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NPI 1427116367 · Brooklyn, NY · Ambulatory Surgical Clinic/Center
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Brook Plaza Ambulatory Surgical Center, Inc. is a ambulatory surgical clinic/center provider located in Brooklyn, New York. This profile covers 14 Medicare and 7 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 | Brook Plaza Ambulatory Surgical Center, Inc. |
| Address | 5000 Avenue K |
| City | Brooklyn |
| State | NY |
| ZIP | 11234 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.4M |
| Medicare | $3.5M |
This facility reports materially different payer scale by raw dollars, with Total Medicaid revenue of $5.4M and Total Medicare revenue of $3.5M; it is not effectively single-payer and Medicaid represents the larger share of billed dollars. Both payers are active contributors to revenue, so contracting and utilization shifts in either program could meaningfully affect overall throughput.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes (66984, 65820, 66982) account for 91.1% of the provider's Medicare revenue. Those three codes are all ophthalmic procedures (cataract extraction/IOL insertion and a limbal incision for glaucoma), signaling that a very small set of eye surgeries drive the vast majority of Medicare payments.
Medicaid revenue is even more concentrated: the precomputed top three Medicaid codes (66984, 66982, 45380) account for 97.0% of Medicaid revenue, with 66984 alone representing $4.2M (77.6% of Medicaid revenue). This indicates Medicaid dollars are overwhelmingly driven by a single cataract-related code, making the provider functionally specialized for that procedure in-state.
The code mix and descriptions indicate the ASC operates principally as an ophthalmology surgery center focused on cataract extraction and intraocular lens implantation (codes 66984 and 66982) with a smaller, secondary volume of GI endoscopy/biopsy work (45380, 43239). Revenue and claim counts (for example, 66984 at 2.3K Medicare claims/$2.2M revenue and 4.6K Medicaid claims/$4.2M revenue) reinforce the interpretation that the ASC’s core service line is cataract surgery, with endoscopy representing a minor ancillary service line.
On national Medicare competitive measures this provider is a high-volume outlier for several ophthalmic procedures: 65820 ranks #3 of 1249 providers nationally (100th percentile) and is described as an "extreme outlier," while 66982 ranks #20 of 4580 providers (100th percentile) and 66984 ranks #799 of 15965 providers (95th percentile; notably above typical national volume). These ranks indicate the center performs cataract- and glaucoma-related eye surgeries at volumes well above typical national peers for those codes.
Within New York Medicaid data the provider is a dominant in-state performer for cataract surgery: 66984 ranks #4 of 156 providers in-state (98th percentile; extreme outlier) and 66982 ranks #4 of 31 providers in-state (90th percentile; notably above typical state volume). That positioning suggests strong local market share for Medicaid-covered cataract procedures and likely visibility to state payers and managed-Medicaid networks.
Because the top three codes account for 91.1% of Medicare revenue and 97.0% of Medicaid revenue, the facility has pronounced revenue concentration in a narrow set of ophthalmology CPTs; this creates operational sensitivity to reimbursement changes, code edits, or shifts in referral patterns specific to cataract and related eye procedures. Diversification appears limited based on the reported code distribution, so payer-level policy or pricing changes for those CPTs could materially affect facility revenue.
The provider has an NPI enumerated on 2006-12-04 (~20 years ago) and is located in BROOKLYN, NY, indicating a long-tenured presence in the market. Tenure combined with the high in-state ranks for core ophthalmic codes supports the interpretation of an established specialty ASC that has built significant procedure volume over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 2,300 | $940 | $2.2M |
| 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. | 310 | $1,760 | $549.7K |
| 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… | 460 | $920 | $424.6K |
| 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… | 40 | $2,960 | $124.2K |
| 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. | 30 | $1,770 | $56.5K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 60 | $530 | $30.9K |
| 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… | 10 | $2,350 | $25.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 80 | $240 | $18.3K |
| 66825 | The provider adjusts the already positioned intraocular lens prosthesis keeping the intraocular pressure intact. | 10 | $880 | $10.5K |
| 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. | 10 | $790 | $10.3K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 14 | 680 | 90 | $430 | $104.3K |
| 66991 | 11 | 50 | 30 | $1,830 | $65.9K |
| 65820 | 1 | 90 | 30 | $1,170 | $48K |
| 66982 | 3 | 280 | 30 | $760 | $35.6K |
| 66174 | 9 | 20 | 30 | $1,020 | $30.5K |
| 66180 | 16 | 20 | 20 | $1,420 | $28.4K |
| 45380 | 413 | 1,220 | 40 | $230 | $15K |
| 66821 | 93 | 520 | 30 | $270 | $14.3K |
| 43239 | 925 | 1,290 | 50 | $180 | $14.2K |
| 66710 | 9 | 10 | 20 | $570 | $13.7K |
Showing 1–10 of 14
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.
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… | 4,580 | $910 | $4.2M |
| 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… | 800 | $1,060 | $846.1K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 390 | $510 | $198.2K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 310 | $480 | $148.1K |
| 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. | 110 | $110 | $12.2K |
| 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 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 160 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
7 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… | 4 | 160 | 140 | $720 | $423.8K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 308 | 610 | 310 | $380 | $397.9K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 153 | 390 | 240 | $450 | $332.2K |
| 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… | 4 | 30 | 70 | $570 | $128.4K |
| 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. | 1 | 10 | 30 | $310 | $15.1K |
| 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 | 90 | $1 | $50 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 9 | 20 | 60 | $1 | $40 |
Other providers in the same ZIP code as Brook Plaza Ambulatory Surgical Center, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Americare, Inc. | NY | Home Health Agency | $0 | $686.1M |
| Beth Israel Medical Center | NY | General Acute Care Hospital | $0 | $278.9M |
| I & Y Senior Care, Inc. | NY | Home Health Agency | $0 | $241.8M |
| Americare Certified Special Services, Inc. | NY | Home Health Agency | $0 | $79.4M |
| 24/7 Homecare Agency Of Ny, Inc | NY | Home Health Agency | $0 | $78.7M |
| Americare, Inc. | NY | Home Health Agency | $0 | $64.5M |
| Rishavena Home Health Care Agency Inc. | NY | Home Health Agency | $0 | $30.4M |
| I & Y Senior Care, Inc. | NY | Home Health Agency | $0 | $29.3M |
| Ep Home Care LLC | NY | Home Health Agency | $0 | $22.8M |
| Amedix Laboratory | NY | Clinical Medical Laboratory | $8.9M | $237.5K |
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