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    OpenPayerNPI Medicare & MedicaidLong Island Ambulatory Surgery Center, LLC
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    Long Island Ambulatory Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1518057546 · Brentwood, NY · Ambulatory Surgical Clinic/Center

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    Long Island Ambulatory Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Brentwood, New York. This profile covers 29 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)

    FieldValue
    Entity TypeOrganization
    OrganizationLong Island Ambulatory Surgery Center, LLC
    Address601 Suffolk Ave
    CityBrentwood
    StateNY
    ZIP11717
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedOctober 13, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$6.2M
    Medicaid$3.9M

    Key Findings

    LONG ISLAND AMBULATORY SURGERY CENTER, LLC bills almost entirely within ophthalmology surgical and laser services: the Medicare and Medicaid top codes are dominated by cataract extraction and intraocular lens procedures (66984, 66982, 66991) plus retina/laser codes (67210, 67036) and ophthalmic therapeutics (J1096, J1097). The presence of high volumes for device- and drug-related HCPCS (J1096, J1097) and procedure codes suggests the ASC operates as a high-throughput eye surgery center with integrated supply/drug use typical of specialty ambulatory surgical clinics.

    Revenue concentration on Medicare is heavily concentrated in a small set of ophthalmology codes: precomputed top 3 Medicare codes by revenue account for 72.8% of this provider's total Medicare revenue. Those top Medicare drivers are 66984 (3.4K claims, $975 avg paid/claim, $3.3M revenue — 53.8% of Medicare revenue), J1096 (7.5K claims, $99 avg paid/claim, $745K revenue — 12.1%), and 66991 (142 claims, $2934 avg paid/claim, $416.6K revenue — 6.8%), indicating dependency on a narrow cataract- and device-focused case mix.

    Medicaid revenue is even more concentrated: precomputed top 3 Medicaid codes by revenue account for 98.2% of this provider's total Medicaid revenue. The Medicaid top codes are 66984 (2.6K claims, $1003 avg paid/claim, $2.6M revenue — 65.4%), 67210 (4K claims, $307 avg paid/claim, $1.2M revenue — 30.9%), and 66821 (201 claims, $359 avg paid/claim, $72.2K revenue — 1.8%), showing the Medicaid book is overwhelmingly composed of cataract extractions and retina laser procedures.

    Payer mix shows Medicare is the larger single revenue source for this ASC: reported lifetime Medicare revenue is $6.2M compared with lifetime Medicaid revenue of $3.9M. Both payers have material activity, so the site is not single-payer dependent, but Medicare contributes the majority of lifetime payer receipts on record.

    Competitively the facility is a high-volume outlier on several ophthalmology measures in national Medicare comparisons: 66984 ranks #374 of 15965 providers nationally (98th percentile; labeled an "extreme outlier"), J1096 ranks #3 of 282 providers nationally (99th percentile; "extreme outlier"), and 66991 ranks #23 of 1445 providers nationally (98th percentile; "extreme outlier"). These rankings indicate national-scale prominence for cataract surgical volume and related ocular therapeutics in the Medicare population.

    State-level Medicaid standing is also elevated on core ocular services: Medicaid 66984 ranks #13 of 156 in-state (92nd percentile; "notably above typical" state volume) and 67210 ranks #2 of 26 in-state (96th percentile; "notably above typical" state volume). That combination signals the ASC is a major in-state provider for both cataract surgery and retina laser treatment under Medicaid.

    Several individual codes further underscore specialized high-volume patterns: Medicare 67210 is ranked #5 of 420 (99th percentile; "extreme outlier") and Medicare 66821 is ranked #146 of 10087 (99th percentile; "notably above typical"), reinforcing a clinical footprint that includes both anterior-segment cataract work and retina/laser procedures. At the same time, many listed secondary codes (for example J1097, 15823, 67900) are described as "typical, unremarkable" volumes, which suggests breadth in elective oculoplastics and routine intraoperative drug use alongside the high-volume cataract/retina core.

    The provider has an established operating history: NPI enumerated 2006-10-13 (~20 years ago). Combined with the persistent high-volume ophthalmology billing profile, this tenure supports a long-standing ambulatory surgical center model focused on ophthalmic specialty services rather than a recently developed or transient operation.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…3,390$980$3.3M
    J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg7,530$100$745K
    66991The 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…140$2,930$416.6K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml5,330$80$405K
    66982The 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…310$950$288.2K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.740$240$177.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.710$240$171.3K
    65820The 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.130$1,230$156.3K
    67036The 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.60$1,730$110.9K
    15823In 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…110$500$53.1K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1096110740$100$227.3K
    J1097420500$80$200.1K
    66984368090$430$104.3K
    67028284300400$100$65.9K
    6699125030$1,830$65.9K
    6582049030$1,170$48K
    6721034040$430$46.9K
    67904103040$570$45.2K
    66982628030$760$35.6K
    66180162020$1,420$28.4K

    Showing 1–10 of 29

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…2,560$1,000$2.6M
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.3,960$310$1.2M
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.200$360$72.2K
    65426During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft.40$1,040$43.7K
    66982The 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…30$900$28K
    G8907Patient 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…440$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The 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…13160140$720$423.8K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.230100$250$211.4K
    66982The 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…213070$570$128.4K
    65426During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft.11030$1,220$30.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.820100$110$30.1K
    G8907Patient 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…103090$1$50
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis232060$1$40

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Long Island Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Glenn ScibiliaNYOphthalmology Physician$265.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Long Island Ambulatory Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phoenix Houses Of Long Island, Inc.NYSubstance Abuse Rehabilitation Facility$0$59.5M
    Nys Office Of Mental HealthNYAdult Mental Health Clinic/Center$0$28.6M
    Ropen Health Care Services IncNYHome Health Agency$0$27.1M
    Raju SarwalNYOphthalmology Physician$618.4K$280K
    Peter MancusoNYFoot & Ankle Surgery Podiatrist$474.6K$366.3K
    John PassarelliNYOphthalmology Physician$360K$38.4K
    Vincent LeddyNYInternal Medicine Physician$130.7K$196.2K
    Neil NicholsNYOphthalmology Physician$122K$34.9K
    Michelle Di GuglielmoNYAnesthesiology Physician$123.7K$0
    Skyler RosenNYClinical Social Worker$118.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Long Island Ambulatory Surgery Center, LLC — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Long Island Ambulatory Surgery Center, LLC — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York