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NPI 1487821633 · Chehalis, WA · Ambulatory Surgical Clinic/Center
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Pacific Cataract And Laser Institute Inc PC is a ambulatory surgical clinic/center provider located in Chehalis, Washington. This profile covers 6 Medicare and 5 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 | Pacific Cataract And Laser Institute Inc PC |
| Address | 2517 Ne Kresky Ave |
| City | Chehalis |
| State | WA |
| ZIP | 98532 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 15, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $411.9K |
PACIFIC CATARACT AND LASER INSTITUTE INC PC bills predominantly as an Ambulatory Surgical Clinic/Center and its volume profile is driven by cataract procedures: code 66984 alone generates $1.1M of Medicare revenue (72.5% of the provider's Medicare total) and 3.6K Medicaid claims producing $342.6K (83.0% of the provider's Medicaid total). The presence of high-volume cataract extraction/implantation codes across both payers indicates the site’s core service line is routine cataract surgery and related perioperative services.
Revenue concentration is extreme in both payers: the top 3 Medicare codes account for 94.9% of the provider’s Medicare revenue, and the top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue. This concentration implies financial performance is highly sensitive to reimbursement and volume changes for a very small set of ophthalmic procedures.
Payer mix is Medicare-weighted: lifetime Medicare revenue is $1.5M versus Medicaid revenue of $411.9K, so Medicare is the larger single payer by scale for this provider. Medicaid is still material and concentrated (100.0% of Medicaid revenue in the top three codes), but Medicare represents the majority of reported public-payer dollars.
Reimbursement per-claim differs sharply between payers on the same service: 66984 averages $859 paid/claim in Medicare (1.3K Medicare claims) versus $96 paid/claim in Medicaid (3.6K Medicaid claims). That gap indicates the provider receives substantially higher per-case Medicare payments for its principal cataract procedure while handling higher claim counts through Medicaid.
Competitive standing varies by code and payer: for Medicare, 66984 ranks #1703 of 15965 (89th percentile) and is described as a typical, unremarkable national volume for that code, while 66991 ranks #85 of 1445 (94th percentile) and 66821 ranks #223 of 10087 (98th percentile), both flagged as notably above typical national volume—suggesting the provider is a significant national outlier on select implant/drainage and laser capsulotomy services. For Medicaid (in-state), 66984 is a clear regional leader at rank #3 of 51 (96th percentile; notably above typical state volume), indicating strong market share in Medicaid-covered cataract surgery within Washington.
The code mix reflects both routine cataract surgery and adjunct glaucoma and anesthesia services: high revenue from 66984 and 66991 shows lens insertion and combined extraction/implant sessions, 66821 (YAG capsulotomy) is a high-volume follow-up laser procedure, and 00142 appears as a large Medicaid anesthesia line item. This combination is consistent with a high-throughput cataract surgery center that also bills for perioperative anesthesia and post-operative laser management.
Smaller but relevant service lines include glaucoma device insertion (66183) and complex cataract techniques (66982) on Medicare; 66183 contributes $55.5K (3.7% of Medicare revenue) and ranks #111 of 289 (60th percentile, typical), while 66982 contributes $18.4K (1.2% of Medicare revenue) and ranks #2940 of 4580 (32nd percentile, typical). These entries indicate the facility performs some glaucoma-device and complex cataract procedures but does not dominate those subsegments.
The provider has established tenure in the public-payer landscape, with its NPI enumerated on 2008-05-15 (~18 years ago), which supports interpretation of the observed coding and volume patterns as stable operational behavior rather than a short-lived aberration. Given the long enrollment and the concentrated revenue mix, small shifts in the top cataract codes or payer reimbursement could materially affect the provider’s public-payer revenue profile.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 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… | 1,270 | $860 | $1.1M |
| 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… | 100 | $2,570 | $247.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 500 | $180 | $89.3K |
| 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. | 30 | $2,220 | $55.5K |
| 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… | 20 | $880 | $18.4K |
| 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 | $110 | $3.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
5 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… | 3,570 | $100 | $342.6K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 2,270 | $30 | $65.8K |
| 92136 | The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting… | 1,500 | $1 | $4.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 10 | $10 | $120 |
| 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… | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
5 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… | 3 | 50 | 410 | $180 | $154K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 3 | 20 | 370 | $50 | $43.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 6 | 10 | 250 | $110 | $33.3K |
| 92136 | The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting… | 3 | 30 | 70 | $10 | $7.1K |
| 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… | 29 | 50 | 90 | $1 | $1 |
Other providers in the same ZIP code as Pacific Cataract And Laser Institute Inc PC, ranked by combined Medicare and Medicaid revenue.
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