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NPI 1376546721 · Towson, MD · Ambulatory Surgical Clinic/Center
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Dulaney Eye Institute, LLC is a ambulatory surgical clinic/center provider located in Towson, Maryland. This profile covers 16 Medicare and 4 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 | Dulaney Eye Institute, LLC |
| Address | 901 Dulaney Valley Rd |
| City | Towson |
| State | MD |
| ZIP | 21204 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 31, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.1M |
| Medicaid | $503.5K |
Service-line concentrated in ophthalmic surgery: the CPT mix is dominated by cataract and anterior-segment procedures — 66984 (cataract extraction with IOL) is the single largest Medicare and Medicaid revenue driver and the profile includes related codes such as 66991 and 66174, as well as high-volume ophthalmic irrigation J1097. This pattern is consistent with an ambulatory surgical clinic focused on high-throughput cataract and anterior-segment care rather than broad multispecialty surgery.
High Medicare revenue concentration: the precomputed top 3 Medicare codes by revenue account for 76.9% of this provider's total Medicare revenue, with 66984 alone representing $1.7M and 55.0% of Medicare revenue. The Medicare lineup also includes J1097 ($502.4K, 16.2%) and 66991 ($174.7K, 5.6%), indicating most Medicare dollars are tied to a small set of procedure types.
Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes by revenue account for 98.0% of this provider's total Medicaid revenue, with 66984 responsible for $346.7K and 69.0% of Medicaid revenue. Supporting facility-level quality/process codes G8907 ($95.8K, 19.1%) and G8918 ($50K, 10.0%) make up nearly all remaining Medicaid billings, suggesting Medicaid activity centers on standard cataract cases plus bundled facility reporting.
Payer mix and scale: this provider reports Total Medicare revenue of $3.1M versus Total Medicaid revenue of $503.5K, making Medicare the materially larger payer relationship and the primary source of lifetime governmental reimbursement. Medicaid is present but secondary in scale and heavily dependent on the same high-volume cataract code (66984).
Strong competitive standing on key ophthalmic items nationally and statewide: for Medicare, 66984 ranks #929 of 15965 providers nationally (94th percentile) and J1097 ranks #18 of 443 providers nationally (96th percentile), both described as notably above typical national volume. For Medicaid within the state, 66984 ranks #2 of 33 providers in-state (97th percentile), signaling a leading position in cataract surgery volume among Maryland ambulatory surgical clinics.
Notable specialized procedure volumes: the provider reports elevated national standing on several anterior-segment and glaucoma-related procedures — 66174 (canal expansion) has 125 claims and $162.3K revenue and ranks #19 of 741 providers nationally (97th percentile), flagged as notably above typical national volume. These volumes imply a clinical focus and capacity for minimally invasive glaucoma procedures in addition to routine cataract surgery.
Secondary/more specialized services are present but limited: several posterior-segment and corneal procedures appear at much lower volumes (for example 67036 ranks in the 7th percentile nationally, while V2785 corneal tissue processing is in the 72th percentile), indicating the practice offers some corneal and retina services but these are not major revenue contributors. The overall mix supports a cataract-centric ambulatory surgical model with ancillary specialized procedures performed less frequently.
Established tenure: the NPI was enumerated on 2005-05-31 (~21 years ago), indicating this ambulatory surgical clinic has been operating for two decades and has an entrenched local presence, which aligns with its high in-state ranking for 66984 and the accumulation of lifetime Medicare and Medicaid revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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… | 2,120 | $810 | $1.7M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 6,610 | $80 | $502.4K |
| 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… | 70 | $2,500 | $174.7K |
| 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. | 130 | $1,300 | $162.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $3,630 | $119.9K |
| 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… | 150 | $780 | $118.3K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 610 | $100 | $60.8K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 40 | $1,500 | $58.6K |
| 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. | 30 | $1,500 | $43.6K |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 220 | $170 | $36.3K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 20 | 2,270 | $80 | $202.6K |
| 66984 | 2 | 250 | 130 | $630 | $172.5K |
| J1096 | 3 | 10 | 540 | $100 | $97K |
| V2785 | 1 | 10 | 30 | $3,530 | $84.6K |
| J7351 | 3 | 10 | 530 | $160 | $76.6K |
| 66991 | 4 | 30 | 30 | $1,580 | $64.7K |
| 65820 | 18 | 40 | 30 | $1,150 | $53.9K |
| 66174 | 1 | 30 | 30 | $790 | $36.4K |
| 66982 | 10 | 130 | 30 | $710 | $34.3K |
| 67041 | 7 | 10 | 20 | $1,060 | $30.9K |
Showing 1–10 of 16
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.
4 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… | 1,850 | $190 | $346.7K |
| 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… | 900 | $110 | $95.8K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 560 | $90 | $50K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 180 | $60 | $10.2K |
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
4 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 | 30 | 60 | $200 | $103.2K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 11 | 50 | 90 | $70 | $28.2K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2 | 10 | 180 | $90 | $15.7K |
| 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… | 13 | 90 | 110 | $30 | $11.9K |
Other providers in the same ZIP code as Dulaney Eye Institute, LLC, ranked by combined Medicare and Medicaid revenue.
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