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NPI 1427035591 · Columbus, OH · Ophthalmologic Surgery Clinic/Center
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Eye Center Of Columbus, LLC is a ophthalmologic surgery clinic/center provider located in Columbus, Ohio. This profile covers 31 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 | Eye Center Of Columbus, LLC |
| Address | 262 Neil Ave |
| City | Columbus |
| State | OH |
| ZIP | 43215 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | December 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.5M |
| Medicaid | $632.8K |
EYE CENTER OF COLUMBUS, LLC is operating as an ophthalmologic surgery clinic/center (taxonomy: Ophthalmologic Surgery Clinic/Center) with a clear surgical focus across anterior, posterior and oculoplastic procedures; its Medicare top codes include 66984 (cataract extraction/IOL insertion, $1.8M revenue, 2.2K claims), multiple vitreoretinal codes such as 67036 ($122.4K revenue, 91 claims) and 67041 ($118.7K revenue, 79 claims), and oculoplastic codes like 67904 ($133K revenue, 250 claims), indicating a broad surgical service line rather than a primarily office-based medical retina or refractive practice.
Medicare revenue is concentrated: the precomputed top 3 Medicare codes account for 62.9% of this provider's total Medicare revenue, and 66984 alone represents 53.5% of Medicare revenue ($1.8M). This high concentration around cataract surgery suggests the practice’s financial performance is strongly driven by high-volume cataract procedures.
On Medicaid this provider is effectively a single-procedure billing source: total Medicaid revenue is $632.8K and the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 66984 representing $632K across 2K claims ($316 avg paid/claim). That indicates Medicaid activity is almost entirely cataract surgery at this location and contributes materially less to lifetime revenue than Medicare.
Payer mix favors Medicare by scale: lifetime Medicare revenue is $3.5M versus Medicaid revenue of $632.8K, making Medicare the dominant payer for this entity’s billed services. The provider should be considered Medicare-driven in terms of revenue base and referrals, while Medicaid represents a meaningful but much smaller volume stream focused on cataract cases.
The practice ranks as a high-volume competitor on cataract nationally and in-state: 66984 ranks #842 of 15,965 providers nationally (95th percentile; notably above typical national volume) on Medicare and ranks #6 of 89 in-state on Medicaid (94th percentile; notably above typical state volume). These placements indicate the provider is a major regional cataract surgery provider and unusually active on this procedure relative to peers.
Several codes are statistical outliers, implying sub-specialty referrals or concentrated expertise: 67904 (eyelid levator tightening) ranks #11 of 991 nationally (99th percentile; extreme outlier), 67036 ranks #17 of 832 (98th percentile; extreme outlier), and 67041 ranks #6 of 461 (99th percentile; extreme outlier). The extreme-outlier labels across both oculoplastic and vitreoretinal codes suggest the center handles a disproportionate share of complex eyelid and posterior-segment surgical cases.
The provider also performs corneal and tissue-related services but with more typical volumes relative to peers: V2785 (processing/preserving corneal tissue) generated $185.1K (57 claims) and ranks #27 of 231 nationally (88th percentile; typical, unremarkable volume), and full-thickness corneal transplant 65756 produced $72.9K (49 claims) and ranks #49 of 567 (92nd percentile; typical, unremarkable volume). This pattern points to an integrated surgical program that includes corneal work without the same dominant market position it has in cataract.
Glaucoma and drainage-device procedures are present and contribute to the surgical mix, indicating capacity for advanced glaucoma care: 66180 (shunt implantation) generated $67.8K (34 claims) and ranks #19 of 375 nationally (95th percentile; typical, unremarkable volume), while 0449T (first aqueous drainage device) accounts for $36.4K (16 claims) and ranks #63 of 95 (23rd percentile; typical, unremarkable volume). These codes show the practice offers glaucoma surgical options including newer drainage-device procedures, though at more modest volumes compared with its cataract and vitreoretinal work.
This provider has a long operational history, with NPI enumeration dated 2005-12-29 (~21 years ago), and lifetime Medicare revenue totaling $3.5M. The combination of two decades of activity, concentrated cataract volume, and multiple extreme outlier procedure volumes supports the view of an established surgical center with specialized referral streams and a Medicare-centered revenue 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.
31 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… | 2,230 | $820 | $1.8M |
| V2785 | Processing, preserving and transporting corneal tissue | 60 | $3,250 | $185.1K |
| 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… | 250 | $530 | $133K |
| 67036 | The 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. | 90 | $1,350 | $122.4K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 80 | $1,500 | $118.7K |
| 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… | 240 | $490 | $118.1K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 70 | $1,500 | $109.3K |
| 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. | 60 | $1,500 | $90K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 890 | $100 | $87.6K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 60 | $1,480 | $85.7K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
31 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 2 | 10 | 20 | $3,400 | $108.8K |
| 66984 | 62 | 530 | 210 | $110 | $92.8K |
| J1096 | 4 | 10 | 660 | $100 | $77.7K |
| 66991 | 27 | 40 | 30 | $1,060 | $52.8K |
| 15823 | 2 | 50 | 50 | $500 | $35.8K |
| 67040 | 1 | 10 | 30 | $1,460 | $35K |
| 65820 | 2 | 40 | 40 | $850 | $33.3K |
| 67042 | 4 | 50 | 20 | $960 | $29.7K |
| 0449T | 3 | 10 | 20 | $1,780 | $28.5K |
| 67904 | 1 | 40 | 40 | $540 | $28.2K |
Showing 1–10 of 31
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… | 2,000 | $320 | $632K |
| 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… | 510 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio 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… | 6 | 90 | 180 | $410 | $234.6K |
| 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… | 5 | 50 | 90 | $1 | $60 |
Other providers in the same ZIP code as Eye Center Of Columbus, LLC, ranked by combined Medicare and Medicaid revenue.
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