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NPI 1386793370 · West Monroe, LA · Ambulatory Surgical Clinic/Center
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Surgery Center Of West Monroe, LLC is a ambulatory surgical clinic/center provider located in West Monroe, Louisiana. This profile covers 11 Medicare and 2 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 | Surgery Center Of West Monroe, LLC |
| Address | 102 Regency Pl |
| City | West Monroe |
| State | LA |
| ZIP | 71291 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 9, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $271K |
SURGERY CENTER OF WEST MONROE, LLC operates primarily as an ophthalmic ambulatory surgical center with a service mix dominated by cataract surgery and related anterior segment procedures; the presence of high-volume cataract codes such as 66984, 66821, and 66982 alongside eyelid and glaucoma procedures (e.g., 15823, 65820, 65855) indicates the facility focuses on same-day eye surgeries and periocular reconstructive work rather than broad multispecialty ambulatory care.
Medicare revenue for this provider totals $1.1M while Medicaid revenue totals $271K, indicating Medicare is the larger single payer by scale; the practice is not single-payer but shows meaningful Medicaid activity concentrated in the same core procedure line.
Revenue concentration is high: the precomputed top 3 Medicare codes account for 90.5% of total Medicare revenue, signifying extreme reliance on a very small set of ophthalmic procedures for Medicare income. Similarly, the top 3 Medicaid codes account for 100.0% of Medicaid revenue, showing Medicaid billing is effectively concentrated in the same dominant service line.
Code-level dominance: Medicare revenue is overwhelmingly driven by 66984, which represents $901.8K and 79.6% of this provider’s Medicare revenue and ranks in the 89th percentile nationally for that code (rank #1757 of 15965), marking the center as a high-volume but otherwise typical provider of standard cataract extraction with IOL insertion relative to peers.
For Medicaid, 66984 accounts for 100.0% of the provider’s Medicaid revenue ($271.5K) and ranks #9 of 63 in-state (87th percentile), indicating the center is a leading Medicaid provider of that cataract procedure within Louisiana while remaining described as a typical-volume performer rather than an extreme outlier.
Other Medicare codes show modest to low-volume contributions: 65820 and 66821 contribute $62.6K (5.5%) and $60.9K (5.4%) respectively, with 66821 at the 96th percentile nationally (rank #419 of 10087) suggesting stronger-than-typical relative volume for posterior capsulotomy, whereas many reconstructive eyelid codes (e.g., 67900, 67908, 67917) sit in mid-to-lower percentiles and represent smaller portions of revenue.
Competitive standing is mixed: nationally the practice is a relatively typical provider for cataract extraction with IOL (66984) despite its high concentration of revenue there, and it ranks more strongly for select codes like 66821 (96th percentile). In-state for Medicaid 66984 the provider is among the higher-volume facilities (87th percentile), signaling above-average local market significance for cataract services.
NPI tenure shows the entity has been enumerated since 2007-01-09 (~19 years ago), indicating a long-established ambulatory surgical center likely with stable referral pathways and an entrenched regional presence supporting sustained surgical volumes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 1,220 | $740 | $901.8K |
| 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. | 50 | $1,360 | $62.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 320 | $190 | $60.9K |
| 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… | 30 | $750 | $24.8K |
| 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… | 60 | $390 | $23.3K |
| 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… | 40 | $420 | $17.8K |
| 67908 | The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat… | 30 | $480 | $15.9K |
| 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… | 20 | $460 | $9.6K |
| 67924 | During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and… | 10 | $600 | $8.4K |
| 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. | 60 | $90 | $5.9K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
2 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… | 2,450 | $110 | $271.5K |
| 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… | 280 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
2 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… | 9 | 60 | 180 | $140 | $150.7K |
| 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… | 29 | 50 | 320 | $0 | $0 |
Other providers in the same ZIP code as Surgery Center Of West Monroe, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| New Day Recovery, LLC | LA | Substance Abuse Rehabilitation Facility | $0 | $59M |
| Iasis Glenwood Regional Medical Center LP | LA | General Acute Care Hospital | $0 | $15.3M |
| G B Cooley Hospital Services/pca | LA | Intellectual and/or Developmental Disabilities Residential Treatment Facility | $0 | $14.9M |
| Heber Tuft | LA | Pediatric Dentistry | $0 | $7.6M |
| Ed Physicians Of West Louisiana, LLC | LA | Emergency Medicine Physician | $0 | $7.4M |
| West Monroe Pediatrics, LLC | LA | Pediatric Dentistry | $0 | $5M |
| Ruben Grigorian | LA | Ophthalmology Physician | $2.4M | $57.1K |
| Allied Labs LLC | LA | Clinical Medical Laboratory | $805.8K | $74.7K |
| Samer Roy | LA | Specialist | $312.8K | $530.2K |
| Assad Mouhaffel | LA | Cardiovascular Disease Physician | $479.8K | $0 |
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