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NPI 1316940539 · Grand Island, NE · Ambulatory Surgical Clinic/Center
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Grand Island Surgical Center LLC is a ambulatory surgical clinic/center provider located in Grand Island, Nebraska. This profile covers 29 Medicare and 4 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 | Grand Island Surgical Center LLC |
| Address | 3610 Richmond Cir |
| City | Grand Island |
| State | NE |
| ZIP | 68803 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 23, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $79K |
Grand Island Surgical Center is heavily Medicare-weighted in scale: reported lifetime Medicare revenue is $1.9M versus $79K in Medicaid revenue, indicating Medicare dominates clinical volume and financial activity for this ASC. The provider’s NPI was enumerated 2005-05-23 (~21 years ago), consistent with an established ambulatory surgical operation rather than a recent startup.
Revenue concentration on Medicare is high: the precomputed top-3 Medicare codes account for 56.1% of the provider’s Medicare revenue, and the single code 66984 alone generates $582.5K (30.8% of Medicare revenue). Those top Medicare drivers are 66984, 63685, and J1096, which together point to a narrow set of high-yield procedures underpinning the facility’s reimbursement.
The top-3 Medicaid codes account for 100.0% of Medicaid revenue, with tympanostomy 69436 ($41.2K, 52.1% of Medicaid revenue) and cataract extraction 66984 ($37.8K, 47.9% of Medicaid revenue) making up virtually all Medicaid billing. Two quality/administrative G-codes (G8918, G8907) appear in the Medicaid list but report $0 in paid dollars, so Medicaid revenue is effectively concentrated in a small number of procedural codes.
The code mix indicates a strong ophthalmology surgical footprint: 66984 ($582.5K Medicare, $37.8K Medicaid) is the largest single revenue source and related ophthalmic items J1096 and J1097 also appear in the Medicare top codes, signaling routine cataract surgery and intraoperative ophthalmic supply usage as core services. At the same time, presence of 63685 (spinal neurostimulator generator implant, $324K Medicare) shows capability to perform higher-complexity implant procedures, so the center supports both high-volume ophthalmic cases and selective complex implant work.
Competitive standing is mixed across services: for 66984 the provider ranks #2416 of 15965 (85th percentile; typical, unremarkable volume for this code), indicating above-average national activity but not market dominance; 63685 ranks #590 of 1281 (48th percentile; typical, unremarkable volume for this code) showing middling participation in spinal implant work; and J1096 ranks #74 of 282 (74th percentile; typical, unremarkable volume for this code). By contrast G0121 (colorectal screening colonoscopy) ranks #377 of 7750 (95th percentile; notably above typical national volume for this code), which suggests the center performs colorectal screening at a materially higher-than-typical rate relative to peers.
Service-line breadth beyond ophthalmology is evident but smaller in dollar terms: Medicare lists endoscopy/colonoscopy codes (45380, 45385, 45378 and G0121) and procedures spanning ENT (69436 in Medicaid), orthopedics (23412, 28285), and pain interventions (64483, 62323). This mixture is consistent with a multispecialty ambulatory surgical clinic that concentrates revenue in a few high-volume ophthalmic procedures while maintaining capacity for GI, ENT, orthopedics, and interventional pain cases.
Concentration risk is notable from a revenue-management perspective: with one code (66984) representing $582.5K and the top three Medicare codes representing 56.1% of Medicare revenue, reimbursement volatility or changes in coverage for these specific services could disproportionately affect overall throughput and revenue. Operationally, the center appears established (~21 years) but dependent on a narrow set of high-yield procedures to drive the majority of its Medicare receipts.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 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… | 690 | $840 | $582.5K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $19,060 | $324K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1,580 | $100 | $156.1K |
| 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… | 60 | $2,520 | $153.7K |
| 0275T | N/A | 40 | $3,560 | $146.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 220 | $400 | $89.4K |
| 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… | 50 | $830 | $43.1K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 560 | $80 | $42.3K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 90 | $420 | $38.2K |
| 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 | $780 | $35.7K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
29 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 4 | 10 | 20 | $8,770 | $157.9K |
| J1097 | 6 | 10 | 1,290 | $80 | $129K |
| J1096 | 1 | 10 | 840 | $100 | $83.4K |
| 66984 | 15 | 200 | 50 | $450 | $75.5K |
| 0275T | 2 | 20 | 20 | $2,280 | $57K |
| 66991 | 6 | 30 | 30 | $1,410 | $56.4K |
| 65820 | 5 | 10 | 40 | $880 | $41.4K |
| 45385 | 56 | 120 | 50 | $280 | $33.2K |
| 66982 | 20 | 50 | 40 | $570 | $30.1K |
| 29848 | 8 | 10 | 30 | $410 | $22.8K |
Showing 1–10 of 29
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 90 | $450 | $41.2K |
| 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 | $390 | $37.8K |
| 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… | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 150 | $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
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 13 | 20 | 240 | $900 | $448.5K |
| 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… | 6 | 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… | 2 | 20 | 40 | $1 | $10 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 2 | 10 | 20 | $0 | $0 |
Other providers in the same ZIP code as Grand Island Surgical Center LLC, ranked by combined Medicare and Medicaid revenue.
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