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NPI 1366496143 · Norfolk, VA · Ambulatory Surgical Clinic/Center
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Virginia Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Norfolk, Virginia. This profile covers 30 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 | Virginia Surgery Center, LLC |
| Address | 200 Corporate Blvd |
| City | Norfolk |
| State | VA |
| ZIP | 23502 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.8M |
| Medicaid | $1.2M |
VIRGINIA SURGERY CENTER, LLC appears to be an ophthalmic ambulatory surgical center: the Medicare and Medicaid top codes are dominated by cataract and anterior-segment eye procedures (notably 66984, 65820, 66821, 66991, 66982), indicating the facility focuses on high-volume cataract extraction and related intraocular lens and glaucoma interventions rather than broad multispecialty surgery. The presence of tissue processing code V2785 and full-thickness corneal transplant code 65756 further suggests the center handles corneal services and tissue workflows in addition to cataract surgery.
Revenue concentration is high on both payers: precomputed figures show the top 3 Medicare codes account for 76.8% of Medicare revenue and the top 3 Medicaid codes account for 100.0% of Medicaid revenue. This indicates the facility’s Medicare and Medicaid income streams are heavily dependent on a small set of ophthalmic procedures, creating service-line concentration risk if volumes or reimbursement for those codes change.
Medicare scale substantially exceeds Medicaid for this provider: reported lifetime Medicare revenue is $4.8M versus lifetime Medicaid revenue of $1.2M. That 4:1 scale difference means Medicare is the dominant payer by revenue, while Medicaid activity exists but is concentrated almost entirely in a single code (66984) for this facility.
Code-level competitive standing shows local/state and national prominence for core cataract work: for Medicare, 66984 accounts for $3.1M (65.3% of the provider’s Medicare revenue) and ranks #255 of 15965 providers nationally (98th percentile; described as an extreme outlier), signaling the provider performs cataract extraction at volumes far above typical national peers. For Medicaid, 66984 is 99.5% of the provider’s Medicaid revenue, ranks #2 of 50 in-state (98th percentile), and is notably above typical state volume—together these rankings position the center as a major regional cataract provider.
Several additional codes are flagged as unusually high-volume versus peers and reflect a glaucoma and trabecular procedure specialty niche: Medicare 65820 ($332.9K, 6.9% of Medicare revenue) ranks #7 of 1249 (100th percentile; extreme outlier) and Medicare 65855 ranks at the 99th percentile nationally. On Medicaid 65855 ranks #1 of 2 in-state (100th percentile). These percentile and rank signals indicate the center offers a higher-than-typical volume of pediatric or angle surgery interventions and laser trabecular procedures compared with peers.
Beyond cataract and glaucoma work, the provider reports multiple anterior and posterior segment procedures at above-typical levels: Medicare 66821 (YAG capsulotomy) has 776 claims and ranks in the 99th percentile nationally, and several vitreoretinal and eyelid repair codes (e.g., 67036, 67108, 67904, 67917) appear in the top-25, indicating the center performs a range of ancillary ophthalmic surgeries and reconstructive eyelid procedures in addition to its cataract volume. This breadth suggests ancillary service lines that support comprehensive ophthalmic care.
Tenure is long enough to indicate an established operation: the NPI was enumerated on 2006-05-19 (about 20 years ago), so the facility has a multi-year presence in the market, which aligns with the high cumulative revenue and concentrated service profile. Longevity combined with high-volume rankings suggests sustained specialization rather than a short-term volume spike.
Several codes are flagged as “extreme outlier” or “notably above typical” at the national level, which has implications for competitive analysis and utilization review: Medicare 66984 and 65820 are described as extreme outliers, and Medicare 66821 and 65855 are noted as notably above typical national volume. These qualitative labels indicate the provider’s activity for those services is well outside typical peer distributions and should be considered when benchmarking, network contracting, or utilization management decisions.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 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… | 4,010 | $780 | $3.1M |
| 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. | 230 | $1,440 | $332.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 60 | $3,820 | $217.7K |
| 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… | 70 | $2,380 | $163.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 780 | $190 | $148.2K |
| 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… | 170 | $780 | $134.5K |
| 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. | 60 | $1,470 | $92.4K |
| 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… | 140 | $520 | $73.5K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 50 | $1,470 | $66K |
| 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… | 30 | $1,890 | $60.4K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 12 | 10 | 1,400 | $80 | $248K |
| V2785 | 2 | 10 | 40 | $3,750 | $146.1K |
| 66984 | 27 | 380 | 250 | $130 | $139K |
| 65820 | 2 | 40 | 30 | $1,110 | $63.1K |
| 66991 | 2 | 30 | 30 | $1,460 | $61.3K |
| 0449T | 6 | 10 | 30 | $1,540 | $41.6K |
| 15823 | 4 | 30 | 50 | $530 | $34.5K |
| 67042 | 21 | 20 | 20 | $1,130 | $33.8K |
| 66174 | 2 | 20 | 40 | $890 | $33.7K |
| 67904 | 2 | 20 | 50 | $580 | $32.8K |
Showing 1–10 of 30
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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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… | 3,850 | $320 | $1.2M |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 30 | $110 | $3.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 20 | $150 | $2.4K |
| 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… | 90 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 90 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia 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… | 2 | 50 | 200 | $350 | $282.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 5 | 10 | 110 | $100 | $12.8K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 1 | 10 | 30 | $90 | $2.3K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 7 | 20 | 70 | $1 | $20 |
| 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… | 20 | 30 | 150 | $1 | $10 |
Other providers in the same ZIP code as Virginia Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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