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NPI 1477698454 · Baton Rouge, LA · Ambulatory Surgical Clinic/Center
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Regional Eye Surgery Center,llc is a ambulatory surgical clinic/center provider located in Baton Rouge, Louisiana. This profile covers 15 Medicare and 7 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 | Regional Eye Surgery Center,llc |
| Address | 7777 Hennessy Blvd |
| City | Baton Rouge |
| State | LA |
| ZIP | 70808 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 20, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $625.2K |
The center’s procedures and code mix identify it clearly as an ambulatory ophthalmic surgery practice focused on cataract and anterior-segment work: the flagship Medicare and Medicaid code is 66984 (extracapsular cataract removal with intraocular lens insertion), and the presence of related codes 66821 (YAG capsulotomy), 66982 (complex lens insertion), 65756 (full corneal transplant), and V2785 (corneal tissue processing) points to a service line organized around high-volume cataract cases plus corneal surgery capability. This clinical footprint aligns with its taxonomy as an Ambulatory Surgical Clinic/Center and implies a procedural, surgery-centered operation rather than primarily clinic-based medical management.
Medicare revenue is highly concentrated in a few high-value procedures: the precomputed top three Medicare codes account for 76.5% of the provider’s total Medicare revenue, led by 66984 ($1.1M, 60.9% of Medicare revenue), followed by V2785 ($188.2K, 10.1%) and 66821 ($103.8K, 5.5%). That concentration suggests the business’s Medicare performance is heavily dependent on cataract surgery and corneal-tissue services, which creates sensitivity to changes in reimbursement or referral patterns for these specific codes.
On the Medicaid side the revenue concentration is even more extreme: the top three Medicaid codes account for 99.4% of total Medicaid revenue, with 66984 dominating at $585.2K (93.5% of Medicaid revenue), followed by 66821 ($29.6K, 4.7%) and 66982 ($7K, 1.1%). This indicates the provider’s Medicaid activity is essentially single-service focused (cataract extraction with lens placement), so any Medicaid policy or coverage changes affecting that code would have outsized impact on Medicaid revenue.
Payer mix favors Medicare in scale: total Medicare revenue is $1.9M compared with Medicaid revenue of $625.2K, making Medicare the materially larger payer in this profile and the primary driver of overall revenue. While both payers are active, the provider cannot be considered single-payer — it has substantial Medicaid volume — but strategic decisions and financial risk will be driven largely by Medicare performance given the dollar gap.
National and state competitive standing is mixed by code: for Medicare 66984 ranks #1455 of 15965 providers nationally (91th percentile), indicating above-average national volume for this high-revenue cataract code, while 66821 ranks #190 of 10087 (98th percentile) and 65756 ranks #24 of 567 (96th percentile), both explicitly described as 'notably above typical national volume' and signaling specialty strength in YAG capsulotomy and corneal transplant work. On the Medicaid side 66984 ranks #4 of 63 providers in-state (95th percentile) and 66821 ranks #2 of 6 (80th percentile), which positions the center as a major in-state provider of cataract procedures under Medicaid.
Several codes are flagged as statistical outliers versus peers and point to concentrated specialty capabilities: Medicare 66821 is described as 'notably above typical national volume' (98th percentile) and 65756 is also 'notably above typical' (96th percentile), while Medicare V2785 sits at rank #32 of 231 (87th percentile) reflecting meaningful corneal tissue activity. Conversely, a handful of Medicare codes show lower relative volume (for example 66174 at the 10th percentile), indicating the center’s clinical breadth is focused rather than uniformly broad across all ophthalmic procedures.
The Medicaid billing profile reinforces the center’s role as a high-volume cataract provider for state beneficiaries: 66984 alone accounts for $585.2K and 93.5% of the provider’s Medicaid revenue and ranks in the 95th percentile in-state, which underscores the center’s dominant Medicaid revenue reliance on routine cataract extraction and lens insertion. Secondary Medicaid services (66821 and 66982) contribute only marginal additional revenue, together comprising the remainder of the precomputed 99.4% top-three share.
The provider shows operational longevity that supports established referral relationships: the NPI was enumerated on 2007-02-20 (~19 years ago), indicating the center has been active long enough to build a persistent surgical program and payer relationships for Medicare and Medicaid populations. This tenure, combined with concentrated high-volume cataract work, suggests an entrenched ambulatory surgical business model rather than a newly created or transient operation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 1,520 | $750 | $1.1M |
| V2785 | Processing, preserving and transporting corneal tissue | 50 | $3,620 | $188.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 550 | $190 | $103.8K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 60 | $1,380 | $82.8K |
| 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… | 30 | $2,290 | $75.7K |
| 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… | 80 | $740 | $59K |
| 66179 | In this procedure, the provider places, by external approach, an aqueous shunt, an implantable device in the aqueous humor of the eye. The shunt facilitates drainage and thereby reduces the overall… | 30 | $1,780 | $56.8K |
| 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. | 30 | $1,350 | $35.2K |
| 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. | 20 | $1,320 | $30.5K |
| 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… | 20 | $1,320 | $29.1K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 2 | 10 | 60 | $3,560 | $217.4K |
| 66984 | 1 | 210 | 80 | $500 | $91.3K |
| 66991 | 12 | 20 | 40 | $960 | $42.3K |
| 65756 | 1 | 10 | 30 | $1,070 | $35.3K |
| 66179 | 1 | 10 | 20 | $1,290 | $27.1K |
| 66174 | 11 | 10 | 30 | $630 | $27K |
| 67042 | 8 | 20 | 20 | $1,110 | $26.6K |
| 65820 | 4 | 10 | 20 | $920 | $25.8K |
| 67036 | 5 | 10 | 20 | $950 | $23.7K |
| 66982 | 3 | 50 | 20 | $630 | $19K |
Showing 1–10 of 15
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.
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… | 3,640 | $160 | $585.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 370 | $80 | $29.6K |
| 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… | 40 | $160 | $7K |
| 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 | $120 | $3.8K |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 190 | $1 | $190 |
| G8907 | Patient 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… | 370 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 370 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
7 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… | 4 | 60 | 180 | $140 | $150.7K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 2 | 10 | 180 | $40 | $42.2K |
| 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… | 4 | 10 | 50 | $390 | $28.6K |
| 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. | 5 | 10 | 170 | $120 | $20.6K |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 1 | 10 | 190 | $1 | $100 |
| G8907 | Patient 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… | 24 | 50 | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 14 | 40 | 190 | $0 | $0 |
Other providers in the same ZIP code as Regional Eye Surgery Center,llc, ranked by combined Medicare and Medicaid revenue.
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