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NPI 1619541661 · West Allis, WI · Ambulatory Surgical Clinic/Center
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Pharos Enterprises Of Wisconsin, LLC is a ambulatory surgical clinic/center provider located in West Allis, Wisconsin. This profile covers 13 Medicare and 3 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 | Pharos Enterprises Of Wisconsin, LLC |
| Address | 2356 S 102nd St |
| City | West Allis |
| State | WI |
| ZIP | 53227 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 14, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $543K |
PHAROS ENTERPRISES OF WISCONSIN, LLC operates as an Ambulatory Surgical Clinic/Center with a clear ophthalmic surgery profile: the dominant CPT/HCPCS entries are cataract extraction and intraocular lens procedures (notably 66984, 66991, 66821 and 66982), indicating the site is focused on high-volume outpatient anterior-segment surgery and same-session lens implantation. The presence of supply/irrigation code J1097 and corneal codes further supports an eye-surgery specialty rather than a general ambulatory surgical mix.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 77.7% of the provider's total Medicare revenue, with 66984 alone representing 66.0% of Medicare revenue, 66991 at 6.4%, and 66821 at 5.3%. This concentration shows Medicare receipts are driven overwhelmingly by routine cataract surgery and immediate lens implantation services.
Medicaid billing is even more concentrated toward a single procedure set: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue and 66984 by itself accounts for 95.8% of this provider's total Medicaid revenue (66821 contributes 4.0% and J1097 0.2%). For Medicaid payers, the provider is effectively a cataract surgery site with minimal ancillary Medicaid revenue lines.
On scale, this clinic reports $1.7M in lifetime Medicare revenue versus $543K in lifetime Medicaid revenue, making Medicare the larger payer by absolute dollars on file. The data therefore reflect a dual-payer practice that is Medicare-dominant in revenue scale while still maintaining meaningful Medicaid activity concentrated in the same cataract procedures.
Competitively for Medicare, the provider's volume for 66984 ranks #1662 of 15965 providers nationally (90th percentile) which the source labels as typical/unremarkable at that percentile; simultaneously 66821 ranks #256 of 10087 (97th percentile), indicating relatively high comparative volume for posterior capsulotomy services. Also note code 65855 is labeled as "notably above typical national volume" at the 95th percentile, marking a statistical outlier in laser trabeculoplasty usage compared with national peers.
Within Wisconsin Medicaid peers, 66984 ranks #3 of 33 providers in-state (94th percentile) which positions the clinic as a major in-state performer for Medicaid-covered cataract surgery. By contrast, 66821 ranks #2 of 4 in-state (67th percentile), signaling more modest in-state competition for the secondary capsulotomy work.
The provider’s menu includes higher-complexity anterior-segment and adjunct services beyond routine cataract extraction — billed codes include corneal transplant (65756), corneal tissue processing (V2785), endoscopic cyclophotocoagulation-related lens insertion (66988), glaucoma procedures (66170), and mitomycin use (J9280). Together these entries indicate capability to deliver corneal and glaucoma-related surgical procedures in addition to high-volume cataract care, which may support referrals for more complex ophthalmic cases.
The NPI was enumerated on 2021-05-14 (~5 years ago), indicating a relatively recent market entry for this ambulatory surgical clinic/center. Despite that recent start, the provider has established substantial volumes in core cataract codes on both Medicare and Medicaid, suggesting a rapid build-out of outpatient ophthalmic surgical capacity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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… | 1,320 | $830 | $1.1M |
| 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 | $2,520 | $106K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 440 | $200 | $87.9K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1,120 | $80 | $85.9K |
| 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… | 100 | $830 | $82.7K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,680 | $73.5K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 30 | $1,500 | $45.1K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,520 | $28.9K |
| 66250 | The provider repairs or revises a wound to the anterior segment of the eye, which occurred during another procedure. | 30 | $640 | $21.2K |
| 66170 | In this procedure, the provider creates a fistula and removes part of the trabecular meshwork to treat glaucoma and relieve intraocular pressure. | 20 | $610 | $14.7K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 4 | 10 | 1,030 | $80 | $88.9K |
| V2785 | 4 | 10 | 20 | $3,940 | $78.7K |
| 66984 | 126 | 310 | 350 | $50 | $66.4K |
| 66991 | 10 | 30 | 30 | $1,270 | $53.3K |
| 66988 | 2 | 10 | 30 | $1,100 | $33.1K |
| 66982 | 10 | 80 | 20 | $490 | $21.7K |
| 65756 | 6 | 10 | 20 | $1,030 | $21.7K |
| 66170 | 1 | 10 | 20 | $700 | $16.7K |
| 66821 | 10 | 180 | 40 | $100 | $13K |
| 66250 | 1 | 10 | 30 | $470 | $12.6K |
Showing 1–10 of 13
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.
3 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… | 1,500 | $350 | $520K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 120 | $180 | $21.8K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 20 | $70 | $1.2K |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
3 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… | 3 | 30 | 210 | $310 | $207.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 2 | 10 | 110 | $120 | $10.9K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2 | 10 | 20 | $30 | $680 |
Other providers in the same ZIP code as Pharos Enterprises Of Wisconsin, LLC, ranked by combined Medicare and Medicaid revenue.
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