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NPI 1346698602 · Mount Vernon, IL · Ambulatory Surgical Clinic/Center
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Marion Eye Surgery Center LLC is a ambulatory surgical clinic/center provider located in Mount Vernon, Illinois. This profile covers 15 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 | Marion Eye Surgery Center LLC |
| Address | 2900 Broadway St |
| City | Mount Vernon |
| State | IL |
| ZIP | 62864 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 27, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $52.9K |
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… | 1,180 | $780 | $915.3K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4,770 | $80 | $362.7K |
| 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… | 40 | $2,360 | $82.5K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 40 | $1,350 | $48.7K |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 48,000 | $1 | $48K |
| 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 | $2,120 | $33.9K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 20 | $1,420 | $32.6K |
| 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… | 50 | $570 | $29.4K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 20 | $1,390 | $27.8K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 20 | $1,300 | $24.8K |
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 |
|---|---|---|---|---|---|
| J1097 | 2 | 10 | 1,680 | $80 | $151.9K |
| 66984 | 209 | 570 | 360 | $70 | $97.8K |
| J1096 | 9 | 10 | 400 | $100 | $93.5K |
| 66991 | 15 | 40 | 30 | $1,180 | $44.7K |
| 0449T | 5 | 10 | 20 | $1,390 | $37.6K |
| 67041 | 6 | 10 | 20 | $1,140 | $26.3K |
| 67904 | 4 | 20 | 40 | $590 | $23.6K |
| 67042 | 26 | 50 | 20 | $870 | $21.8K |
| 15823 | 24 | 40 | 30 | $560 | $21.3K |
| 67108 | 9 | 30 | 20 | $880 | $17.6K |
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 500 | $60 | $30.9K |
| 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… | 1,720 | $10 | $22.4K |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois 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… | 5 | 70 | 80 | $450 | $173.2K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1 | 10 | 500 | $60 | $30.9K |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1 | 10 | 30 | $0 | $0 |
Other providers in the same ZIP code as Marion Eye Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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