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    OpenPayerNPI Medicare & MedicaidBoca Raton Ophthalmology Asc LLC
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    Boca Raton Ophthalmology Asc LLC — Billing Profile & Reimbursement Data

    NPI 1457323107 · Boca Raton, FL · Ambulatory Surgical Clinic/Center

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    Boca Raton Ophthalmology Asc LLC is a ambulatory surgical clinic/center provider located in Boca Raton, Florida. This profile covers 9 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)

    FieldValue
    Entity TypeOrganization
    OrganizationBoca Raton Ophthalmology Asc LLC
    Address950 Nw 13th St
    CityBoca Raton
    StateFL
    ZIP33486
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$330

    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.

    9 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…1,430$790$1.1M
    J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg2,110$100$209.2K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml1,560$80$118.3K
    65820The 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.70$1,460$106.4K
    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$780$63.2K
    66180The 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…30$1,940$56.2K
    66170In this procedure, the provider creates a fistula and removes part of the trabecular meshwork to treat glaucoma and relieve intraocular pressure.50$730$32.7K
    66183The 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.10$2,150$30.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.150$190$28.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J109715401,040$80$140.2K
    6698413940100$570$125.5K
    J1096440260$100$73K
    66183274020$1,320$38.4K
    65820910030$960$37.6K
    669822929030$660$27.7K
    6618064020$1,350$27K
    6682112974060$230$24.1K
    6617012030$760$19.7K

    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.

    2 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…30$10$340
    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…30$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    2 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…537090$260$78.6K
    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…5910060$1$20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Boca Raton Ophthalmology Asc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Douglas KohlFLSpecialist$588.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Boca Raton Ophthalmology Asc LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mar-j Medical Supply, Inc.FLDurable Medical Equipment & Medical Supplies$0$23.9M
    Hospice By The Sea IncFLCommunity Based Hospice Care Agency$0$9.2M
    Ernesto SegalFLSpecialist$2.7M$0
    Joseph ForstotFLRheumatology Physician$2M$0
    David DillonFLRheumatology Physician$1.3M$0
    Daniel RudenskyFLDiagnostic Radiology Physician$1.3M$0
    Jonathan WienerFLDiagnostic Radiology Physician$1.1M$0
    Robert SarroFLDermatology Physician$1.1M$0
    Yale PollakFLDiagnostic Radiology Physician$884.2K$0
    Korey UllrichFLRheumatology Physician$876.5K$0

    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. Florida Distribution
    Boca Raton Ophthalmology Asc LLC — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Boca Raton Ophthalmology Asc LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida