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NPI 1386737021 · Fayetteville, AR · Ambulatory Surgical Clinic/Center
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Arkansas Outpatient Eye Surgery LLC is a ambulatory surgical clinic/center provider located in Fayetteville, Arkansas. This profile covers 8 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 | Arkansas Outpatient Eye Surgery LLC |
| Address | 3689 N Steele Blvd |
| City | Fayetteville |
| State | AR |
| ZIP | 72703 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $165.5K |
The provider is an Ambulatory Surgical Clinic/Center whose billing mix is dominated by cataract and anterior-segment ophthalmic procedures. Medicare top codes include 66984 (cataract with intraocular lens), 66991 (insertion of intraocular lens with aqueous drainage device), and 15823 (upper eyelid skin excision), and these procedure descriptions indicate the operation functions primarily as an ophthalmic ASC that also performs oculoplastic work. The facility’s Medicare top-3 codes by revenue account for 85.1% of its total Medicare revenue, underscoring heavy service-line concentration in these procedures.
Revenue concentration is pronounced on both payers but in different ways: for Medicare the precomputed top-3 codes account for 85.1% of Medicare revenue, with 66984 alone representing 68.2% of Medicare revenue; for Medicaid the precomputed top-3 codes account for 100.0% of Medicaid revenue and that Medicaid revenue is entirely driven by 66984. These figures indicate the practice relies on a small set of cataract-related codes for the majority of its billing across payers.
Medicare revenue scale ($1.5M) substantially exceeds Medicaid revenue ($165.5K), indicating a Medicare-dominant payer mix rather than a balanced dual-payer practice. Medicaid appears effectively single-code in revenue terms (66984 accounts for 100.0% of Medicaid revenue), while Medicare shows limited diversification beyond its top cataract and eyelid codes.
Competitive standing on key codes is mixed: for 66984 the provider ranks #1656 of 15965 nationally (90th percentile) and is described as "typical, unremarkable volume" for that code despite it generating $1M and 68.2% of Medicare revenue; 66991 ranks #170 of 1445 nationally (88th percentile) and is also a typical volume profile; by contrast 15823 ranks #49 of 1718 (97th percentile) and is labeled "notably above typical national volume," indicating the provider is unusually active in upper eyelid skin excision compared with most peers.
Other high-percentile procedures support a specialization profile: 66821 (YAG capsulotomy) shows 540 claims, $92.9K Medicare revenue and ranks #196 of 10087 (98th percentile) with the label "notably above typical national volume," suggesting the practice performs a high relative volume of post-cataract posterior capsular opacification management. These secondary high-percentile codes imply both procedural follow-up volume and oculoplastic activity beyond routine cataract extraction.
Medicaid competitive positioning is modest statewide: 66984 on Medicaid ranks #8 of 40 in-state (82th percentile) and is described as "typical, unremarkable volume," so while Medicaid cataract work exists it does not indicate market dominance within Arkansas. The presence of G8907 and G8918 on Medicaid with $0 revenue suggests reporting of quality/compliance G-codes but no material reimbursement tied to those claims.
Tenure is long-standing: the NPI was enumerated 2006-10-02 (~20 years ago), which supports characterization of the clinic as an established local service provider likely with sustained referral streams for cataract surgery and associated anterior-segment/oculoplastic procedures. That tenure, combined with concentrated revenue in cataract codes, is consistent with a mature ASC practice model.
Operational risk and business implications are clear: heavy reliance on a small number of cataract-related codes (85.1% of Medicare revenue from top three and 100.0% of Medicaid revenue from 66984) creates sensitivity to reimbursement or referral changes for those services. At the same time, unusually high percentiles on codes like 15823 and 66821 indicate service strengths the organization could leverage for growth or negotiation with payers focused on ophthalmic surgical capacity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 1,330 | $790 | $1M |
| 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 | $2,340 | $163.7K |
| 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… | 200 | $470 | $95.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 540 | $170 | $92.9K |
| 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… | 100 | $800 | $81.2K |
| 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… | 70 | $510 | $37.4K |
| 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… | 30 | $500 | $14.9K |
| 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 | $90 | $2.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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 |
|---|---|---|---|---|
| 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… | 550 | $300 | $165.3K |
| 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… | 10 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas 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… | 8 | 40 | 60 | $250 | $77.5K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 26 | 30 | 40 | $1 | $30 |
| 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… | 31 | 30 | 50 | $1 | $20 |
Other providers in the same ZIP code as Arkansas Outpatient Eye Surgery LLC, ranked by combined Medicare and Medicaid revenue.
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