Loading...
NPI 1437794625 · Billings, MT · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Vance Thompson Vision Surgery Center Billings, LLC is a ambulatory surgical clinic/center provider located in Billings, Montana. This profile covers 7 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 | Vance Thompson Vision Surgery Center Billings, LLC |
| Address | 1747 Poly Dr |
| City | Billings |
| State | MT |
| ZIP | 59102 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 12, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $46.7K |
This facility’s payer mix is heavily Medicare-weighted: Total Medicare revenue is $1.2M versus Total Medicaid revenue of $46.7K, so Medicare represents the overwhelming share of billed revenue while Medicaid is marginal by scale. The NPI was enumerated 2019-11-12 (~7 years ago), indicating several years of operational billing history under this enrollment.
Revenue concentration on Medicare is extreme at the procedural level: the precomputed top 3 Medicare codes by revenue account for 92.0% of this provider's total Medicare revenue. Those three codes are 66984 ($908.8K, 1.1K claims, $805 avg paid/claim, 73.7% of Medicare revenue), 66991 ($160.4K, 69 claims, $2324 avg paid/claim, 13.0%), and 66821 ($64.9K, 403 claims, $161 avg paid/claim, 5.3%).
Medicaid billing is effectively single-code dominated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and all reported Medicaid revenue is from 66984 ($46.8K, 103 claims, $454 avg paid/claim). This makes the center effectively single-payer for Medicaid cataract procedures in the available data.
The service mix and code descriptions identify the center as a specialized ophthalmic ambulatory surgical clinic focused on cataract surgery and related procedures: high-volume extracapsular cataract extraction with IOL insertion (66984, 66991) and posterior capsulotomy (66821) comprise the clinical core. Additional codes such as V2785 (Processing, preserving and transporting corneal tissue, $44.2K, 14 claims, $3159 avg paid/claim) and glaucoma-related codes (66174 $12.4K; 65855 $2.8K) indicate occasional corneal tissue work and glaucoma interventions, but at materially smaller revenue levels.
Competitive standing by code is mixed versus peers: 66984 ranks #1849 of 15965 nationally (88th percentile; labeled "typical, unremarkable volume"), indicating a relatively high national rank but not an outlier in practice patterns. By contrast, 66821 ranks #288 of 10087 (97th percentile; labeled "typical, unremarkable volume"), showing unusually high relative volume for YAG capsulotomy compared with national peers, while V2785 ranks #197 of 231 (14th percentile; labeled "typical, unremarkable volume"), indicating low national volume for corneal tissue processing among centers that bill that code.
Clinical complexity is present but secondary to cataract work: 66991 (insertion of an IOL with anterior segment aqueous drainage device) generated $160.4K (69 claims, $2324 avg paid/claim) and sits at #179 of 1445 nationally (87th percentile; labeled "typical, unremarkable volume"), supporting that the center performs more complex combined cataract/glaucoma procedures but that these are a minority of revenue. Lower-volume glaucoma procedures (66174, 65855) together account for only a small share of Medicare revenue, underscoring cataract/IOL services as the primary clinical and revenue driver.
Operational notes for payers and network analysts: dependence on a very small set of high-revenue cataract CPTs creates revenue concentration risk (top 3 Medicare codes = 92.0% of Medicare revenue), and Medicaid exposure is concentrated entirely in a single code (66984 at $46.8K). Network contracting or utilization-management reviews should account for this narrow procedural footprint and the center’s demonstrated ability to generate higher-than-average national rank on selected capsulotomy and cataract services while remaining modest in corneal and most glaucoma volumes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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… | 1,130 | $810 | $908.8K |
| 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… | 70 | $2,320 | $160.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 400 | $160 | $64.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 10 | $3,160 | $44.2K |
| 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… | 50 | $810 | $39.7K |
| 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. | 20 | $770 | $12.4K |
| 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. | 30 | $80 | $2.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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… | 100 | $450 | $46.8K |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana 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… | 7 | 10 | 210 | $270 | $90.8K |
Other providers in the same ZIP code as Vance Thompson Vision Surgery Center Billings, LLC, ranked by combined Medicare and Medicaid revenue.
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.