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NPI 1336236710 · Madison, MS · Ophthalmologic Surgery Clinic/Center
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The Eye Surgery And Laser Center is a ophthalmologic surgery clinic/center provider located in Madison, Mississippi. This profile covers 13 Medicare and 3 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 Eye Surgery And Laser Center |
| Address | 501 Baptist Dr Ste 220 |
| City | Madison |
| State | MS |
| ZIP | 39110 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | October 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $312.3K |
THE EYE SURGERY AND LASER CENTER is an established ophthalmologic surgery clinic (NPI enumerated 2006-10-06 (~20 years ago)) with lifetime Medicare revenue of $1.2M and lifetime Medicaid revenue of $312.3K, indicating Medicare is the larger revenue source for the practice. The payer mix shows meaningful activity on both programs, but Medicare drives the majority of lifetime revenue.
The provider’s service line is concentrated in cataract and anterior-segment surgical care: the Medicare top codes include 66984 (cataract extraction with intraocular lens), 66982 (complex cataract/IOL insertion), and 66821 (YAG capsulotomy), and the Medicaid billing is driven entirely by 66984. The presence of codes such as 65756 (full-thickness corneal transplant) and V2785 (processing/preserving corneal tissue) also indicates capability in corneal procedures and tissue handling rather than purely refractive or routine clinic visits.
Revenue concentration on Medicare is pronounced: the precomputed top-3 Medicare codes account for 75.5% of the provider’s Medicare revenue, with 66984 alone contributing $696.7K (59.4% of Medicare revenue), V2785 contributing $108.8K (9.3%), and J1096 contributing $79.9K (6.8%). This concentration signals operational dependence on a small set of high-value ophthalmic procedures and related services.
Medicaid billing is effectively single-code: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and Medicaid revenue is entirely reported under 66984 (1.8K claims, $312.2K revenue, 100.0% of Medicaid revenue). For Medicaid, the practice functions largely as a cataract surgery provider rather than a diversified outpatient service biller.
Competitive standing on Medicare shows an above-median presence for core procedural codes but not a dominant national footprint: 66984 ranks #2114 of 15965 providers nationally (87th percentile; typical, unremarkable volume), 66982 ranks in the 90th percentile (typical, unremarkable volume), and 66821 ranks #428 of 10087 providers (96th percentile; typical, unremarkable volume). These percentiles indicate the practice bills more cataract and post‑op laser procedures than most peers but is not among the very largest national centers.
On Medicaid within the state, the provider is a higher-volume cataract biller but not the single top performer: 66984 ranks #9 of 42 providers in-state (80th percentile; typical, unremarkable volume). The placement suggests the center is one of the more active Medicaid cataract surgeons regionally, while still operating among several comparable in-state peers.
There are notable per-claim revenue patterns that reflect service mix: V2785 in Medicare shows 29 claims with a $3752 avg paid/claim generating $108.8K, indicating a high per-claim reimbursement stream tied to corneal tissue processing; J1096 shows 815 claims with $98 avg paid/claim and $79.9K total, reflecting high utilization of a low-cost ophthalmic drug insert. These patterns point to a blend of higher-margin ancillary services alongside high-volume procedural therapeutics.
Some codes show relatively low or niche volume compared with national peers: for example, 67875 (temporary tarsorrhaphy) appears at 13 claims and ranks #101 of 124 providers nationally (11th percentile; typical, unremarkable volume), indicating limited use of that service line, while 65756 (full-thickness corneal transplant) appears at 29 claims and ranks in the 73rd percentile (typical, unremarkable volume), reflecting moderate activity in corneal transplant work relative to peers.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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… | 880 | $790 | $696.7K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $3,750 | $108.8K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 820 | $100 | $79.9K |
| 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… | 90 | $760 | $68K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 320 | $180 | $55.6K |
| 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… | 90 | $490 | $41.8K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 30 | $1,390 | $40.2K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 60 | $410 | $26.4K |
| 67966 | The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.… | 40 | $610 | $25K |
| 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… | 50 | $360 | $17.9K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 6 | 10 | 840 | $100 | $150.6K |
| 66984 | 11 | 240 | 70 | $470 | $90.5K |
| V2785 | 1 | 10 | 20 | $3,680 | $77.2K |
| 67904 | 7 | 20 | 80 | $520 | $39K |
| 67966 | 3 | 10 | 30 | $500 | $25.4K |
| 15823 | 14 | 40 | 40 | $460 | $25.2K |
| 65756 | 1 | 10 | 30 | $1,030 | $23.7K |
| 66982 | 4 | 50 | 30 | $590 | $21.4K |
| 67900 | 3 | 10 | 40 | $380 | $18.8K |
| 66821 | 10 | 160 | 50 | $200 | $17.6K |
Showing 1–10 of 13
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.
3 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… | 1,750 | $180 | $312.2K |
| 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… | 160 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 160 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
3 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… | 9 | 40 | 300 | $180 | $191.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 17 | 40 | 140 | $1 | $590 |
| 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… | 41 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as The Eye Surgery And Laser Center, ranked by combined Medicare and Medicaid revenue.
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