Loading...
NPI 1457460248 · Omaha, NE · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Osc LLC is a ambulatory surgical clinic/center provider located in Omaha, Nebraska. This profile covers 12 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Osc LLC |
| Address | 8051 W Center Rd |
| City | Omaha |
| State | NE |
| ZIP | 68124 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $799.9K |
Payer mix and scale: OSC LLC reports $1.3M in total Medicare revenue and $799.9K in total Medicaid revenue, so Medicare represents the larger single payer dollar amount while Medicaid remains a meaningful secondary source of revenue for the practice. Both payers are material to the business model rather than the operation being effectively single‑payer.
Medicare service‑line focus: The Medicare top codes are dominated by cataract and intraocular lens procedures (notably 66984 and 66991) together with ophthalmic irrigation drug billing (J1097), which aligns with the facility’s taxonomy as an Ambulatory Surgical Clinic/Center. The precomputed figure shows the top 3 Medicare codes account for 79.2% of this provider's total Medicare revenue, signaling a concentrated ophthalmic surgical practice.
Medicaid service mix contrasts with Medicare: Medicaid billing is heavily concentrated in dental/OR‑related codes, with 41899 (1.2K claims, $567 avg paid/claim, $661.1K revenue) making up 82.7% of Medicaid revenue and 00170 (659 claims, $210 avg paid/claim, $138.4K revenue) accounting for 17.3%. The precomputed top‑3 Medicaid share is 100.0% of Medicaid revenue, indicating Medicaid activity is essentially confined to a small set of dental and associated anesthesia services.
Revenue concentration and operational risk: Medicare revenue concentration is high—the top three Medicare codes account for 79.2% of Medicare dollars—while Medicaid is even more concentrated (top three = 100.0% of Medicaid revenue). This level of concentration suggests the provider’s financial performance is closely tied to a few procedure lines (primarily ophthalmic for Medicare and dental/anesthesia for Medicaid).
Medicare competitive standing on signature codes: For its largest Medicare revenue driver, 66984, OSC LLC ranks #2042 of 15965 nationally (87th percentile) and is described as "typical, unremarkable volume for this code." The second major Medicare code 66991 (rank #197 of 1445, 86th percentile) is similarly labeled "typical, unremarkable volume for this code," and J1097 (rank #211 of 443, 52th percentile) carries the same plain‑English characterization, indicating the provider sits above median national peers on cataract volume but without being flagged as an exceptional outlier.
Medicaid competitive standing in‑state: The Medicaid leader 41899 ranks #6 of 17 in‑state (69th percentile) and is labeled "typical, unremarkable volume for this code," while anesthesia 00170 ranks #4 of 17 (81th percentile) with the same descriptive label. These rankings denote a solid, above‑median in‑state presence for the dental/anesthesia work that drives Medicaid revenue, though the Medicaid payer book is narrowly focused.
Breadth of services and minor lines: Beyond the primary ophthalmic and dental/anesthesia codes, OSC LLC also bills a range of ancillary ophthalmic procedures (for example 66982, 66180, 66174, 67042, 15823) and occasional non‑ophthalmic items (e.g., 45380 colonoscopy at much lower volume). Most of these additional codes are described in the file as "typical, unremarkable volume for this code," and no codes in the provided list are flagged with labels such as "extreme outlier," suggesting predictable, specialty‑weighted case mix rather than erratic billing patterns.
Tenure and market implication: OSC LLC’s NPI was enumerated on 2006-08-29 (~20 years ago), indicating an established operating history in Omaha, NE. Coupled with the concentrated revenue streams in ophthalmic procedures for Medicare and dental/anesthesia for Medicaid, the long tenure supports the interpretation of a mature, specialty ambulatory surgical center with focused payer‑specific service lines.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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 | $820 | $771K |
| 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 | $2,530 | $166.8K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,290 | $80 | $99.3K |
| 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… | 60 | $850 | $50K |
| 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 | $2,000 | $48.1K |
| 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 | $1,520 | $41.1K |
| 67042 | In 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… | 30 | $1,470 | $38.3K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 80 | $490 | $37K |
| 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. | 10 | $2,240 | $24.7K |
| 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. | 20 | $760 | $15.2K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 4 | 10 | 1,290 | $80 | $129K |
| 66984 | 8 | 200 | 50 | $450 | $75.5K |
| 66991 | 5 | 30 | 30 | $1,410 | $56.4K |
| 15823 | 6 | 10 | 80 | $520 | $52.4K |
| 65820 | 9 | 10 | 40 | $880 | $41.4K |
| 66180 | 2 | 10 | 30 | $1,330 | $37.2K |
| 66982 | 15 | 50 | 40 | $570 | $30.1K |
| 67042 | 6 | 10 | 30 | $1,100 | $29.6K |
| 66183 | 5 | 10 | 30 | $1,290 | $27.1K |
| 66174 | 1 | 10 | 20 | $860 | $18K |
Showing 1–10 of 12
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 1,170 | $570 | $661.1K |
| 00170 | The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy. | 660 | $210 | $138.4K |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 6 | 20 | 460 | $1,260 | $1.8M |
| 00170 | The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy. | 4 | 20 | 80 | $190 | $216.1K |
Other providers in the same ZIP code as Osc 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.