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    OpenPayerNPI Medicare & MedicaidOregon Eye Surgery Center, Inc.
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    Oregon Eye Surgery Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1437320017 · Eugene, OR · Ambulatory Surgical Clinic/Center

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    Oregon Eye Surgery Center, Inc. is a ambulatory surgical clinic/center provider located in Eugene, Oregon. This profile covers 16 Medicare and 3 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)

    FieldValue
    Entity TypeOrganization
    OrganizationOregon Eye Surgery Center, Inc.
    Address1550 Oak St
    CityEugene
    StateOR
    ZIP97401
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMarch 21, 2008

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$522.9K

    Key Findings

    OREGON EYE SURGERY CENTER, INC. operates as an ambulatory surgical clinic with a pronounced ophthalmic surgical focus; its reported Medicare revenue is $1.7M and its Medicaid revenue is $522.9K, reflecting a practice that performs high-volume cataract and posterior-segment procedures in an outpatient setting. The presence of large claim counts and revenue for cataract code 66984 and multiple vitrectomy/retinal codes signals a procedure-driven ambulatory surgery center rather than a general ophthalmology clinic.

    Revenue concentration is substantial on both payers: the top 3 Medicare codes by revenue account for 63.6% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. On Medicare, those top drivers are 66984, 66991, and 67036; on Medicaid the concentration is overwhelmingly 66984 (98.5% of Medicaid revenue) with 66982 and G8907 making up the remainder.

    The payer mix is Medicare-weighted in scale: Medicare revenue reported is $1.7M versus Medicaid revenue of $522.9K, making Medicare the dominant revenue source for this facility. Medicaid is present but represents a smaller share of overall lifetime revenue, and Medicaid activity appears heavily focused on a single procedure line (66984).

    Competitive standing for key Medicare procedures is mixed: 66984 (cataract extraction + IOL) produced $817.2K and ranks #2086 of 15965 nationally (87th percentile), which is a typical but solid national position for cataract volume; by contrast, 67036 (vitrectomy) produced $134.1K and ranks #25 of 832 (97th percentile), a notably above-typical national volume that indicates relative specialization or referral strength for posterior-segment surgery. Other retinal codes such as 67042 also rank highly (80 claims, $129.7K, #44 of 1087, 96th percentile), reinforcing the center’s above-average retinal surgery footprint on Medicare.

    On Medicaid, the center is a leading in-state provider for cataract surgery: 66984 accounts for $516.1K (98.5% of Medicaid revenue), 2K claims, and ranks #3 of 39 in-state (95th percentile), described as notably above typical state volume. The Medicaid portfolio beyond cataract is minimal (66982 contributed $7.7K and G8907 recorded $0 revenue but high claim volume), so the center’s Medicaid role appears concentrated and dominant in cataract case volume within Oregon.

    Service-line detail supports a full-spectrum ophthalmic surgical program: high Medicare revenue and counts for cataract codes (66984, 66982), substantial posterior-segment work (67036, 67042, 67108, 67113), corneal services including tissue processing V2785 and transplants 65756, and glaucoma-related procedures (66991, 66170, 65855). This mix indicates simultaneous capacity for anterior-segment, corneal, glaucoma, and complex retinal procedures consistent with an ASC that accommodates a broad surgical caseload.

    Operational and reporting signals are notable: Medicaid shows 2.2K claims for G8907 with $0 revenue (rank #3 of 39 in-state, 95th percentile), indicating frequent use of a non-revenue safety/quality event code in state billing. On Medicare, high-volume post-op laser management is evident with 66821 at 292 claims, $63.7K and ranking #477 of 10087 (95th percentile), suggesting routine follow-up procedures after cataract surgery are a meaningful part of clinical throughput.

    The provider is an established entity with long tenure in the NPI registry, enumerated 2008-03-21 (~18 years ago), which supports interpretation of these patterns as the result of sustained surgical operations rather than a new or transient entrant. Together with the high retinal-code percentiles, this tenure implies an established referral and case-mix profile for both routine cataract and higher-complexity posterior-segment care.

    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…900$910$817.2K
    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…50$2,710$140.9K
    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.80$1,660$134.1K
    67042In 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…80$1,620$129.7K
    V2785Processing, preserving and transporting corneal tissue30$3,570$107.1K
    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…80$920$71.7K
    67108The 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…40$1,660$66.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.290$220$63.7K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.30$1,660$49.7K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…20$1,660$36.4K

    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
    V278511030$3,450$96.6K
    66984726070$540$82.7K
    6699122020$1,680$47.2K
    6711311020$1,660$36.4K
    6575621030$1,120$32.5K
    6703611030$1,000$29K
    6704211020$1,100$27.5K
    6710821020$1,030$25.7K
    6698226020$720$20.8K
    1582373030$590$20.8K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 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…2,050$250$516.1K
    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…40$190$7.7K
    G8907Patient 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…2,170$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oregon median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…340120$330$175.5K
    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…11030$260$6.9K
    G8907Patient 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…340110$1$1

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Oregon Eye Surgery Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alison Erway-brewerAZCertified Registered Nurse Anesthetist$76.4K$0
    Roxane HenriciKSCertified Registered Nurse Anesthetist$46.4K$0
    Laurie WesemannMACertified Registered Nurse Anesthetist$21.8K$0
    Gunny Hagelberg-cherrytreeORCertified Registered Nurse Anesthetist$18.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Oregon Eye Surgery Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peacehealth Medical GroupORFamily Medicine Physician$0$45.3M
    Options Counseling Services Of OregonORMental Health Counselor$0$25.9M
    Eugene Emergency Physicians PCOREmergency Medicine Physician$0$16.9M
    Center For Family Development, Inc.ORMental Health Counselor$0$15.6M
    Laurel Hill CenterOREyewear Supplier$0$14M
    Looking Glass Community ServicesORMental Health Counselor$0$13.5M
    PeacehealthORGeneral Acute Care Hospital$0$13.3M
    Addiction Counseling And Education Services Inc.ORMental Health Counselor$0$12.8M
    Oregon Eye Consultants LLCOROphthalmology Physician$0$9.6M
    Ch Mh Services (or), LLCORMental Health Clinic/Center (Including Community Mental Health Center)$0$9.4M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Oregon Eye Surgery Center, Inc. — 5 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Oregon Eye Surgery Center, Inc. — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon