Loading...
NPI 1518922541 · Jeffersonville, IN · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Vision Surgical Center At Springhill Psc is a ambulatory surgical clinic/center provider located in Jeffersonville, Indiana. This profile covers 10 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 | Vision Surgical Center At Springhill Psc |
| Address | 302 W 14th St |
| City | Jeffersonville |
| State | IN |
| ZIP | 47130 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $721.1K |
VISION SURGICAL CENTER AT SPRINGHILL PSC’s code mix is characteristic of an ophthalmic ambulatory surgical center focused on cataract and related anterior/posterior segment procedures. The dominance of cataract extraction with intraocular lens placement (66984) across both payers, supplemented by capsulotomy (66821), intraocular lens procedures (66988/66982), vitrectomy codes (67040/67042) and corneal codes (V2785, 65756) indicates a procedure portfolio centered on high-volume cataract surgery with capacity for more complex posterior-segment and corneal work. This mix aligns with the facility taxonomy listed as Ambulatory Surgical Clinic/Center.
Revenue is highly concentrated in a very small set of procedures for each payer. For Medicare, the precomputed top 3 codes account for 84.6% of the provider's $2M Medicare revenue, with a single code 66984 generating $1.4M (67.9% of Medicare revenue); for Medicaid the precomputed top 3 codes account for 100.0% of the provider's $721.1K Medicaid revenue, with 66984 alone contributing $645.7K (89.6% of Medicaid revenue). Such concentration underscores that overall financial performance is heavily dependent on cataract service volume and reimbursement for that code.
Payer mix shows Medicare as the larger revenue source in absolute terms while Medicaid remains material but secondary. The provider reported Total Medicare revenue: $2M versus Total Medicaid revenue: $721.1K, so Medicaid represents a meaningful portion of activity but does not exceed Medicare in scale. This pattern suggests contracting and reimbursement dynamics will be driven primarily by Medicare payment rates and utilization trends for cataract care.
National competitive standing is mixed by procedure: for Medicare 66984 the facility ranks #1273 of 15965 providers nationally (92th percentile) which reflects strong but otherwise typical cataract volume for a provider of this type, while specific procedures show above-typical presence. Notably, 66821 ranks #172 of 10087 providers (98th percentile; described as notably above typical national volume) and 67040 ranks #7 of 144 providers (95th percentile; also notably above typical), indicating the center performs relatively more secondary capsulotomy and posterior-segment vitrectomy than most peers nationally.
Within the state Medicaid market the center appears to be a leading contributor for cataract services and related anesthesia. Medicaid 66984 ranks #4 of 62 in-state (95th percentile; notably above typical state volume) and anesthesia for lens procedures 00142 ranks #1 of 23 in-state (100th percentile; notably above typical state volume), signaling dominant in-state Medicaid throughput for lens surgery and the associated perioperative anesthesia line. Those ranks suggest this facility is a major state-level provider for Medicaid-funded cataract care.
Several individual codes are statistical outliers or above-typical contributors and point to specific service strengths. On Medicare, 66821 and 67040 are both described as "notably above typical national volume," which signals a specialization in YAG capsulotomy and vitrectomy relative to national peers; on Medicaid, 66984 and 00142 are both described as "notably above typical state volume," reinforcing extraordinarily high cataract and anesthesia activity for Medicaid patients. These labeled outlier statuses are consistent with clinical capability beyond basic cataract extraction at the center.
Operationally, the payer/code mix implies the center is optimized for high-throughput cataract workflows and captures ancillary product and drug reimbursement. Medicare billing shows 66984 with 1.7K claims and a substantial revenue share, and Medicare J1097 (ophthalmic irrigation solution) appears with 2.8K claims and $215.5K revenue, indicating routine use and billing for intraoperative pharmaceuticals and irrigation supplies as part of the surgical episode. For staffing, equipment and supply contracting, expect emphasis on cataract consumables, intraocular lenses, and perioperative anesthesia capacity.
The NPI tenure supports a stable, established operation that likely benefits from long-standing referral relationships. The provider was enumerated on 2006-04-20 (~20 years ago), suggesting sustained presence in the market; combined with the concentrated revenue profile and high in-state Medicaid ranks, this tenure reinforces that the center is a mature ASC with entrenched cataract volume rather than a newly established entrant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
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… | 1,710 | $790 | $1.4M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,840 | $80 | $215.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 590 | $200 | $117.6K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,450 | $75.9K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 40 | $1,430 | $63K |
| 67040 | The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the… | 40 | $1,430 | $60.1K |
| 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. | 30 | $1,440 | $38.7K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,400 | $30.9K |
| 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… | 20 | $1,440 | $23K |
| 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 | $760 | $14.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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… | 2,960 | $220 | $645.7K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 2,720 | $30 | $68K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 90 | $80 | $7.3K |
| 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… | 300 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana 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… | 4 | 60 | 350 | $270 | $229.7K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 10 | 20 | 80 | $90 | $23K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 1 | 20 | 260 | $30 | $20.3K |
| 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… | 35 | 70 | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 39 | 40 | 240 | $0 | $0 |
Other providers in the same ZIP code as Vision Surgical Center At Springhill Psc, ranked by combined Medicare and Medicaid revenue.
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.