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NPI 1508972118 · Richmond, VA · Ambulatory Surgical Clinic/Center
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Stony Point Surgery Center, L.L.C is a ambulatory surgical clinic/center provider located in Richmond, Virginia. This profile covers 39 Medicare and 10 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 | Stony Point Surgery Center, L.L.C |
| Address | 8700 Stony Point Pkwy |
| City | Richmond |
| State | VA |
| ZIP | 23235 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | August 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.9M |
| Medicaid | $1.4M |
STONY POINT SURGERY CENTER reports substantially more Medicare than Medicaid activity, with Total Medicare revenue of $4.9M versus Total Medicaid revenue of $1.4M, indicating Medicare is the dominant payer by scale for this facility. The provider is not single‑payer but operates with a clear Medicare revenue lead.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 74.5% of this provider's total Medicare revenue, driven overwhelmingly by 66984 (64.0% of Medicare revenue), followed by V2785 (5.7%) and 66982 (4.8%). This concentration points to a service model built around a small number of high‑revenue ophthalmic procedures rather than a broad, evenly distributed case mix.
The code mix and descriptions identify the center as an ophthalmic surgical hub within an Ambulatory Surgical Clinic/Center taxonomy: high‑volume cataract work (66984, 66982), corneal services (V2785, 65756), vitreoretinal procedures (67042, 67036, 67113), and multiple glaucoma device codes (66183, 0449T, 66174, 66180). These entries indicate the facility performs a range of intraocular and anterior segment surgeries and associated device implantations, consistent with a specialty ASCs operationally focused on eye surgery.
On national competitive standing for Medicare cataract surgery, the provider is an outlier: 66984 ranks #301 of 15965 providers nationally (98th percentile; extreme outlier), and 66982 ranks #44 of 4580 providers nationally (99th percentile; notably above typical national volume). Several retina and corneal procedure codes (for example 67042 and 65756) also sit in high national percentiles, signaling the center is a major regional/national volume contributor for multiple ophthalmic sub‑specialty procedures.
Medicaid billing is even more concentrated than Medicare: the top 3 Medicaid codes account for 92.9% of this provider's total Medicaid revenue, with 66984 at 71.8%, 69436 at 14.8%, and 54161 at 6.3%. This pattern shows Medicaid revenue is dominated by cataract surgery plus a small set of high‑volume pediatric ENT/urologic procedures (tympanostomy 69436 and circumcision 54161), suggesting a skew toward those lines for the Medicaid population.
Within Virginia Medicaid competitiveness, the provider is a leading site for Medicaid cataract procedures: 66984 ranks #5 of 50 providers in‑state (92th percentile; notably above typical state volume), while 69436 ranks #10 of 46 (80th percentile). Those ranks indicate the facility is a prominent in‑state provider for cataract and pediatric ENT work under Medicaid, rather than a marginal participant.
Beyond primary procedure codes, the Medicare billing profile includes high ancillary/drug activity tied to ophthalmic surgery: J1097 shows 2.3K claims and $174.8K revenue (3.7% of Medicare revenue), and V2785 (corneal tissue processing) contributes $271.5K (5.7% of Medicare revenue). These ancillary entries corroborate sustained intraoperative supply and tissue processing volumes that support the large cataract and corneal service lines.
Operational tenure is long enough to imply established market presence: the NPI was enumerated on 2006-08-23 (~20 years ago), indicating the center has been active for roughly two decades. That longevity, combined with outsized ranks on several ophthalmic codes, is consistent with an established specialty ASC with sustained referral and case flow patterns.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
39 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… | 3,710 | $820 | $3M |
| V2785 | Processing, preserving and transporting corneal tissue | 70 | $3,770 | $271.5K |
| 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… | 280 | $800 | $225.6K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,300 | $80 | $174.8K |
| 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… | 80 | $1,480 | $124.6K |
| 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… | 50 | $2,480 | $116.7K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 70 | $1,440 | $93.5K |
| 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… | 50 | $1,490 | $77.5K |
| 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 | $2,200 | $63.9K |
| 0449T | The provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device… | 30 | $2,260 | $61.1K |
Showing 1–10 of 39
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
39 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 5 | 10 | 1,400 | $80 | $248K |
| V2785 | 1 | 10 | 40 | $3,750 | $146.1K |
| 66984 | 30 | 380 | 250 | $130 | $139K |
| 66183 | 7 | 10 | 70 | $1,410 | $89K |
| 65820 | 19 | 40 | 30 | $1,110 | $63.1K |
| 66991 | 9 | 30 | 30 | $1,460 | $61.3K |
| 0449T | 3 | 10 | 30 | $1,540 | $41.6K |
| 15823 | 10 | 30 | 50 | $530 | $34.5K |
| 67042 | 2 | 20 | 20 | $1,130 | $33.8K |
| 66174 | 9 | 20 | 40 | $890 | $33.7K |
Showing 1–10 of 39
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.
10 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… | 3,020 | $320 | $977.2K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 490 | $410 | $201.2K |
| 54161 | The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit. | 220 | $400 | $85.8K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 80 | $690 | $54.9K |
| 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 | $480 | $28K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 20 | $700 | $10.5K |
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 20 | $260 | $3.9K |
| 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… | 800 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 730 | $0 | $0 |
| V2632 | Posterior chamber intraocular lens | 630 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
10 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. | 25 | 30 | 600 | $1,370 | $1.7M |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 3 | 10 | 170 | $2,270 | $996.1K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 26 | 30 | 50 | $1,670 | $401.7K |
| 54161 | The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit. | 4 | 10 | 210 | $1,190 | $331.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 10 | 50 | 110 | $840 | $309.8K |
| 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… | 5 | 50 | 200 | $350 | $282.9K |
| 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… | 3 | 10 | 100 | $420 | $56.4K |
| V2632 | Posterior chamber intraocular lens | 4 | 20 | 110 | $1 | $170 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 2 | 20 | 70 | $1 | $20 |
| 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… | 4 | 30 | 150 | $1 | $10 |
Other providers in the same ZIP code as Stony Point Surgery Center, L.L.C, ranked by combined Medicare and Medicaid revenue.
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