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NPI 1407079155 · Fairfax, VA · Ambulatory Surgical Clinic/Center
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Northern Virginia Eye Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Fairfax, Virginia. This profile covers 7 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 | Northern Virginia Eye Surgery Center, LLC |
| Address | 2710 Prosperity Ave |
| City | Fairfax |
| State | VA |
| ZIP | 22031 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 11, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $153.4K |
NORTHERN VIRGINIA EYE SURGERY CENTER, LLC operates as an ambulatory surgical clinic/center with a clinical mix dominated by cataract extraction and intraocular lens implantation procedures and a measurable presence in glaucoma surgical care. The Medicare and Medicaid top codes (66984, 66982, 65820 and several glaucoma-specific CPTs) indicate the center primarily delivers high-volume cataract surgery and augments that with drainage and shunt procedures consistent with a specialty ophthalmic ASC.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 93.9% of the provider's $2.4M in Medicare revenue. Within that mix, 66984 alone represents $2M and 83.1% of Medicare revenue, while 65820 accounts for $156.8K (6.5%) and 66982 accounts for $102K (4.2%), making cataract extraction with lens insertion the dominant Medicare revenue driver.
Medicaid billing is effectively mono-coded: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with 66984 responsible for $153.6K (100.0% of Medicaid revenue) across 772 claims at $199 avg paid/claim. The facility also reports G8907 on Medicaid (167 claims, $0 revenue) but that code contributes no Medicaid dollars and appears administrative/quality-related rather than a revenue source.
The provider's payer mix is heavily Medicare-weighted: Medicare revenue ($2.4M) far exceeds Medicaid revenue ($153.4K), indicating the center is functionally Medicare-driven with Medicaid representing a small portion of the overall billed revenue. This scale difference suggests payer contracting and utilization strategies will be most material on the Medicare side.
Against national Medicare peers the practice shows concentrated strength on specific codes: 66984 ranks #755 of 15965 providers nationally (95th percentile; notably above typical national volume for this code), and 65820 ranks #56 of 1249 providers nationally (96th percentile; notably above typical national volume for this code). 66982 ranks #227 of 4580 providers nationally (95th percentile; typical, unremarkable volume), indicating the center is a high-volume national performer for core cataract procedures and unusually active on limbal incision procedures.
On the Medicaid side the center is a moderate in-state participant for 66984, which ranks #17 of 50 providers in-state (67th percentile; typical, unremarkable volume for this code). The non-revenue Medicaid code G8907 ranks #14 of 28 providers in-state (52th percentile; typical, unremarkable volume for this code), reinforcing that Medicaid service volume is concentrated and not a primary revenue generator.
The provider offers a measurable set of glaucoma-directed procedures in addition to cataracts: Medicare listings include 66174 ($64K, 2.7% of Medicare revenue; ranks #218 of 741 providers nationally, 69th percentile), 66180 ($35.3K, 1.5%; ranks #171 of 375 nationally, 49th percentile), and 66710 ($11K, 0.5%; ranks #171 of 300 nationally, 37th percentile). These entries suggest capacity for both canaloplasty/shunt work and cycloablation for refractory glaucoma alongside high-volume cataract surgery, supporting a mixed-case complexity profile.
The NPI tenure (enumerated 2007-04-11, ~19 years ago) indicates an established ambulatory surgical center with a sustained specialty focus. Combined with the concentrated revenue profile and above-typical national ranks on core cataract codes, the data are consistent with a long-standing, cataract-focused ASC that also performs selected glaucoma surgeries and maintains a modest Medicaid footprint.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 2,360 | $850 | $2M |
| 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. | 100 | $1,540 | $156.8K |
| 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… | 130 | $800 | $102K |
| 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. | 40 | $1,490 | $64K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 180 | $200 | $35.9K |
| 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… | 20 | $2,080 | $35.3K |
| 66710 | The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure. | 20 | $650 | $11K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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… | 770 | $200 | $153.6K |
| 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… | 170 | $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
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… | 17 | 50 | 200 | $350 | $282.9K |
| 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… | 14 | 30 | 150 | $1 | $10 |
Other providers in the same ZIP code as Northern Virginia Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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