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NPI 1336255827 · Bethesda, MD · Ambulatory Surgical Clinic/Center
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Rockville Eye Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Bethesda, Maryland. This profile covers 15 Medicare and 5 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 | Rockville Eye Surgery Center, LLC |
| Address | 4831 Cordell Ave |
| City | Bethesda |
| State | MD |
| ZIP | 20814 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4M |
| Medicaid | $1.1M |
ROCKVILLE EYE SURGERY CENTER operates as a high-volume ophthalmic ambulatory surgical center with heavy emphasis on cataract surgery: Medicare shows 3.3K claims for 66984 generating $2.8M (69.0% of Medicare revenue) and Medicaid shows 5.3K claims for 66984 generating $960.1K (88.2% of Medicaid revenue). The dominance of 66984 across both payers indicates cataract extraction with intraocular lens placement is the center’s core service line and primary revenue driver.
Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 84.0% of the provider’s Medicare revenue and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue. For Medicare those top three are led by 66984 (69.0%), followed by 65820 (9.1%) and 66991 (6.0%), while Medicaid is dominated by 66984 (88.2%) and G8918 (11.2%).
The provider’s payer mix is skewed toward Medicare in scale: lifetime Medicare revenue is $4M versus $1.1M in Medicaid, so the practice generates materially more revenue from Medicare while still maintaining a meaningful Medicaid presence. Both payers are active in the dataset, so the center is not single-payer but relies most heavily on Medicare volume.
ROCKVILLE is a clear outlier nationally on several high-impact codes: 66984 ranks #381 of 15965 providers nationally (98th percentile; extreme outlier) and 65820 ranks #6 of 1249 providers nationally (100th percentile; extreme outlier), while 66991 ranks #85 of 1445 (94th percentile; notably above typical). These rankings indicate the center is a national-level volume leader for routine cataract work and an unusually high-volume provider for the pediatric glaucoma procedure represented by 65820.
At the state level the facility is the dominant Medicaid provider for key measures: Medicaid 66984 ranks #1 of 33 in-state (100th percentile; extreme outlier) and G8918 ranks #1 of 53 in-state (100th percentile; extreme outlier). This suggests the center is the top Medicaid cataract surgery site in its state and also tops the state for the specific G-code reporting represented by G8918.
Beyond cataract care, the center bills a substantive mix of glaucoma and anterior-segment procedures, demonstrating clinical breadth: Medicare entries include glaucoma-related codes such as 66174 (107 claims, $128.4K, 3.2% of Medicare revenue), 66183 (42 claims, $89.3K, 2.2%), 66180 (24 claims, $50.1K, 1.2%), and device-focused codes such as 0449T ($47.7K). Corneal services are also present (65756, V2785), indicating capability for transplant and tissue processing in addition to high-volume cataract surgery.
The billing profile includes substantial use of administrative/quality-reporting G-codes on Medicaid: G8918 appears with 3.1K claims and $122.3K (11.2% of Medicaid revenue) and G8907 appears with 3.1K claims at $0 revenue (0.0% of Medicaid revenue) and ranks #1 of 92 in-state (100th percentile; extreme outlier). The prevalence of these codes suggests systematic capture of preoperative and safety/documentation events in Medicaid billing, which is notable when interpreting Medicaid revenue and claims patterns.
The provider has a long-tenure billing presence, with NPI enumeration on 2006-08-21 (~20 years ago), which aligns with the high cumulative volumes reported across both Medicare and Medicaid and supports interpretation of the center as an established, specialized ambulatory surgical clinic in ophthalmology.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 3,340 | $830 | $2.8M |
| 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. | 240 | $1,540 | $363.4K |
| 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… | 100 | $2,510 | $240.5K |
| 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… | 180 | $820 | $147K |
| 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. | 110 | $1,200 | $128.4K |
| 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. | 40 | $2,130 | $89.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 270 | $210 | $55.2K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,320 | $53.1K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 20 | $2,090 | $50.1K |
| 0449T | The provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device… | 20 | $2,390 | $47.7K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 1 | 250 | 130 | $630 | $172.5K |
| V2785 | 7 | 10 | 30 | $3,530 | $84.6K |
| 66991 | 2 | 30 | 30 | $1,580 | $64.7K |
| 65820 | 1 | 40 | 30 | $1,150 | $53.9K |
| 66174 | 3 | 30 | 30 | $790 | $36.4K |
| 66982 | 7 | 130 | 30 | $710 | $34.3K |
| 0449T | 1 | 10 | 20 | $1,940 | $33.1K |
| 66183 | 1 | 10 | 20 | $1,480 | $31K |
| 65756 | 6 | 20 | 30 | $1,210 | $29.1K |
| 66180 | 2 | 20 | 10 | $1,190 | $19K |
Showing 1–10 of 15
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.
5 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… | 5,280 | $180 | $960K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3,060 | $40 | $122.3K |
| V2632 | Posterior chamber intraocular lens | 200 | $30 | $5.7K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 40 | $0 | $0 |
| 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… | 3,060 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
5 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… | 1 | 30 | 60 | $200 | $103.2K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1 | 50 | 90 | $70 | $28.2K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 250 | 300 | 350 | $10 | $18.9K |
| 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 | 90 | 110 | $30 | $11.9K |
| V2632 | Posterior chamber intraocular lens | 2 | 10 | 40 | $10 | $4.4K |
Other providers in the same ZIP code as Rockville Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Home Health Connection, Inc. | MD | Home Health Agency | $0 | $46.3M |
| Cornerstone Montgomery, Inc. | MD | Community/Behavioral Health Agency | $0 | $24.4M |
| Cornerstone Montgomery, Inc. | MD | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $4.2M |
| Bethesda Chevy Chase Surgery Center, LLC | MD | Ambulatory Surgical Clinic/Center | $2.6M | $0 |
| Nirjaleshwar Nikhar | MD | Neurology Physician | $493.3K | $0 |
| Monica Watkins | MD | Diagnostic Radiology Physician | $342.2K | $0 |
| Naveen Gupta | MD | Gastroenterology Physician | $255.6K | $0 |
| Paul Ross | MD | Foot & Ankle Surgery Podiatrist | $239.7K | $0 |
| Ajay Bakhshi | MD | Gastroenterology Physician | $238.7K | $0 |
| Maryland Cvs Pharmacy, L.L.C. | MD | Pharmacy | $212.7K | $0 |
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