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NPI 1437427333 · Green Bay, WI · Ambulatory Surgical Clinic/Center
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Tower Clock Surgery Center LLC is a ambulatory surgical clinic/center provider located in Green Bay, Wisconsin. This profile covers 10 Medicare and 1 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 | Tower Clock Surgery Center LLC |
| Address | 1077 W Mason St |
| City | Green Bay |
| State | WI |
| ZIP | 54303 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 6, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $428.6K |
Procedure mix and service line: The provider’s billed procedures are concentrated in ophthalmic surgery, with top Medicare codes reflecting cataract extraction with intraocular lens insertion (66984, 66991) and glaucoma device implantation (66183). This code mix aligns with the listed taxonomy Ambulatory Surgical Clinic/Center and indicates the facility operates as a specialty eye surgery center performing both routine cataract cases and more complex glaucoma device procedures.
Medicare revenue concentration: Total Medicare revenue is $1.2M and the top 3 Medicare codes by revenue account for 86.2% of that Medicare revenue, led by 66984 ($590.6K, 49.8%) and 66991 ($367.9K, 31.0%), with 66183 contributing $63.9K (5.4%). The heavy concentration across these three ophthalmic procedures signals that a small set of services drives the bulk of Medicare receipts.
Medicaid concentration and single-code reliance: Total Medicaid revenue is $428.6K and Medicaid billing is effectively single-code: 66984 accounts for 100.0% of this provider’s Medicaid revenue (937 claims, $428.2K). This makes the center highly dependent on Medicaid reimbursement for one cataract procedure line, creating payer-side concentration in addition to clinical concentration.
Payer mix and scale: Medicare ($1.2M) is materially larger than Medicaid ($428.6K) for this provider, so the facility is not single-payer but has Medicare as its primary revenue source by scale. Given the Medicaid revenue is almost entirely from 66984, the provider’s revenue mix is both payer- and procedure-concentrated.
National competitive standing on key Medicare codes: For 66991 the provider ranks #21 of 1445 nationally (99th percentile) and is described as an extreme outlier, indicating unusually high national volume for intraocular lens insertion with aqueous drainage device billing. By contrast, 66984 ranks #2379 of 15965 nationally (85th percentile) and is characterized as typical/unremarkable volume, so the center is an exceptional national performer on one advanced cataract/glaucoma-combo code while maintaining typical volumes on standard cataract extraction.
State-level competitive standing on Medicaid cataract work: For Medicaid 66984 the provider ranks #9 of 33 in-state (75th percentile), described as typical/unremarkable volume, which places it in the upper-middle tier among in-state peers for Medicaid cataract procedures. This suggests the center is a meaningful but not dominant Medicaid cataract provider within Wisconsin.
Operational and referral implications: The prominence of 66991 as an extreme outlier on Medicare suggests the center likely receives referrals or maintains capability for combined cataract and glaucoma drainage-device procedures, implying specific equipment and surgeon expertise. Meanwhile, the Medicaid dependence on a single cataract code (66984) could influence scheduling, case mix decisions, and payer negotiation leverage, since fluctuations in that one line would disproportionately affect Medicaid revenue.
Tenure and market presence: The NPI was enumerated on 2011-12-06 (~15 years ago), indicating the center has an established operating history in the market. That tenure, combined with concentrated high-volume billing for select ophthalmic procedures, supports a profile of a long-standing specialty ambulatory surgical center with focused service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 710 | $830 | $590.6K |
| 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… | 150 | $2,490 | $367.9K |
| 66183 | The 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. | 30 | $2,210 | $63.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 290 | $190 | $55.1K |
| V2785 | Processing, preserving and transporting corneal tissue | 10 | $3,700 | $40.6K |
| 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 | $1,980 | $37.7K |
| 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… | 20 | $810 | $13K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 90 | $100 | $9.6K |
| 67031 | The provider uses a laser to remove vitreous material that is obstructing a patient’s vision. | 30 | $210 | $5.3K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 20 | $130 | $2.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
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.
1 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… | 940 | $460 | $428.2K |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
1 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… | 9 | 30 | 210 | $310 | $207.3K |
Other providers in the same ZIP code as Tower Clock Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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