Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nebraska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nebraska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nebraska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Midwest Eye Surgery Center, LLC (NPI 1598744732)

Field	Value
Entity Type	Organization
Organization	Midwest Eye Surgery Center, LLC
Address	4353 Dodge St
City	Omaha
State	NE
ZIP	68131
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 16, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

The provider operates as an ophthalmic ambulatory surgical center: the Medicare code mix is dominated by cataract extraction and intraocular lens insertion alongside corneal and glaucoma procedures, consistent with an eye surgery specialty ASC rather than a general surgical center. High-revenue codes such as 66984 and corneal-related codes (V2785, 65756) indicate the facility performs both high-volume cataract work and supports corneal transplant activity.

Revenue is highly concentrated in a few ophthalmic procedures: the top 3 Medicare codes by revenue account for 67.4% of this provider's total Medicare revenue, with 66984 generating $930.2K (50.3% of Medicare revenue), V2785 generating $173.6K (9.4%), and 65820 generating $142.1K (7.7%). This concentration signals that cataract surgery is the primary revenue driver for the practice.

This provider is effectively single-payer in scale: lifetime Medicare revenue is $1.8M while Total Medicaid revenue is listed as none (no Medicaid billing on file). The absence of Medicaid billing suggests contracting, case mix, and financial exposure are highly dependent on Medicare patients and payer relationships.

For its headline cataract code 66984 the provider ranks #1800 of 15965 nationally (89th percentile) and is described as "typical, unremarkable volume," indicating the center performs meaningful national-level volumes for cataract extraction but is not an outsized national leader. The placement in the high percentiles alongside the "typical" label suggests solid market participation without being an extreme outlier.

Corneal services appear to be a distinct strength: V2785 (processing/preserving corneal tissue) produced $173.6K and ranks #45 of 231 providers nationally (78th percentile), while corneal transplant code 65756 produced $60.8K and ranks #69 of 567 (87th percentile). Together these entries imply integrated corneal activity (tissue processing plus surgical transplants) beyond routine cataract care.

Certain glaucoma-related procedures are markedly above typical volume: 65820 generated $142.1K and ranks #63 of 1249 providers (95th percentile; notably above typical national volume), and 65855 has high percentile placement as well (97th percentile; notably above typical national volume) with $16.4K revenue. These placements indicate the center handles a relatively high volume of glaucoma procedures compared with national peers, pointing to a subspecialty skillset or referral focus in glaucoma care.

The provider also performs vitreoretinal and retina services at modest but notable levels: 67042 produced $61.5K (rank #142 of 1087, 86th percentile) and 67108 produced $42.1K (rank #120 of 706, 83th percentile), both labeled as "typical, unremarkable volume." This suggests the ASC supports a broader ophthalmic surgical mix beyond cataract and corneal procedures, including retina/vitreous operations.

NPI tenure indicates an established operation: the NPI was enumerated 2006-01-16 (~20 years ago). Coupled with lifetime Medicare revenue of $1.8M, this points to a longstanding, modestly sized specialty ASC with concentrated Medicare-dependent revenue rather than a large multisite system or broad payer footprint.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 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…	1,170	$790	$930.2K
V2785	Processing, preserving and transporting corneal tissue	40	$4,340	$173.6K
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	$1,510	$142.1K
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…	40	$2,380	$88.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	400	$190	$76.4K
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…	40	$1,470	$61.5K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	40	$1,520	$60.8K
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…	70	$810	$58.1K
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	$2,230	$57.9K
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…	30	$1,500	$42.1K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Midwest Eye Surgery Center, LLC — 7 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2785	3	10	40	$3,960	$170.2K
66984	3	200	50	$450	$75.5K
66991	13	30	30	$1,410	$56.4K
65756	4	10	30	$1,200	$43K
65820	1	10	40	$880	$41.4K
67904	5	10	30	$550	$32.7K
66982	12	50	40	$570	$30.1K
67042	2	10	30	$1,100	$29.6K
66183	3	10	30	$1,290	$27.1K
66172	2	10	30	$790	$23.6K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Midwest Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Father Flanagan's Boys' Home	NE	Pediatrics Physician	$0	$23.1M
Father Flanagan's Boys' Home	NE	Children's Hospital	$0	$16.2M
Emergency Physician Associates Of Nebraska PC	NE	Emergency Medicine Physician	$0	$4.9M
Dialysis Clinic Inc.	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Alegent Health Bergan Mercy Health System	NE	Psychiatry Physician	$0	$3.4M
Matthew Appenzeller	NE	Ophthalmology Physician	$2.5M	$0
Mark Emig	NE	Ophthalmology Physician	$2.2M	$0
David Ingvoldstad	NE	Ophthalmology Physician	$1.8M	$0
Haysam Akkad	NE	Interventional Cardiology Physician	$817.6K	$0
Pamela Helem	NE	Mental Health Counselor	$0	$680.9K

Midwest Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

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Midwest Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References