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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Surgicare Of Minneapolis Ltd (NPI 1477519130)

Field	Value
Entity Type	Organization
Organization	Surgicare Of Minneapolis Ltd
Address	6099 Wayzata Blvd Ste 300
City	St Louis Park
State	MN
ZIP	55416
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	April 21, 2006

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

SURGICARE OF MINNEAPOLIS LTD operates as an ambulatory surgical clinic/center with a clear ophthalmic specialization: the top revenue-driving CPT codes are dominated by vitreoretinal and cataract procedures (examples include 67042, 67108, 67036 and 66984), indicating the practice performs complex posterior-segment surgeries in addition to routine lens implantations. The code descriptions and the clinic taxonomy align with a surgical center focused on retinal detachment repair, vitrectomy with membrane peeling, and cataract extraction with intraocular lens placement rather than broad multispecialty ambulatory care.

Revenue concentration is high: the precomputed top-3 Medicare codes (67042, 66984, 67108) account for 58.1% of this provider's total Medicare revenue. Those three codes individually contribute large shares (67042: 27.7%; 66984: 15.2%; 67108: 15.1%), signaling that a small set of procedure types drive the majority of Medicare income.

This entity is effectively single-payer on record: lifetime Medicare revenue is $1.4M while Medicaid shows none on file. The absence of Medicaid billing means the provider’s public-payer exposure is concentrated in Medicare, which may simplify payer contracting analysis but raises sensitivity to Medicare-specific reimbursement and referral flows.

The practice is a national outlier for multiple retina procedures: 67042 ranks #2 of 1087 providers nationally and is described as an "extreme outlier, far above typical national volume for this code," while 67108 ranks #3 of 706 providers (100th percentile; extreme outlier) and 67036 ranks #10 of 832 providers (99th percentile; extreme outlier). These rankings characterize the clinic as a major national volume center for complex vitreoretinal surgery rather than a low-volume competitor.

By contrast, cataract surgery volume (66984) is large but within typical national ranges: 66984 accounts for 15.2% of Medicare revenue and ranks #4477 of 15965 providers nationally (72th percentile; typical, unremarkable volume for this code). This suggests the clinic performs routine cataract work at scale but is not nationally dominant in that specific code, implying a mixed service profile of high-end retinal specialization plus standard ophthalmic throughput.

Several high-reimbursement retina codes show elevated average paid-per-claim amounts, with vitreoretinal procedures reporting averages around $1,585–$1,595 per claim (examples: 67042 $1585 avg paid/claim; 67108 $1590 avg paid/claim; 67036 $1595 avg paid/claim). These per-claim payment levels, combined with high volumes on those codes, explain a sizable portion of the $1.4M Medicare lifetime revenue and underscore the financial impact of posterior-segment surgery for this center.

The provider’s long tenure supports operational stability: NPI was enumerated on 2006-04-21 (~20 years ago), indicating an established presence in the ST LOUIS PARK, MN market. Coupled with the concentrated Medicare revenue stream and consistent procedure mix, this suggests an enduring specialty surgical operation rather than a recently launched clinic.

Clinical concentration creates operational and revenue sensitivity: multiple retina-specific CPTs beyond the top three (67113, 67041, 67039, 67040) appear in the top-25 list and several of those are high-ranked (e.g., 67113 ranks #3 of 297 providers, 99th percentile; extreme outlier). Reliance on a narrow set of complex retinal procedures means referrals, surgeon availability, or changes in retinal-service demand could materially affect Medicare revenue.

Medicare: Complete Services Breakdown

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

16 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…	250	$1,590	$396.3K
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…	260	$840	$217K
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…	140	$1,590	$216.2K
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	$1,600	$162.7K
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…	70	$1,570	$113.3K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	40	$1,600	$62.4K
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…	30	$1,600	$51.1K
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…	30	$1,600	$48.1K
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	$2,120	$38.2K
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…	50	$460	$21.6K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Surgicare Of Minneapolis Ltd — 6 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	142	300	190	$50	$56K
67040	1	10	30	$1,600	$48.1K
67042	1	10	20	$1,300	$48K
67113	1	10	10	$1,440	$46.2K
67036	1	10	20	$1,140	$37.5K
67108	1	10	10	$1,230	$34.4K
67041	2	10	20	$1,090	$25.1K
15823	14	40	30	$530	$25K
67039	1	10	20	$1,250	$23.8K
66982	44	70	30	$610	$23.2K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Surgicare Of Minneapolis Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Tactile Systems Technology, Inc	MN	Durable Medical Equipment & Medical Supplies	$0	$97.5M
Associated Clinic Of Psychology Inc	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$72.7M
Blue & White Service Corporation	MN	Taxi	$0	$39M
Iska Inc	MN	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Caring Sisters Home Care Services, Inc	MN	Assisted Living Facility	$0	$8.8M
The Wayside House, Inc	MN	Substance Abuse Rehabilitation Facility	$0	$7.9M
Medical Scanning Consultants PA	MN	Diagnostic Radiology Physician	$0	$7.5M
Life Medical, P.A.	MN	Multi-Specialty Clinic/Center	$0	$4.6M
Peter Kent	MN	Rheumatology Physician	$1.6M	$0

Surgicare Of Minneapolis Ltd — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References