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NPI 1346808714 · Alexandria, MN · Ambulatory Surgical Clinic/Center
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Vance Thompson Vision Surgery Center Alexandria, LLC is a ambulatory surgical clinic/center provider located in Alexandria, Minnesota. This profile covers 13 Medicare and 0 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 | Vance Thompson Vision Surgery Center Alexandria, LLC |
| Address | 2600 Jefferson St Ste 100 |
| City | Alexandria |
| State | MN |
| ZIP | 56308 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 31, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $0 |
This facility operates as an ophthalmic ambulatory surgical clinic with a clear procedural focus on cataract extraction and intraocular device work: its largest Medicare code is 66984 (cataract extraction with insertion of an artificial lens) and it also reports high-revenue work on 66991 (insertion of an intraocular lens with anterior segment aqueous drainage device). The code mix — including high counts for J1097 (ophthalmic irrigation solution) and meaningful volumes in eyelid/oculoplastic codes such as 15823 — indicates the center handles both routine cataract cases and related intraoperative supplies plus oculoplastic procedures on the same site of service.
Revenue is highly concentrated in a small set of procedures: the precomputed top three Medicare codes (66984, 66991, J1097) account for 70.3% of the provider's total Medicare revenue. Those three codes individually appear as 66984: $475.2K revenue (36.5%), 66991: $260.4K revenue (20.0%), and J1097: $181.2K revenue (13.9%), so a handful of surgical and intraoperative-supply codes drive the bulk of billings to Medicare.
Payer mix is effectively single-payer Medicare: the provider reports Total Medicare revenue of $1.3M and has no Medicaid billing on file. That absence of Medicaid activity means the provider’s public-payer exposure is concentrated in Medicare beneficiaries, which simplifies payer relationships but also concentrates utilization and reimbursement risk on a single federal payer.
Competitive standing is mixed by service line: for cataract work, 66984 ranks #2603 of 15965 (84th percentile) and is described as typical, unremarkable volume relative to national peers, indicating moderate but not dominant cataract throughput. By contrast, the provider shows national-level strength on certain specialist procedures: 66991 ranks #61 of 1445 (96th percentile; notably above typical national volume) and 15823 ranks #47 of 1718 (97th percentile; notably above typical national volume), signaling above-typical market share for glaucoma-device insertion and upper-eyelid procedures.
Several device- and tissue-related codes show limited national standing despite generating notable revenue locally: V2785 (corneal tissue processing) contributes $61.4K (4.7% of Medicare revenue) but ranks #188 of 231 (15th percentile), and 66183 (device inserted into anterior chamber) contributes $28.1K (2.2%) and ranks #247 of 289 (8th percentile). This pattern suggests the center bills for higher-priced device/tissue services but is a relatively small player nationally for those specific lines.
Operational throughput signals both high procedural volume in some follow-up and adjunct services and concentrated supply billing: 66821 (YAG capsulotomy) shows 345 claims and $54.5K revenue (4.2%) and ranks in the 96th percentile, while J1097 appears on 2.4K claims totaling $181.2K (13.9%). Together these figures point to steady post-cataract laser follow-up activity and substantial intraoperative supply usage that account for a material share of Medicare revenue.
The provider’s NPI was enumerated on 2019-05-31 (~7 years ago), indicating a relatively recent enrollment window compared with many national peers. Given the combination of high-percentile specialty codes (66991, 15823) and a modest overall Medicare revenue base ($1.3M), the center appears to have developed focused specialty capability quickly since enumeration.
From a payer perspective this profile represents both a negotiation focus and a monitoring priority: with $1.3M in Medicare revenue concentrated in a few codes (top 3 = 70.3%), payers should watch utilization trends and device-associated claims (66991, V2785, 66183) for changes in case mix or intensity. The lack of Medicaid billing simplifies attribution for public programs but also means any changes in Medicare policy or reimbursement for the center’s high-share codes could materially affect billed volumes and costs.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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… | 600 | $790 | $475.2K |
| 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… | 110 | $2,430 | $260.4K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,380 | $80 | $181.2K |
| 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… | 210 | $430 | $88.4K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $4,090 | $61.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 350 | $160 | $54.5K |
| 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. | 40 | $1,390 | $50.1K |
| 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… | 70 | $500 | $36.2K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 60 | $540 | $31.6K |
| 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. | 10 | $2,160 | $28.1K |
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How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 5 | 10 | 20 | $3,680 | $110.3K |
| J1097 | 1 | 10 | 340 | $80 | $57.9K |
| 66984 | 112 | 300 | 190 | $50 | $56K |
| 66991 | 1 | 30 | 30 | $1,460 | $53.9K |
| 65820 | 3 | 20 | 30 | $1,010 | $31.2K |
| 66183 | 6 | 10 | 20 | $1,500 | $25.5K |
| 15823 | 1 | 40 | 30 | $530 | $25K |
| 0671T | 1 | 10 | 20 | $760 | $15.2K |
| 67900 | 2 | 20 | 20 | $420 | $14.1K |
| 66821 | 11 | 170 | 50 | $110 | $13.8K |
Showing 1–10 of 13
Other providers in the same ZIP code as Vance Thompson Vision Surgery Center Alexandria, LLC, ranked by combined Medicare and Medicaid revenue.
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