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NPI 1609052679 · Carmel, IN · Ambulatory Surgical Clinic/Center
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Beltway Surgery Centers, LLC is a ambulatory surgical clinic/center provider located in Carmel, Indiana. This profile covers 43 Medicare and 7 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 | Beltway Surgery Centers, LLC |
| Address | 10300 N Illinois St |
| City | Carmel |
| State | IN |
| ZIP | 46290 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 21, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4M |
| Medicaid | $63.7K |
BELTWAY SURGERY CENTERS, LLC presents as an ambulatory surgical clinic with a clear concentration in ophthalmic procedures alongside a meaningful volume of endoscopy work. The top Medicare revenue drivers include 66984 ($1M, 26.5% of Medicare revenue), 45385 ($340.3K, 9.0%), and 67042 ($334.2K, 8.8%), indicating a procedural mix that combines high-volume cataract work with retina/vitreous surgery and advanced GI polypectomy services. This blend is consistent with an outpatient surgical center that handles both ophthalmology subspecialty cases and gastrointestinal endoscopy.
Revenue concentration on Medicare is substantial among a few codes: the precomputed top-3 Medicare codes by revenue account for 44.4% of this provider's total Medicare revenue. On Medicaid the top-3 codes are even more concentrated, accounting for 100.0% of the provider's total Medicaid revenue, signaling that a very small set of procedures drive nearly all billed Medicaid dollars. These concentration metrics suggest that payer negotiations and utilization management focused on a handful of services would materially affect overall revenue.
Medicare dominates this provider’s payer mix in scale: reported total Medicare revenue is $4M versus total Medicaid revenue of $63.7K, so Medicare is the overwhelmingly larger revenue source. Given that differential, incentives, staffing and marketing likely prioritize Medicare-aged patients and services that generate the majority of the center’s revenue.
Several ophthalmic codes show nationally exceptional volume relative to peers, marking the center as a major procedural outlier in those services. Notably, 67042 ranks #6 of 1087 providers nationally (100th percentile; extreme outlier) and 66180 ranks #2 of 375 providers nationally (100th percentile; extreme outlier), while 67113 and 67036 fall in the 99th percentile with labels like "extreme outlier" and "far above typical national volume." These rankings indicate the center is a national-level high-volume provider for complex retinal and glaucoma procedures rather than a modest participant.
The provider also posts unusually high national volume for a colorectal therapeutic code: 45385 ranks #139 of 16310 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). That suggests the center’s GI endoscopy capacity—at least for polypectomy/therapeutic colonoscopy—is substantially above typical ambulatory surgical center norms and contributes meaningfully to Medicare revenue.
At the Medicaid level, provision of pediatric or younger-patient ophthalmic strabismus surgery appears important: 67311 accounts for $46.1K and 72.3% of this provider's total Medicaid revenue and ranks #1 of 3 providers in-state (100th percentile). The Medicaid payer profile is therefore narrowly focused on a small set of ophthalmic procedures, with 66984 supplying the remaining material share ($17.7K, 27.7%).
Operational longevity is established: the NPI was enumerated on 2008-01-21 (~18 years ago), indicating the center has been active long enough to develop subspecialty referral patterns and build high procedural volume in specific codes. That tenure, combined with multiple high-percentile national rankings, supports the interpretation of an established ambulatory surgical center with concentrated clinical strengths.
Several codes on the Medicare profile are described as "notably above typical" or "typical, unremarkable," which helps differentiate where this center is a true outlier versus where it operates at expected volumes. For example, 66984 and 66982 are described as typical or unremarkable volume despite 66984 contributing $1M (26.5% of Medicare revenue), whereas multiple retina and glaucoma codes (e.g., 67042, 66180, 67113) are labeled "extreme outlier" or "notably above typical," underscoring that the center’s national competitive standing is strongest in complex ophthalmic procedures rather than across all ophthalmic CPTs.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
43 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… | 1,210 | $830 | $1M |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 760 | $450 | $340.3K |
| 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… | 220 | $1,520 | $334.2K |
| 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… | 120 | $2,540 | $299.4K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2,390 | $100 | $236.2K |
| 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. | 80 | $2,250 | $173.3K |
| 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. | 100 | $1,520 | $144.8K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 70 | $2,010 | $142.7K |
| 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… | 90 | $1,520 | $135.2K |
| 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… | 160 | $830 | $134.1K |
Showing 1–10 of 43
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
43 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 6 | 10 | 30 | $2,930 | $182K |
| 66984 | 12 | 450 | 50 | $480 | $87.5K |
| J1096 | 1 | 10 | 660 | $100 | $83K |
| 66991 | 2 | 20 | 50 | $1,420 | $79.3K |
| 66183 | 1 | 10 | 50 | $1,500 | $72.2K |
| 66180 | 1 | 10 | 30 | $1,470 | $64.6K |
| 67040 | 1 | 10 | 40 | $1,480 | $63.6K |
| 66170 | 1 | 10 | 60 | $770 | $49.8K |
| 65756 | 16 | 20 | 30 | $1,030 | $49.5K |
| 67042 | 1 | 20 | 20 | $1,310 | $47K |
Showing 1–10 of 43
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 110 | $420 | $46.1K |
| 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… | 70 | $270 | $17.7K |
| 68841 | The provider inserts an implant that delivers a drug at a controlled rate into the lacrimal ducts of the eye to treat inflammation, glaucoma, or other conditions. The provider may also dilate the… | 20 | $0 | $0 |
| 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… | 360 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 160 | $0 | $0 |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 20 | $0 | $0 |
| V2632 | Posterior chamber intraocular lens | 160 | $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
7 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… | 48 | 60 | 350 | $270 | $229.7K |
| 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… | 1 | 10 | 50 | $560 | $33.3K |
| V2632 | Posterior chamber intraocular lens | 5 | 10 | 240 | $10 | $4.9K |
| 68841 | The provider inserts an implant that delivers a drug at a controlled rate into the lacrimal ducts of the eye to treat inflammation, glaucoma, or other conditions. The provider may also dilate the… | 4 | 10 | 30 | $70 | $2.1K |
| 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… | 28 | 70 | 320 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 28 | 40 | 240 | $0 | $0 |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Beltway Surgery Centers, LLC, ranked by combined Medicare and Medicaid revenue.
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