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NPI 1588631832 · Jackson, MI · Ambulatory Surgical Clinic/Center
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Surgical Services Of Michigan, LLC is a ambulatory surgical clinic/center provider located in Jackson, Michigan. This profile covers 7 Medicare and 1 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 | Surgical Services Of Michigan, LLC |
| Address | 2775 Blake Road |
| City | Jackson |
| State | MI |
| ZIP | 49201 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $28.4K |
SURGICAL SERVICES OF MICHIGAN, LLC is an ambulatory surgical clinic/center focused on ophthalmic surgery: its Medicare top procedures are cataract extraction with intraocular lens insertion (66984), complex or secondary lens procedures (66991, 66982), and vitreoretinal surgery (67042, 67036), indicating a surgical eye-care practice that performs both routine cataract cases and more complex retinal and anterior-segment procedures. Medicare revenue dominates the payer mix: lifetime Medicare revenue is $1.7M versus Medicaid revenue of $28.4K, so the practice operates at effectively single-payer scale with Medicare as the primary commercial driver. Revenue concentration on Medicare is high: the precomputed top 3 Medicare CPT/HCPCS codes account for 88.7% of this provider’s total Medicare revenue, demonstrating reliance on a small set of high-value ophthalmic procedures for most Medicare receipts. On Medicaid the provider is even more concentrated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and that revenue comes entirely from code 66984, so Medicaid activity appears limited to routine cataract surgeries. Procedure-level volume and rank show generally typical but non-dominant competitive standing: for Medicare 66984 ranks #1281 of 15965 (92nd percentile) and is described as typical/unremarkable volume, while 66991 and 67042 also sit in high but not exceptional percentiles (87th and 90th respectively), indicating above-average activity among peers but not market leadership. For Medicaid the single reported code 66984 ranks #42 of 54 in-state (23rd percentile) and is labeled typical/unremarkable volume in-state, implying the clinic is a modest Medicaid cataract provider in Michigan rather than a major state-level player. The provider has been enumerated on the NPI registry since 2006-03-07 (~20 years ago), indicating long tenure and established presence in the local market. Code-level mix suggests a bifurcated service line: high-volume, lower-complexity cataract work (66984) generates the bulk of Medicare and all Medicaid revenue, while a smaller but material share of Medicare revenue comes from more complex intraocular and vitreoretinal procedures (66991, 67042), signaling capability to handle advanced ophthalmic surgeries beyond routine cataract extraction.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 1,700 | $770 | $1.3M |
| 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… | 70 | $2,340 | $161.1K |
| 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… | 50 | $1,400 | $69.8K |
| 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… | 80 | $770 | $61.8K |
| 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. | 70 | $720 | $49.9K |
| 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 | $1,400 | $44.9K |
| 67036 | The 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. | 30 | $1,310 | $39.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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.
1 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… | 50 | $550 | $28.4K |
How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Michigan median
1 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… | 42 | 50 | 310 | $400 | $267.7K |
Other providers in the same ZIP code as Surgical Services Of Michigan, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| W.a. Foote Memorial Hospital | MI | General Acute Care Hospital | $0 | $41.3M |
| W.a. Foote Memorial Hospital, Inc. | MI | General Acute Care Hospital | $0 | $40M |
| Center For Family Health | MI | Federally Qualified Health Center (FQHC) | $0 | $24.7M |
| Center For Family Health | MI | Federally Qualified Health Center (FQHC) | $0 | $8.6M |
| W.a. Foote Memorial Hospital, Inc | MI | Nurse Practitioner | $0 | $5.3M |
| Tareq Baghal | MI | Cardiovascular Disease Physician | $1M | $0 |
| Vivek Kak | MI | Infectious Disease Physician | $460.2K | $0 |
| Donna O'neill | MI | Infectious Disease Physician | $436.5K | $0 |
| John Smarch | MI | Chiropractor | $46.9K | $190.7K |
| Samir Parikh | MI | Diagnostic Radiology Physician | $219.8K | $0 |
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