Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

The Retina Surgery Center LLC (NPI 1457670648)

Field	Value
Entity Type	Organization
Organization	The Retina Surgery Center LLC
Address	1750 112th Ave Ne Ste D050
City	Bellevue
State	WA
ZIP	98004
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 27, 2010

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	180	$1,630	$290.9K
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…	230	$910	$208.2K
67036	The 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.	100	$1,640	$168.6K
67108	The 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…	70	$1,640	$121.5K
67113	The 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…	40	$1,670	$70.2K
67039	The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…	20	$1,660	$36.5K
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…	10	$2,790	$36.2K
66820	The provider removes the haziness from the capsule of the eye using a small needle or Ziegler or Wheeler knife for a patient with a secondary membranous cataract.	60	$470	$29.5K
66170	In this procedure, the provider creates a fistula and removes part of the trabecular meshwork to treat glaucoma and relieve intraocular pressure.	40	$710	$25.6K
67040	The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…	10	$1,610	$22.5K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

The Retina Surgery Center LLC — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	86	460	50	$560	$97.5K
66991	39	40	40	$1,470	$63.1K
67042	1	40	30	$1,190	$39.2K
67113	2	10	20	$1,240	$32.2K
67108	2	20	20	$1,180	$29.6K
67036	1	20	20	$1,140	$28.6K
66982	77	120	30	$720	$27.3K
66174	7	10	20	$910	$25.6K
67039	2	10	20	$1,150	$24.2K
67040	2	10	10	$1,580	$22.1K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Retina Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$2.4M	$680
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Proliance Surgeons Inc Ps	WA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Proliance Surgeons, Inc., P.s.	WA	Ambulatory Surgical Clinic/Center	$1.1M	$24.2K
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$830.4K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$793.8K	$0
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$617.8K	$0
Stacia Smith	WA	Orthopaedic Surgery Physician	$324.7K	$0
Timothy Alton	WA	Orthopaedic Surgery Physician	$313.4K	$0

Nearby Providers

Other providers in the same ZIP code as The Retina Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Language Service, Inc.	WA	Contractor	$0	$103.7M
Overlake Medical Center & Clinics	WA	General Acute Care Hospital	$0	$16.6M
Daiya Healthcare PLLC	WA	Internal Medicine Physician	$0	$8.7M
Steve Kim	WA	Ophthalmology Physician	$3.4M	$20
David Saperstein	WA	Ophthalmology Physician	$3.3M	$100
Andrew Barloon	WA	Ophthalmology Physician	$2.7M	$20
Puget Sound Physicians PLLC	WA	Emergency Medicine Physician	$0	$2.5M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Charles Birnbach	WA	Ophthalmology Physician	$2.4M	$0
Todd Klesert	WA	Ophthalmology Physician	$2.1M	$0

The Retina Surgery Center LLC — Billing Profile & Reimbursement Data

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The Retina Surgery Center LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References