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NPI 1578722633 · Greenville, SC · Ambulatory Surgical Clinic/Center
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Greenville Surgery Center LP is a ambulatory surgical clinic/center provider located in Greenville, South Carolina. This profile covers 11 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 | Greenville Surgery Center LP |
| Address | 5 Memorial Medical Ct |
| City | Greenville |
| State | SC |
| ZIP | 29605 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 4, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.3M |
| Medicaid | $168.4K |
GREENVILLE SURGERY CENTER LP functions as a specialized ophthalmic ambulatory surgical center: its top Medicare revenue drivers are cataract surgery and intraoperative ophthalmic products, with 66984 reported at 2.5K claims generating $1.9M (58.9% of Medicare revenue), J1097 at 6.5K claims generating $491.1K (15.0%), and J1096 at 4.2K claims generating $411K (12.6%). These three codes together account for 86.5% of the provider's total Medicare revenue, indicating the facility’s clinical volume and billing are tightly focused on cataract and related ophthalmic procedures and supplies.
Revenue is highly concentrated across both payers: precomputed figures show the top 3 Medicare codes account for 86.5% of Medicare revenue, and the top 3 Medicaid codes account for 100.0% of Medicaid revenue. This concentration suggests the center’s financial performance is heavily dependent on a small set of ophthalmic procedures and associated supplies.
The payer mix is Medicare-dominant: lifetime Medicare revenue is $3.3M versus Medicaid revenue of $168.4K, so Medicare represents the vast majority of reported public-payer receipts. Medicaid activity is present but small relative to Medicare, indicating the center’s business is primarily aligned with the Medicare population.
GREENVILLE is a nationally prominent billing center for certain ophthalmic codes: 66984 ranks #687 of 15965 providers nationally (96th percentile; notably above typical national volume), J1097 ranks #20 of 443 (96th percentile; notably above typical national volume), and J1096 ranks #13 of 282 (96th percentile; notably above typical national volume). These ranks indicate the center is a major national participant specifically for cataract surgery and the associated intraoperative ophthalmic medications/inserts.
Within Medicaid statewide comparisons the center shows a solid but less dominant position: 66984 is 668 claims generating $163K (96.8% of Medicaid revenue) and ranks #7 of 39 providers in-state (84th percentile; typical, unremarkable volume), while 67311 contributes $5.5K (3.2%) and ranks #2 of 4 (67th percentile; typical, unremarkable volume). Medicaid revenue is therefore also concentrated in cataract procedures but does not reflect the same level of statewide dominance seen in the provider’s national Medicare ranks.
The practice offers a broader set of ophthalmic and anterior-segment services beyond routine cataract work: Medicare entries include glaucoma-related procedures such as 65820 (115 claims, $164.3K; ranks #38 of 1249, 97th percentile; notably above typical national volume), canaloplasty/related codes 66183 and 66174, and corneal services including V2785 and 65756. This mix indicates capability in both routine cataract workflows and more specialized anterior-segment interventions, which can support referral-driven cases.
High utilization of billable ophthalmic medications and inserts is a notable revenue feature: J1097 (ophthalmic irrigation solution) and J1096 (dexamethasone lacrimal insert) together account for $902.1K of Medicare revenue and rank in the 96th percentile nationally for their respective code cohorts. That pattern suggests the center captures material ancillary revenue streams from intraoperative products in addition to surgical procedure fees.
The provider shows operational longevity that supports its established specialty profile: the NPI was enumerated on 2008-06-04 (~18 years ago), and the concentrated, high-volume billing patterns around cataract and related ophthalmic codes are consistent with a long-standing ambulatory surgery center focused on eye care. The tenure combined with national high-percentile ranks for key codes implies entrenched referral pathways and procedural throughput in its specialty niche.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 2,490 | $770 | $1.9M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 6,460 | $80 | $491.1K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 4,150 | $100 | $411K |
| 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. | 120 | $1,430 | $164.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,860 | $65.6K |
| 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… | 130 | $490 | $61.2K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 30 | $2,130 | $55.3K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 40 | $1,440 | $53.2K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,440 | $24.5K |
| 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 | $770 | $11.5K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 10 | 2,610 | $80 | $208.9K |
| J1096 | 1 | 10 | 960 | $100 | $151.9K |
| V2785 | 5 | 10 | 20 | $3,730 | $145.6K |
| 66984 | 24 | 270 | 210 | $170 | $141.3K |
| 65820 | 3 | 40 | 30 | $980 | $40.4K |
| 65756 | 10 | 20 | 20 | $1,140 | $35.4K |
| 15823 | 4 | 40 | 40 | $520 | $33.1K |
| 66183 | 2 | 10 | 20 | $1,410 | $29.6K |
| 66174 | 3 | 10 | 20 | $1,090 | $29.4K |
| 66982 | 47 | 50 | 30 | $630 | $23.9K |
Showing 1–10 of 11
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… | 670 | $240 | $163K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 20 | $240 | $5.5K |
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… | 7 | 40 | 110 | $120 | $48K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 2 | 10 | 20 | $270 | $44.4K |
Other providers in the same ZIP code as Greenville Surgery Center LP, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Prisma Health-upstate | SC | General Acute Care Hospital | $0 | $86.9M |
| Prisma Health-upstate | SC | General Acute Care Hospital | $0 | $25M |
| Prisma Health-upstate | SC | General Acute Care Hospital | $0 | $22M |
| Heavenly Care Services Inc. | SC | Nursing Care Agency | $0 | $12.1M |
| Speechworks, Inc. | SC | Speech-Language Pathologist | $0 | $10.5M |
| Plan Home Health Care | SC | Nursing Care Agency | $0 | $8.9M |
| Prisma Health-upstate | SC | General Acute Care Hospital | $0 | $8.3M |
| Prisma Health-upstate | SC | Land Ambulance | $4.5M | $3.7M |
| Prisma Health-upstate | SC | Infusion Therapy Clinic/Center | $0 | $7.5M |
| Prisma Health University Medical Group | SC | Diagnostic Radiology Physician | $0 | $7.5M |
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