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NPI 1609955517 · Knoxville, TN · Ambulatory Surgical Clinic/Center
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Knoxville Eye Surgery Center LLC is a ambulatory surgical clinic/center provider located in Knoxville, Tennessee. This profile covers 42 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 | Knoxville Eye Surgery Center LLC |
| Address | 160 Capital Dr |
| City | Knoxville |
| State | TN |
| ZIP | 37922 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.1M |
| Medicaid | $180 |
This facility is overwhelmingly Medicare-facing in scale: reported lifetime Medicare revenue is $4.1M while lifetime Medicaid revenue is only $178, so Medicare is effectively the dominant payer for this ambulatory surgical clinic/center. The Medicaid footprint is negligible by comparison, indicating the center operates primarily within the Medicare market or treats very few Medicaid beneficiaries.
Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 65.6% of the provider's total Medicare revenue, driven by 66984 ($1.6M, 41.2%), J1097 ($677.3K, 17.1%), and V2785 ($290K, 7.3%). This concentration shows that a small set of ophthalmic procedures and related supplies disproportionately generate the center’s Medicare income.
The code mix reflects a specialized ophthalmic surgical center with a strong cataract surgery focus and broader anterior/posterior segment capabilities. High-volume cataract procedures are reflected in 66984 activity alongside heavy utilization of the ophthalmic irrigation product J1097, while V2785 (corneal tissue processing) and multiple retinal/glaucoma codes (for example 67042 and 67108) indicate the center also performs corneal transplants, retinal surgeries, and glaucoma procedures. Together these codes imply an operation that handles both routine high-volume cataract care and more complex specialty eye surgery.
On competitive standing, the provider is a strong outlier for several codes nationally: J1097 ranks #6 of 443 providers (99th percentile, labeled an "extreme outlier") indicating exceptional volume relative to peers for that irrigation product; 66984 ranks #773 of 15965 (95th percentile, "notably above typical national volume"); and V2785 ranks #9 of 231 (97th percentile, "notably above typical national volume"). These rankings signal that the center is a major national-level participant for specific ophthalmic procedures and related supply billing.
Several specialty surgical codes show unusually high national percentiles beyond cataract work, suggesting advanced procedural capability rather than only routine cases. For example, 67042 ranks #13 of 1087 providers (99th percentile, "extreme outlier") and 67108 ranks #5 of 706 providers (99th percentile, "extreme outlier"), while corneal transplant code 65756 ranks #16 of 567 (97th percentile, "notably above typical national volume"). This pattern supports the conclusion that the center performs a substantial volume of complex retinal, corneal, and glaucoma interventions in addition to cataract surgery.
Medicaid billing is essentially single-code and very small in dollar terms: top Medicaid code 66984 accounts for 100.0% of the provider’s Medicaid revenue ($155 of $178) and ranks #37 of 65 in-state (44th percentile, typical). The other listed Medicaid code, G8907, shows volume but $0 in paid dollars and does not materially affect revenue; overall the Medicaid program is not a meaningful revenue driver for this entity.
The provider has longstanding enumeration on file (NPI enumerated 2006-11-02, ~20 years ago), which combined with concentrated, high-percentile Medicare volumes suggests an established ambulatory surgical center with sustained referral and procedure flow over time. That tenure supports the observed high volumes for specific ophthalmic procedures and the center’s apparent role as a regional/nationally notable provider for certain eye surgeries and related supplies.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
42 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… | 2,330 | $700 | $1.6M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 8,910 | $80 | $677.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 90 | $3,260 | $290K |
| 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… | 140 | $1,300 | $185.3K |
| 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… | 110 | $1,320 | $149.3K |
| 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. | 100 | $1,310 | $130.5K |
| 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. | 80 | $1,290 | $103.4K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 200 | $470 | $92.5K |
| 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… | 200 | $430 | $86.4K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 70 | $1,300 | $86K |
Showing 1–10 of 42
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
42 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 10 | 1,780 | $80 | $197.9K |
| V2785 | 1 | 10 | 20 | $3,460 | $124.7K |
| 66984 | 47 | 450 | 170 | $120 | $89.5K |
| 66183 | 2 | 10 | 30 | $1,590 | $44.5K |
| 67042 | 2 | 40 | 20 | $1,020 | $34.5K |
| 15823 | 3 | 60 | 50 | $490 | $33K |
| 67113 | 4 | 10 | 20 | $1,280 | $32.1K |
| 67041 | 5 | 10 | 30 | $1,200 | $31.2K |
| 65756 | 1 | 20 | 20 | $1,170 | $30.5K |
| 67904 | 2 | 40 | 40 | $510 | $30.2K |
Showing 1–10 of 42
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… | 160 | $1 | $160 |
| 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… | 670 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee 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… | 37 | 70 | 250 | $110 | $96.9K |
| 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… | 16 | 70 | 160 | $1 | $10 |
Other providers in the same ZIP code as Knoxville Eye Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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