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NPI 1518338052 · Ladson, SC · Ambulatory Surgical Clinic/Center
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Center For Advanced Surgery LLC is a ambulatory surgical clinic/center provider located in Ladson, South Carolina. This profile covers 17 Medicare and 2 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 | Center For Advanced Surgery LLC |
| Address | 3821 Commercial Center Drive |
| City | Ladson |
| State | SC |
| ZIP | 29456 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 9, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.6M |
| Medicaid | $96.9K |
CENTER FOR ADVANCED SURGERY LLC profiles as an ophthalmic-focused ambulatory surgical clinic: its top Medicare codes are cataract extraction with lens insertion 66984 ($1.6M, 45.4% of Medicare revenue), intraoperative ophthalmic irrigation J1097 ($482.1K, 13.3%), and corneal tissue processing V2785 ($411.6K, 11.3%), and the broader code mix also includes corneal transplant 65756 and pediatric glaucoma procedure 65820. These code-level patterns indicate the center primarily performs high-volume cataract surgery and allied corneal services, with substantial use of the specific ophthalmic irrigation drug J1097 during cases.
Revenue concentration is pronounced: the precomputed top 3 Medicare codes by revenue account for 69.9% of the provider's total Medicare revenue, showing the business is heavily dependent on a small set of high-revenue ophthalmic procedures. On the Medicaid side the precomputed top 3 codes account for 100.0% of Medicaid revenue, signaling even greater concentration in a tiny code set for that payer.
Payer mix is Medicare-dominant: lifetime Medicare revenue is $3.6M compared with total Medicaid revenue of $96.9K, so Medicare revenue exceeds Medicaid by a large margin and the provider should be considered effectively Medicare-driven for scale and margin. Medicaid activity is almost entirely centered on cataract surgery 66984, which generates $96.2K (99.3% of the provider's Medicaid revenue).
National competitive standing for key ophthalmic services is strong: the provider ranks in high percentiles for its largest Medicare codes — 66984 at the 94th percentile (rank #945 of 15965), J1097 at the 95th percentile (rank #24 of 443), and V2785 at the 98th percentile (rank #5 of 231) — indicating above-typical national volume for cataract surgery, the irrigation drug, and corneal tissue processing. Additionally, corneal transplant 65756 is an extreme outlier (99th percentile, rank #4 of 567) which suggests the center is a major regional provider for corneal transplants compared with national peers.
Clinical/service diversification exists beyond ophthalmology: the center reports Medicare revenue from spinal neurostimulator implant/replacement 63685 ($353.1K, 9.7% of Medicare revenue) and lead placement 63650 ($69.9K, 1.9%), indicating the facility also performs some neuromodulation procedures. Those spine codes show mixed competitive footprints — 63685 at a typical volume (rank #497 of 1281, 58th percentile) while 63650 appears at a low national rank (rank #1343 of 1371).
State-level Medicaid standing is notable for cataract care: the Medicaid 66984 volume (729 claims, $132 avg paid/claim, $96.2K) ranks #6 of 39 in-state (87th percentile), making the center a strong Medicaid cataract performer in South Carolina even though total Medicaid revenue is small in dollar terms. The only other Medicaid-listed code, V2632, is negligible at $670 and points to near-exclusive Medicaid concentration in cataract procedures.
Operational tenure supports an established operation: the NPI was enumerated 2015-10-09 (~11 years ago), and the accumulated lifetime revenues ($3.6M Medicare, $96.9K Medicaid) combined with repeated high-volume ophthalmic codes suggest the center has sustained its specialty service lines over multiple years. This tenure plus high national ranks on core ophthalmic codes is consistent with an established ambulatory surgical center focused on eye surgery.
Concentration and reimbursement sensitivity are material strategic risks: with the top 3 Medicare codes accounting for 69.9% of Medicare revenue and the top 3 Medicaid codes accounting for 100.0% of Medicaid revenue, shifts in reimbursement or utilization for codes such as 66984, J1097, or V2785 could disproportionately affect revenue. In particular, V2785 has a high avg paid/claim ($3675) and ranks #5 nationally in its peer group (98th percentile), so changes to corneal tissue processing reimbursement or supply arrangements could have outsized financial impact.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 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… | 2,080 | $790 | $1.6M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 6,260 | $80 | $482.1K |
| V2785 | Processing, preserving and transporting corneal tissue | 110 | $3,680 | $411.6K |
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 20 | $18,590 | $353.1K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 110 | $1,450 | $152K |
| 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. | 90 | $1,470 | $136.7K |
| 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 | $2,450 | $78.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 390 | $200 | $77.6K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 20 | $3,680 | $69.9K |
| 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… | 40 | $1,460 | $61.4K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 2 | 10 | 2,610 | $80 | $208.9K |
| V2785 | 1 | 10 | 20 | $3,730 | $145.6K |
| 66984 | 31 | 270 | 210 | $170 | $141.3K |
| 63685 | 17 | 40 | 20 | $5,770 | $138.5K |
| 63650 | 42 | 40 | 40 | $1,580 | $66.5K |
| 66991 | 8 | 20 | 30 | $1,520 | $62.2K |
| 65820 | 5 | 40 | 30 | $980 | $40.4K |
| 67036 | 13 | 20 | 20 | $1,110 | $40.1K |
| 65756 | 1 | 20 | 20 | $1,140 | $35.4K |
| 67042 | 17 | 30 | 20 | $1,150 | $32.3K |
Showing 1–10 of 17
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.
2 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… | 730 | $130 | $96.2K |
| V2632 | Posterior chamber intraocular lens | 670 | $1 | $670 |
How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. South Carolina median
2 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… | 6 | 40 | 110 | $120 | $48K |
| V2632 | Posterior chamber intraocular lens | 2 | 10 | 60 | $50 | $11.9K |
Other providers in the same ZIP code as Center For Advanced Surgery LLC, ranked by combined Medicare and Medicaid revenue.
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