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NPI 1508986621 · Ashland, OR · Ambulatory Surgical Clinic/Center
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Ashland Surgery Center is a ambulatory surgical clinic/center provider located in Ashland, Oregon. This profile covers 19 Medicare and 1 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 | Ashland Surgery Center |
| Address | 658 N Main Street |
| City | Ashland |
| State | OR |
| ZIP | 97520 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 30, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $3.2K |
ASHLAND SURGERY CENTER operates as an Ambulatory Surgical Clinic/Center with a services mix that is heavily ophthalmology‑focused; the single largest Medicare line is 66984 (cataract extraction with intraocular lens insertion) accounting for 65.5% of the provider's Medicare revenue and appearing as the sole reported Medicaid procedure as well. The Medicare top codes also include 66821 (posterior capsulotomy) and 45388 (therapeutic flexible colonoscopy), indicating the center pairs a dominant cataract surgery practice with a smaller set of GI endoscopy services and ancillary oculoplastic procedures. This pattern is consistent with an ASC built around high-volume routine eye surgery with supplemental specialty cases.
Revenue concentration is pronounced: the precomputed top‑3 Medicare codes account for 74.9% of total Medicare revenue, while the top‑3 Medicaid codes account for 100.0% of the provider's modest Medicaid revenue. That concentration shows the business is substantively driven by a very small number of procedures—chiefly cataract surgery on Medicare—so revenue performance will track closely to volumes and reimbursement for those codes.
The payer mix is effectively single‑payer Medicare: total Medicare revenue is $1.2M versus total Medicaid revenue of $3.2K. Medicaid represents a vanishing fraction of overall programmatic revenue, so commercial and Medicare reimbursement dynamics will be far more material to the facility's financial profile than state Medicaid.
On competitive standing for core Medicare codes, 66984 ranks #2112 of 15965 nationally (87th percentile; typical, unremarkable volume for this code), 66821 ranks #437 of 10087 (96th percentile; typical, unremarkable volume for this code), and 45388 ranks #28 of 329 (92th percentile; typical, unremarkable volume for this code). Those ranks indicate the center is a strong regional performer for select procedures—notably 66821 and 45388—while overall 66984 volume is high relative to most peers but described in the data as "typical, unremarkable."
Medicaid activity is minimal and narrowly concentrated: all Medicaid revenue ($3.2K) comes from 66984 (56 claims) and that code ranks #24 of 39 in‑state (39th percentile; typical, unremarkable volume for this code). In practical terms the facility does not appear to be a meaningful Medicaid provider in Oregon for its primary service lines.
There are several low‑volume or lower‑percentile codes that highlight service limitations: 66991 (combined cataract and anterior segment aqueous drainage device insertion) shows only 17 Medicare claims and ranks #1316 of 1445 (5th percentile; typical, unremarkable volume for this code), and select diagnostic endoscopy codes (for example 43450) sit at the lower end of national percentiles. These entries suggest limited capacity or referral patterns for more complex glaucoma procedures and certain therapeutic endoscopy cases compared with peers.
Tenure is long: the NPI was enumerated 2007-03-30 (~19 years ago), indicating the ASC has been active and credentialed in the Medicare program for nearly two decades. That longevity supports an established referral footprint and operational continuity in the local market.
From an operational perspective the heavy dependence on a single procedural family—cataract surgery—combined with the precomputed concentration metrics (top 3 Medicare codes = 74.9%) signals sensitivity to changes in outpatient ophthalmology volumes or reimbursement. Given Medicare is the dominant payer ($1.2M versus $3.2K Medicaid), shifts in Medicare policy or competitive entry in cataract services would have outsized effects on the center's 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.
19 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… | 880 | $890 | $785.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 310 | $210 | $66.8K |
| 45388 | In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating… | 100 | $450 | $45.3K |
| 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… | 20 | $2,660 | $45.3K |
| 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… | 50 | $900 | $44.8K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 90 | $440 | $39.2K |
| 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… | 80 | $500 | $37.8K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 40 | $590 | $21.3K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 70 | $260 | $17.3K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 30 | $560 | $17.3K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 9 | 260 | 70 | $540 | $82.7K |
| 66991 | 23 | 20 | 20 | $1,680 | $47.2K |
| 67904 | 10 | 20 | 40 | $610 | $25.6K |
| 45385 | 174 | 230 | 50 | $310 | $25.2K |
| 66982 | 9 | 60 | 20 | $720 | $20.8K |
| 15823 | 3 | 30 | 30 | $590 | $20.8K |
| 66821 | 4 | 160 | 40 | $230 | $15.4K |
| 45388 | 1 | 10 | 50 | $270 | $14.5K |
| 67917 | 5 | 10 | 30 | $470 | $12.8K |
| 45380 | 168 | 220 | 30 | $200 | $12K |
Showing 1–10 of 19
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.
1 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… | 60 | $60 | $3.2K |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
1 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… | 24 | 40 | 120 | $330 | $175.5K |
Other providers in the same ZIP code as Ashland Surgery Center, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Asante Ashland Community Hospital, LLC | OR | General Acute Care Hospital | $0 | $9M |
| Southern Oregon Chiropractic-ashland LLC | OR | Rehabilitation Chiropractor | $0 | $2.7M |
| Jeffrey Welder | OR | Ophthalmology Physician | $2.3M | $0 |
| Christine Gonzales | OR | Ophthalmology Physician | $2.1M | $0 |
| John Hyatt | OR | Retina Specialist (Ophthalmology) Physician | $1.6M | $0 |
| City Of Ashland | OR | Land Ambulance | $401.3K | $1.1M |
| David Dryland | OR | Rheumatology Physician | $1.4M | $0 |
| Bear Creek Physical Therapy | OR | Physical Therapist | $0 | $1.3M |
| Rogue Community Health | OR | Federally Qualified Health Center (FQHC) | $0 | $1.3M |
| Robert Medeck | OR | Chiropractor | $8.2K | $1M |
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