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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWinter Haven Sebring Fl Ophthalmology Asc LLC
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    Winter Haven Sebring Fl Ophthalmology Asc LLC — Billing Profile & Reimbursement Data

    NPI 1407820962 · Winter Haven, FL · Ambulatory Surgical Clinic/Center

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    Winter Haven Sebring Fl Ophthalmology Asc LLC is a ambulatory surgical clinic/center provider located in Winter Haven, Florida. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWinter Haven Sebring Fl Ophthalmology Asc LLC
    Address409 Avenue K Se
    CityWinter Haven
    StateFL
    ZIP33880
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…1,210$770$928.2K
    66991The 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…60$2,330$142.1K
    66982The 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$770$101.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.410$190$77K
    66174The 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.70$940$63.9K
    15823In 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…120$470$57.5K
    66183The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.20$2,080$39.4K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.30$1,410$38K
    V2785Processing, preserving and transporting corneal tissue10$3,410$37.5K
    66180The 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$1,860$37.1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698422940100$570$125.5K
    V2785222020$3,510$94.9K
    66991109030$1,510$57.5K
    66183184020$1,320$38.4K
    158232318050$530$36.1K
    66174117030$780$35K
    67036287020$1,050$31.4K
    66982829030$660$27.7K
    66180144020$1,350$27K
    668213174060$230$24.1K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Winter Haven Sebring Fl Ophthalmology Asc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Winter Haven-sebring Fl Ophthalmology Asc LLCFLAmbulatory Surgical Clinic/Center$923K$0

    Nearby Providers

    Other providers in the same ZIP code as Winter Haven Sebring Fl Ophthalmology Asc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adam BergerFLOphthalmology Physician$2.7M$0
    Suk MoonFLOphthalmology Physician$2.2M$0
    Logan ChristensenFLRetina Specialist (Ophthalmology) Physician$1.6M$0
    Hershel PatelFLRetina Specialist (Ophthalmology) Physician$1.6M$0
    Samuel MessiehFLOrthopaedic Surgery Physician$929.6K$0
    Damon WelchFLOphthalmology Physician$828.7K$0
    Daniel WelchFLOphthalmology Physician$699.4K$0
    Muhammad MustafaFLCardiovascular Disease Physician$629.4K$0
    Edgar WillardFLCardiovascular Disease Physician$454.4K$0
    Robinson KoilpillaiFLFamily Medicine Physician$451.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Winter Haven Sebring Fl Ophthalmology Asc LLC — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida