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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Chesapeake Eye Surgery Center, LLC (NPI 1346215316)

Field	Value
Entity Type	Organization
Organization	Chesapeake Eye Surgery Center, LLC
Address	2002 Medical Parkway
City	Annapolis
State	MD
ZIP	21401
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 22, 2006

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This facility is effectively single‑payer in the public programs: lifetime Medicare revenue is $2.6M while there is no Medicaid billing on file, so analysts should treat Medicare as the dominant public-payer exposure and not expect state Medicaid claims in this profile. The absence of Medicaid billing suggests limited or no participation in state Medicaid-covered services from this location.

Revenue is highly concentrated in a few cataract- and ophthalmic-related items: the precomputed top‑3 Medicare codes account for 77.3% of this provider's total Medicare revenue, driven by 66984 ($1.4M, 54.7% of Medicare revenue), J1097 ($425.9K, 16.5%), and 15823 ($154.6K, 6.0%). This concentration signals that the center’s financial performance is tightly linked to a small set of procedures and an ophthalmic irrigation drug.

The code mix and volumes identify this operation as an ophthalmic ambulatory surgical center focused on cataract surgery, intraocular lens procedures, and eyelid surgery: high activity in 66984 (1.7K claims, $829 avg paid/claim) and substantial J1097 utilization (5.6K claims, $76 avg paid/claim) point to routine cataract cases supported by intraoperative ophthalmic irrigation use, while 15823 (302 claims, $512 avg paid/claim) indicates a significant oculoplastic (upper eyelid) surgical component. These service-line signals are consistent with the provider taxonomy listed as Ambulatory Surgical Clinic/Center.

On competitive standing for key procedures the provider is mixed: for the main cataract extraction/intraocular lens insertion code 66984 it ranks #1277 of 15965 (92th percentile) — described in the data as a typical, unremarkable volume nationally — whereas J1097 ranks #31 of 443 (93th percentile) and is described as notably above typical national volume, and 15823 ranks #18 of 1718 (99th percentile) and is flagged as an extreme outlier. In plain terms, the center is a routine national-level cataract operator but is unusually active in upper‑eyelid surgical procedures and in billing for the specified ophthalmic irrigation drug compared with peers.

Beyond the top three, the practice shows additional high-percentile activity for several laser and capsule procedures: 66821 (672 claims, $209 avg paid/claim, $140.4K; 5.5% of Medicare revenue) ranks #154 of 10087 (98th percentile) and 67031 (99 claims, $208 avg paid/claim, $20.6K; 0.8% of Medicare revenue) ranks #5 of 117 (97th percentile), both labeled as notably above typical or high relative activity. These patterns reinforce that the center performs a spectrum of post‑cataract and posterior‑segment laser services at volumes well above many peers.

The facility also reports device and glaucoma-related procedures but at more modest national standing: 66991 ($119K, 4.6% of Medicare revenue) ranks #340 of 1445 (75th percentile) and 66174 ($46.6K, 1.8% of Medicare revenue) ranks #188 of 741 (74th percentile), both characterized as typical, unremarkable volumes. This suggests the center offers some glaucoma drainage and implant procedures alongside its cataract workload, but these are not the primary revenue drivers.

Operationally the center appears established: the NPI was enumerated on 2006-02-22 (~20 years ago), which supports a long-tenured ambulatory surgical operation in Annapolis, MD. That longevity, combined with concentrated cataract/oculoplastic revenue, indicates stable specialization rather than a general surgical mix.

From a payer-risk and contracting perspective, the heavy reliance on a small set of ophthalmic codes (top‑3 = 77.3% of Medicare revenue) and the lack of Medicaid activity concentrate exposure: reimbursement changes to cataract surgery codes, shifts in utilization of J1097, or alterations in coverage for eyelid surgery (15823) could disproportionately affect revenue. Analysts should note the single‑payer Medicare exposure when modeling downside risk or negotiating commercial/Medicare Advantage arrangements.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 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…	1,700	$830	$1.4M
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	5,600	$80	$425.9K
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…	300	$510	$154.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	670	$210	$140.4K
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	$2,430	$119K
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…	80	$780	$59.4K
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.	50	$990	$46.6K
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…	80	$530	$43.7K
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	$2,280	$34.1K
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	$1,990	$29.9K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Chesapeake Eye Surgery Center, LLC — 5 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	2	20	2,270	$80	$202.6K
66984	4	250	130	$630	$172.5K
66991	7	30	30	$1,580	$64.7K
66174	12	30	30	$790	$36.4K
66982	22	130	30	$710	$34.3K
0449T	3	10	20	$1,940	$33.1K
15823	1	30	40	$530	$27.8K
67966	2	10	20	$520	$25.1K
67031	1	10	100	$250	$24.5K
67904	2	20	30	$580	$22.2K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Chesapeake Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Arundel County Public Schools	MD	Local Education Agency (LEA)	$0	$47.7M
Advanced Pain Management Specialists, LLC	MD	Interventional Pain Medicine Physician	$0	$33.8M
Luminis Health Pathways, Inc.	MD	Adult Mental Health Clinic/Center	$0	$14.4M
Bay Clinical Laboratories	MD	Clinical Medical Laboratory	$104.9K	$9.7M
Wellspring Therapy Services, LLC	MD	Early Intervention Provider Agency	$0	$9.3M
Doctors Emergency Service, PA	MD	Emergency Medicine Physician	$0	$9.2M
New Journey, Inc.	MD	Methadone Clinic	$188.3K	$8.6M
Committed To Change,p.c.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.9M
Psychotherapeutic Treatment Services	MD	Mental Illness Community Based Residential Treatment Facility	$0	$7.6M
Advocate Support Services, Inc.	MD	Community/Behavioral Health Agency	$0	$7.4M

Chesapeake Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

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Chesapeake Eye Surgery Center, LLC — 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