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NPI 1316926405 · Omaha, NE · Ambulatory Surgical Clinic/Center
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Miracle Hills Surgery Center LLC is a ambulatory surgical clinic/center provider located in Omaha, Nebraska. This profile covers 7 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 | Miracle Hills Surgery Center LLC |
| Address | 11819 Miracle Hills Dr |
| City | Omaha |
| State | NE |
| ZIP | 68154 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $719K |
| Medicaid | $56.8K |
MIRACLE HILLS SURGERY CENTER LLC is operating as an Ambulatory Surgical Clinic/Center with a procedural mix dominated by ophthalmology and spine-related pain procedures. The highest-revenue Medicare procedure is 66984 (cataract extraction with lens insertion) at $453.3K, followed by the spinal neuromodulation/epidural electrode placement code 63650 at $140.3K and a spine neurolytic procedure 64635 at $63.1K, which together shape the center’s clinical footprint and referral patterns.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 91.4% of this provider's total Medicare revenue. Within that grouping, 66984 alone represents $453.3K (63.1% of Medicare revenue), 63650 represents $140.3K (19.5%), and 64635 represents $63.1K (8.8%), indicating dependence on a small set of high-value procedures for most Medicare receipts.
On the Medicaid side the provider is effectively single-code dependent: total Medicaid revenue is $56.8K and 100.0% of that Medicaid revenue is reported under 66984 (99 claims, $574 avg paid/claim). Medicaid billing also shows 44 claims for G8907 with $0 revenue, indicating administrative or quality-status reporting activity that does not contribute to billed Medicaid dollars.
Payer mix is Medicare-dominant in scale: lifetime Medicare revenue of $719K far exceeds lifetime Medicaid revenue of $56.8K, positioning the facility primarily as a Medicare-serving ASC rather than a Medicaid-centered provider. The relative scale suggests reimbursement and operational planning are likely driven by Medicare payment policies and referral networks.
Competitive standing by code is mixed nationally: for 66984 the provider ranks #2788 of 15965 (83th percentile; typical, unremarkable volume), showing above-average national placement but not a dominant volume outlier; 63650 ranks #876 of 1371 (35th percentile; typical, unremarkable volume), indicating modest national participation in neuromodulation procedures; 64635 ranks #485 of 5957 (92th percentile; typical, unremarkable volume), which is notably high relative to peers and suggests the facility is an important regional provider for that specific spine intervention.
State-level Medicaid positioning for cataract surgery (66984) is moderate: the provider ranks #5 of 12 in-state (64th percentile; typical, unremarkable volume), implying it is a mid-tier Medicaid cataract site within Nebraska. The presence of G8907 activity (44 claims, $0 revenue; ranks #9 of 17 in-state, 50th percentile) further indicates engagement with facility-level safety/quality reporting even when it does not generate Medicaid revenue.
The provider has long tenure in the dataset, with NPI enumeration dated 2006-01-17 (~20 years ago), which supports interpretation of the observed code mix as an established, stable ambulatory surgery operation. Longitudinal presence combined with concentrated revenue streams suggests strategic reliance on a few high-volume procedures rather than broad service diversification.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 540 | $840 | $453.3K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 40 | $3,790 | $140.3K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 130 | $510 | $63.1K |
| 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… | 20 | $850 | $18.7K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 40 | $500 | $18.6K |
| 28285 | The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position. | 20 | $590 | $13.7K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 40 | $290 | $11.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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… | 100 | $570 | $56.8K |
| 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… | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
2 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… | 5 | 10 | 100 | $560 | $114.2K |
| 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… | 9 | 20 | 40 | $1 | $10 |
Other providers in the same ZIP code as Miracle Hills Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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