Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Cheyenne Ocular Surgery (NPI 1326247479)

Field	Value
Entity Type	Organization
Organization	Cheyenne Ocular Surgery
Address	1300 E 20th St
City	Cheyenne
State	WY
ZIP	82001
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 17, 2007

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

CHEYENNE OCULAR SURGERY’s billing mix and CPT profile are consistent with an ophthalmic ambulatory surgical center focused on cataract and intraocular procedures: the top Medicare codes are 66984 (cataract extraction with intraocular lens; 607 claims, $796 avg paid/claim, $483.2K revenue, 47.0% of Medicare revenue), 66991 (intraocular lens with drainage device; 45 claims, $2442 avg paid/claim, $109.9K revenue, 10.7%) and device/drug administration codes such as J1097 (ophthalmic irrigation; 2.4K claims, $76 avg paid/claim, $179.4K revenue, 17.5%). This mix of high-volume cataract surgery plus frequent use of intraoperative irrigation and intraocular devices indicates a procedure-driven surgical center model rather than primarily outpatient clinic visits.

Revenue concentration is high on Medicare: the precomputed top-3 codes account for 75.2% of this provider's total Medicare revenue, with 66984 alone representing 47.0% of Medicare receipts. That degree of concentration around a single procedural line (routine cataract extraction and lens insertion) makes overall Medicare performance sensitive to volume and reimbursement changes in that service line.

Payer mix is effectively single-payer at the public-program level: reported lifetime Medicare revenue is $1M while Medicaid shows none (no Medicaid billing on file). The absence of Medicaid billing means public-revenue exposure is concentrated in Medicare beneficiaries and fee schedules rather than split across Medicaid programs.

Competitive standing versus national Medicare peers is solid but not dominant: 66984 ranks #2595 of 15965 providers nationally (84th percentile) and is described as "typical, unremarkable volume for this code," while J1097 ranks #124 of 443 (72th percentile, "typical, unremarkable volume") and 66991 ranks #404 of 1445 (71th percentile, "typical, unremarkable volume"). These percentiles place the provider above median activity for its specialty on key cataract and drug codes, indicating a modest-to-strong regional presence without being a top national outlier.

The procedural roster shows a meaningful glaucoma and anterior-segment component alongside cataract work: 65820 (limbal incision for congenital glaucoma; 30 claims, $1469 avg paid/claim, $44.1K revenue, 4.3%), 66183 (anterior chamber drainage device; 21 claims, $2079 avg paid/claim, $43.7K revenue, 4.3%), and 65855 (trabecular meshwork laser; 81 claims, $80 avg paid/claim, $6.5K revenue, 0.6%) all appear in the top codes. This suggests the center performs combined cataract–glaucoma interventions and offers a small but tangible glaucoma surgical service line in addition to standard cataract cases.

Regular administration of physician‑administered ophthalmic products is a visible operational feature: J1097 (phenylephrine/ketorolac irrigation) accounts for 2.4K claims and $179.4K revenue (17.5% of Medicare revenue) and J1096 (dexamethasone ophthalmic insert) accounts for 981 claims and $97.1K revenue (9.5%). Those volumes and dollar shares imply routine use of intraoperative irrigation and intracameral/postoperative drug therapy as part of standard cataract workflows.

Tenure and stability signals are positive: the NPI was enumerated 2007-07-17 (~19 years ago), indicating an established operation with a sustained presence in the market. Coupled with concentrated Medicare revenue and repeated high-volume codes, this suggests a stable, procedure-centric business rather than a newly entered or transient provider.

There are no clear statistical red flags among the top-coded services: most top codes are labeled "typical, unremarkable volume for this code," and while some percentiles (for example 66984 at the 84th percentile and 65855 at the 86th percentile) sit above median activity, none of the listed codes are described as extreme outliers. Overall practice patterns fall within expected peer ranges for ambulatory ophthalmic surgery centers rather than showing anomalous or unusual coding behavior.

Medicare: Complete Services Breakdown

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…	610	$800	$483.2K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	2,360	$80	$179.4K
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…	50	$2,440	$109.9K
J1096	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	980	$100	$97.1K
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	$1,470	$44.1K
66183	The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.	20	$2,080	$43.7K
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…	40	$810	$29.2K
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…	30	$490	$13.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	60	$180	$10.9K
66710	The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure.	20	$540	$9.8K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Cheyenne Ocular Surgery — 3 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	1	10	1,910	$80	$129.6K
J1096	1	10	980	$100	$96.9K
66991	1	10	40	$1,510	$66.5K
66984	2	80	50	$410	$39.9K
66982	8	10	40	$600	$30.5K
66183	1	10	20	$1,480	$28.2K
65820	1	10	20	$1,120	$26.8K
66821	10	30	40	$220	$14.9K
67904	1	10	30	$490	$13.7K
65855	2	10	40	$170	$12.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Cheyenne Ocular Surgery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magic City Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Cheyenne Habilitation & Therapeutic Center, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Specialty Counseling & Consulting	WY	Community/Behavioral Health Agency	$0	$8.2M
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$5.5M
Cheyenne Regional Physicians Group, LLC	WY	Medical Oncology Physician	$0	$5.1M
Cheyenne Surgical Center LLC	WY	Ambulatory Surgical Clinic/Center	$567.4K	$4.5M
Memorial Hospital Of Laramie County	WY	General Acute Care Hospital	$0	$4M
Goodwill Industries Of Wy, Inc.	WY	Case Management Agency	$0	$3.9M
American Medical Response Ambulance Service Inc	WY	Ambulance	$1.4M	$2.3M
Summit Medical Group, LLC	WY	Emergency Medicine Physician	$0	$3.7M

Cheyenne Ocular Surgery — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References