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NPI 1548213077 · Anchorage, AK · Ambulatory Surgical Clinic/Center
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Pacific Cataract And Laser Institute Of Alaska Inc PC is a ambulatory surgical clinic/center provider located in Anchorage, Alaska. This profile covers 3 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 | Pacific Cataract And Laser Institute Of Alaska Inc PC |
| Address | 1600 A St |
| City | Anchorage |
| State | AK |
| ZIP | 99501 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.2M |
| Medicare | $1.4M |
This entity is an ambulatory surgical clinic/center whose revenue mix and top codes indicate a concentrated specialty in cataract surgery and related ocular procedures; the record shows Total Medicare revenue of $1.4M and Total Medicaid revenue of $2.2M, with the Medicare top-3 codes accounting for 100.0% of Medicare revenue and the Medicaid top-3 codes accounting for 97.5% of Medicaid revenue, signaling a highly focused service line.
On Medicare the single dominant CPT is 66984 (phacoemulsification with intraocular lens), which generated $1.3M in revenue across 1.4K claims at $925 avg paid/claim and represents 91.3% of this provider's total Medicare revenue; this activity ranks #1550 of 15965 providers nationally (90th percentile) and is described as a typical, unremarkable volume for the code nationally.
The Medicare mix beyond 66984 is small and concentrated: 66982 contributed $62.5K (66 claims, $947 avg paid/claim, 4.4% of Medicare revenue) and 66821 contributed $61.8K (309 claims, $200 avg paid/claim, 4.3% of Medicare revenue); both codes rank in solid national percentiles (66982 at the 84th, 66821 at the 96th) but together simply round out a cataract-centered Medicare portfolio.
On Medicaid this provider appears to be a leading in-state cataract surgical site: 66984 generated $2M across 3.5K claims at $573 avg paid/claim and accounts for 88.5% of the provider's Medicaid revenue, ranking #1 of 5 providers in-state (100th percentile) and characterized as notably above typical state volume for this code.
Medicaid billing also shows ancillary service concentration tied to surgical throughput: anesthesia code 00142 produced $130.9K (1.7K claims, $78 avg paid/claim, 5.8% of Medicaid revenue) and ranks #1 of 2 in-state (100th percentile, typical volume), while biometric measurement 92136 accounted for $57.1K (2.2K claims, $26 avg paid/claim, 2.5% of Medicaid revenue) and also ranks #1 of 5 in-state (100th percentile; notably above typical state volume).
Comparing payer scale and mix, this provider is effectively Medicaid-dominant by revenue with $2.2M reported to Medicaid versus $1.4M to Medicare; the overall profile is a specialty ambulatory surgery center that relies much more heavily on Medicaid volume for its total revenue dollars.
Competitive standing differs by payer: nationally the provider is a modest but not exceptional participant on Medicare for its primary cataract code (66984 at the 90th percentile described as typical), whereas in Alaska Medicaid it is a leading outlier for the same surgical code (66984 rank #1 of 5, 100th percentile), indicating local market prominence for Medicaid-covered procedures.
The practice shows long-tenure enrollment in national provider files (NPI enumerated on 2006-05-18, ~20 years ago), and its procedural footprint is tightly focused—nearly all revenue on both payers is attributable to a very small set of cataract- and eye-related codes, with one quality/safety code G8907 appearing in Medicaid claims (148 claims) but reporting $0 revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 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… | 1,420 | $930 | $1.3M |
| 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… | 70 | $950 | $62.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 310 | $200 | $61.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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… | 3,460 | $570 | $2M |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 1,680 | $80 | $130.9K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 520 | $130 | $68.9K |
| 92136 | The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting… | 2,200 | $30 | $57.1K |
| 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… | 150 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska 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… | 1 | 10 | 170 | $630 | $709.3K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 1 | 10 | 850 | $80 | $66.4K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 10 | 100 | 50 | $180 | $33.7K |
| 92136 | The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting… | 1 | 10 | 100 | $30 | $14.3K |
| 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… | 4 | 10 | 90 | $0 | $0 |
Other providers in the same ZIP code as Pacific Cataract And Laser Institute Of Alaska Inc PC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Access Alaska Inc. | AK | Personal Care Attendant | $0 | $25.7M |
| Narcotic Drug Treatment Center, Inc. | AK | Methadone Clinic | $151.2K | $21.7M |
| Southcentral Foundation | AK | Community/Behavioral Health Agency | $0 | $20.3M |
| Municipality Of Anchorage | AK | Land Ambulance | $3.7M | $14M |
| Southcentral Foundation | AK | Rehabilitation Clinic/Center | $0 | $17M |
| Division Of Alaskan Pioneer Homes | AK | Assisted Living Facility | $0 | $16.3M |
| Northbridge, LLC | AK | Community/Behavioral Health Agency | $0 | $14.3M |
| Mckinley Care LLC | AK | Assisted Living Facility | $0 | $8.6M |
| Mary Heiman | AK | Case Manager/Care Coordinator | $0 | $5.2M |
| Southcentral Foundation | AK | Multi-Specialty Clinic/Center | $0 | $3.8M |
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