER INC PC operates as an Ambulatory Surgical Clinic/Center with a clear ophthalmology/cataract surgery focus — its Medicare top revenue codes are dominated by cataract extraction and intraocular lens procedures (66984, 66982) and related ophthalmic irrigation supply use (J1097), indicating the center’s primary service line is high-volume cataract surgery and same-day ophthalmic procedures. The presence of ancillary ophthalmic codes (for example 66821, 65820, 66988) reinforces that surgical eye care, including laser capsulotomy and complex lens implantation, is central to operations.
Medicare revenue concentration: Precomputed data show the top 3 Medicare codes account for 84.5% of this provider’s total Medicare revenue. Those top three codes are 66984 (57.2% of Medicare revenue, $1.6M), J1097 (21.9% of Medicare revenue, $594.3K), and 66982 (5.5% of Medicare revenue, $149K), meaning a small set of ophthalmic procedure and supply codes drive the bulk of Medicare receipts.
Medicaid revenue concentration: Precomputed data show the top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and Medicaid activity is overwhelmingly concentrated in a single procedure: 66984 accounts for 100.0% of Medicaid revenue ($353.2K with 417 claims). Other Medicaid-listed codes have claims but report $0 paid revenue, so Medicaid dollars are effectively from the single cataract surgery code.
Payer mix and scale: The provider reports $2.7M in lifetime Medicare revenue versus $353.3K in lifetime Medicaid revenue, making Medicare the dominant payer by reported receipts. Medicaid appears to be a minor revenue source in scale and is largely limited to the same cataract procedure code that drives Medicaid revenue.
Medicare competitive standing: For Medicare, the provider ranks highly on its lead cataract and ophthalmic-supply codes — 66984 ranks #995 of 15965 providers nationally (94th percentile) and is described as notably above typical national volume, while J1097 ranks #9 of 443 providers (98th percentile) and is also described as notably above typical national volume. These rankings indicate the center is a strong national-volume performer for cataract extraction and for use of the specific ophthalmic irrigation drug.
Medicaid competitive standing (in-state): Within Pennsylvania Medicaid billing, 66984 ranks #14 of 81 providers in-state (84th percentile), a typical-to-strong in-state position for that procedure. Although J1097 appears in the Medicaid claims listing and ranks #1 of 2 providers in-state (100th percentile), the Medicaid entries for J1097 report $0 paid revenue, so its practical Medicaid market impact is limited despite the high relative rank by claims.
Operational and supply-use implications: The very high Medicare claim counts and revenue for J1097 (7.8K claims, $594.3K revenue on Medicare) alongside 66984 volume suggests frequent use of the phenylephrine/ketorolac irrigation solution in the center’s cataract cases; this pattern is consistent with a high-throughput cataract surgery model where per-case supply utilization is a material line item. Analysts should view the provider as operationally optimized for cataract case throughput and associated intraoperative drug/supply use.
Tenure and stability: The NPI was enumerated on 2006-08-31 (~20 years ago), indicating long-standing enrollment as an ambulatory surgical center; combined with concentrated, high-volume billing for specific cataract codes, this suggests an established specialty ASC with a consistent procedural footprint over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 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… | 2,010 | $780 | $1.6M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 7,820 | $80 | $594.3K |
| 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… | 190 | $780 | $149K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 670 | $180 | $120.8K |
| 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. | 50 | $1,240 | $60.8K |
| 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… | 100 | $450 | $45.9K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 30 | $1,420 | $42.6K |
| 14060 | The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less. | 60 | $580 | $32.7K |
| 67908 | The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat… | 50 | $510 | $25K |
| 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 | $18K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 30 | 840 | $80 | $119.3K |
| 66984 | 4 | 670 | 80 | $530 | $97.8K |
| 66988 | 4 | 10 | 40 | $1,010 | $52.4K |
| 65820 | 13 | 50 | 30 | $950 | $36.2K |
| 66982 | 1 | 200 | 30 | $640 | $23.2K |
| 67904 | 24 | 60 | 30 | $580 | $22.7K |
| 14060 | 14 | 90 | 20 | $580 | $20.9K |
| 15823 | 4 | 70 | 30 | $520 | $20.7K |
| 66821 | 1 | 420 | 50 | $230 | $18.3K |
| 67908 | 1 | 10 | 30 | $490 | $15.1K |
Showing 1–10 of 21
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.
5 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… | 420 | $850 | $353.2K |
| 99070 | Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,… | 170 | $0 | $0 |
| 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… | 240 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 220 | $0 | $0 |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 70 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99070 | Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,… | 7 | 20 | 130 | $570 | $177.8K |
| 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… | 14 | 80 | 50 | $610 | $122.4K |
| 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… | 11 | 40 | 100 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 7 | 30 | 100 | $0 | $0 |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1 | 10 | 60 | $0 | $0 |
Other providers in the same ZIP code as Nei Ambulatory Surgery Center Inc PC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Family Enrichment Center, Inc | PA | Psychologist | $0 | $12.9M |
| Affiliated Pediatric Dentistry | PA | Point of Service | $0 | $10.9M |
| Randall Peairs | PA | Ophthalmology Physician | $5.6M | $13.5K |
| Michael O'donnell | PA | MOHS-Micrographic Surgery Physician | $675.9K | $0 |
| Mark Suchter | PA | Dermatology Physician | $548.7K | $0 |
| Thomas Boland | PA | Ophthalmology Physician | $457.5K | $0 |
| Donald Preate | PA | Urology Physician | $432.4K | $12K |
| Jerome Jordan | PA | Ophthalmology Physician | $440.1K | $0 |
| Christopher Jordan | PA | Ophthalmology Physician | $375.9K | $0 |
| Mark Marsili | PA | Dermatology Physician | $237.1K | $0 |
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