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NPI 1336142884 · Honolulu, HI · Ambulatory Surgical Clinic/Center
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The Surgical Suites LLC is a ambulatory surgical clinic/center provider located in Honolulu, Hawaii. This profile covers 8 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 | The Surgical Suites LLC |
| Address | 1100 Ward Ave |
| City | Honolulu |
| State | HI |
| ZIP | 96814 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $383.8K |
The provider’s billing mix is strongly ophthalmology‑focused and consistent with an ambulatory surgical center that performs high volumes of cataract and anterior segment procedures. Medicare top codes include 66984 ($1.2M, 60.0%), 66174 ($183.2K, 9.0%), and 66991 ($149.5K, 7.3%), reflecting extracapsular cataract extraction, aqueous outflow expansion, and combined lens/aqueous drainage device insertions; the prominence of these procedure codes indicates the facility’s service line is centered on cataract surgery and glaucoma-related anterior segment interventions. J1097 appears as a high-volume consumable tied to these procedures.
Medicare revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 88.3% of this provider’s total Medicare revenue. Within that concentration, a single code, 66984, represents 60.0% of Medicare dollars ($1.2M), which signals reliance on standard cataract extraction procedures for the majority of fee‑for‑service Medicare receipts.
On the Medicaid side the revenue concentration is extreme: the precomputed top‑3 Medicaid codes account for 100.0% of Medicaid revenue. Medicaid billing is dominated by 66984 ($346.2K, 90.2%) and V2632 ($37.4K, 9.7%), meaning nearly all Medicaid receipts are tied to cataract surgery and intraocular lens placement.
The payer mix is skewed toward Medicare in scale: total Medicare revenue is $2M compared with total Medicaid revenue of $383.8K, so Medicare represents the substantially larger payer for this facility. This gap suggests the center’s patient and reimbursement mix is driven primarily by Medicare beneficiaries rather than Medicaid enrollees.
Competitive standing on select Medicare codes is mixed: for 66174 the provider ranks #14 of 741 nationally and is described as "notably above typical national volume" (98th percentile), indicating the facility is a national high‑volume outlier for aqueous outflow expansion procedures. By contrast, for the high‑revenue cataract code 66984 the provider ranks #1688 of 15965 (89th percentile; typical, unremarkable volume) and for supply code J1097 it ranks #37 of 443 (92th percentile; typical, unremarkable volume), which together portray strong but not dominant national positioning on cataract procedures and related supplies.
Within state Medicaid comparisons the facility is a leading participant for key codes: 66984 ranks #2 of 16 in‑state (93th percentile; typical, unremarkable volume) and V2632 ranks #1 of 8 in‑state (100th percentile; notably above typical state volume). These rankings indicate the center is one of the top Medicaid providers in Hawaii for cataract/extracapsular lens procedures and is state‑leading on intraocular lens claims.
The supply and consumable billing pattern is notable: J1097 shows 5.2K Medicare claims yielding $394.3K in revenue but only 33 Medicaid claims for $231, indicating a large, Medicare‑driven supply revenue stream tied to surgical throughput. This divergence suggests the facility bills substantial units of ophthalmic irrigation solution to Medicare, consistent with high volumes of cataract surgery among Medicare patients.
Operational longevity supports a stable specialty focus: the NPI was enumerated on 2005-05-27 (~21 years ago), which, combined with the concentrated, procedure‑heavy revenue profile, is consistent with a long‑standing ambulatory surgical practice specializing in ophthalmic procedures. The duration of enrollment plus concentrated code usage suggests an established, focused surgical operation rather than a recently diversified clinic.
Medicaid billing includes routine capture of a zero‑payment safety/quality code: G8907 appears with 288 claims and $0 revenue and ranks #1 of 4 in‑state (100th percentile; typical, unremarkable volume). The presence of repeated G8907 entries indicates the facility is regularly documenting the endorsed patient safety/quality event on Medicaid encounters even though it does not generate payment.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 1,290 | $950 | $1.2M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5,190 | $80 | $394.3K |
| 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. | 130 | $1,410 | $183.2K |
| 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 | $2,620 | $149.5K |
| 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 | $920 | $39.6K |
| 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. | 30 | $810 | $26K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 50 | $250 | $13K |
| 65426 | During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft. | 10 | $820 | $10.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
4 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… | 560 | $620 | $346.2K |
| V2632 | Posterior chamber intraocular lens | 750 | $50 | $37.4K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 30 | $10 | $230 |
| 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… | 290 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
4 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… | 2 | 20 | 80 | $590 | $129.1K |
| V2632 | Posterior chamber intraocular lens | 1 | 10 | 130 | $20 | $5.8K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1 | 10 | 30 | $10 | $230 |
| 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… | 1 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as The Surgical Suites LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Walgreen Co | HI | Pharmacy | $0 | $25.3M |
| Mastercare Inc | HI | Nursing Care Agency | $0 | $10.8M |
| Attention Plus Private Nursing, Inc. | HI | Nursing Care Agency | $0 | $7.7M |
| Heaven's Helpers, Inc. | HI | In Home Supportive Care Agency | $0 | $4.5M |
| Heaven's Helpers, Inc. | HI | Nursing Care Agency | $0 | $4M |
| Honolulu Imaging Center, LLC | HI | Diagnostic Radiology Physician | $2.6M | $1.1M |
| Eugene W M Ng Md LLC | HI | Ophthalmology Physician | $0 | $3.7M |
| Bayada Home Care | HI | In Home Supportive Care Agency | $0 | $3.6M |
| B Homecare L.L.C. | HI | In Home Supportive Care Agency | $0 | $3.5M |
| Hawaii Diagnostic Radiology Services LLC | HI | Diagnostic Radiology Physician | $0 | $3.2M |
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