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 Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah 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. Utah (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.

Eye Surg Of Utah, LLC (NPI 1629069281)

Field	Value
Entity Type	Organization
Organization	Eye Surg Of Utah, LLC
Address	11820 South State Street
City	Draper
State	UT
ZIP	84020
Taxonomy	Ophthalmologic Surgery Clinic/Center
NPI Enumerated	November 2, 2005

Payer Source	Total Paid
Medicare	$731.5K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused surgical practice: lifetime Medicare revenue is $731.5K while Medicaid revenue is none (no Medicaid billing on file), indicating virtually no Medicaid activity and a patient mix concentrated on the Medicare population. The absence of Medicaid billing suggests limited payer diversification and a heavy reliance on fee-for-service Medicare volumes for overall revenue.

Revenue is highly concentrated in a narrow set of cataract-related procedures: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. The single largest driver is 66984 with $649.4K (88.8% of Medicare revenue), followed by 66982 with $44.7K (6.1%), and 66821 with $37.4K (5.1%).

Clinical/service-line mix is strongly cataract-focused: the top codes are 66984 and 66982 (intraocular lens insertion after extracapsular cataract extraction, including complex cases) and 66821 (capsulotomy for secondary membranous cataract). Average paid/claim levels align with procedural billing for ophthalmic surgery: $821 for 66984, $828 for 66982, and $192 for 66821, which together describe an outpatient surgical practice centered on cataract extraction and related postoperative procedures.

Competitive standing against national Medicare peers is modest and broadly “typical”: 66984 ranks #2254 of 15965 providers (86th percentile; typical, unremarkable volume for this code), 66982 ranks #952 of 4580 providers (79th percentile; typical, unremarkable volume for this code), and 66821 ranks #935 of 10087 providers (91th percentile; typical, unremarkable volume for this code). These ranks indicate the practice operates at a normal to above-average throughput for its procedures but is not a dominant national outlier.

The concentration in 66984 ($649.4K; 88.8%) creates both operational risk and strategic clarity: a downturn in cataract surgical volumes or reimbursement for that code would materially affect total Medicare revenue, while maintaining or growing cataract case volume should sustain the practice’s financial base. This tight revenue mix suggests limited near-term resilience to payer or referral shifts unless services are diversified.

High utilization of 66821 (195 claims, $37.4K, 5.1%) signals an active follow-up or secondary-cataract treatment stream tied to the primary cataract surgery volume. The presence of meaningful 66821 activity can be interpreted as ongoing postoperative care demand that complements the primary surgical business rather than representing a separate revenue engine.

The provider has a long-established billing presence: NPI enumerated on 2005-11-02 (~21 years ago), indicating sustained operations and likely local referral relationships supporting its cataract surgery volumes. Longevity combined with concentrated Medicare billing suggests the practice has been built around serving the Medicare-aged surgical population in its market.

The lack of Medicaid billing (none below) means the practice’s competitive landscape and access considerations are centered on Medicare patients and commercially insured seniors; analysts evaluating market share or access should not rely on Medicaid claims to assess this provider’s position in state-level safety-net networks. This single-payer concentration should be factored into payer contracting and network adequacy reviews.

Medicare: Complete Services Breakdown

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

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…	790	$820	$649.4K
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…	50	$830	$44.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	200	$190	$37.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Eye Surg Of Utah, LLC — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	4	150	90	$520	$80.3K
66982	9	50	30	$620	$22.2K
66821	3	100	40	$230	$13.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eye Surg Of Utah, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Bradley	UT	Ophthalmology Physician	$193K	$0
Benjamin Buckner	UT	Ophthalmology Physician	$130.6K	$0
Phillip Hoopes	UT	Ophthalmology Physician	$119.2K	$0
Majid Moshirfar	UT	Ophthalmology Physician	$105K	$0
Christopher Lloyd	UT	Certified Registered Nurse Anesthetist	$36.7K	$0
Shane Stockwell	UT	Certified Registered Nurse Anesthetist	$26.5K	$0
Trent Bell	UT	Certified Registered Nurse Anesthetist	$24.8K	$0

Nearby Providers

Other providers in the same ZIP code as Eye Surg Of Utah, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beechtree Diagnostics LLP	UT	Clinical Medical Laboratory	$1M	$34.7M
Utah Case Management	UT	Case Management Agency	$0	$13.3M
Lone Peak Hospital, Inc.	UT	General Acute Care Hospital	$0	$4.1M
After Hours Medical LLC	UT	Urgent Care Clinic/Center	$0	$3.2M
Rocky Mountain Laboratories LLC	UT	Clinical Medical Laboratory	$224.5K	$2.1M
Utnv Draper Operator, LLC	UT	Assisted Living Facility	$0	$2.2M
Beechtree Molecular Lab LLC	UT	Clinical Medical Laboratory	$236.8K	$862.7K
Draper City	UT	Ambulance	$115.3K	$978.1K
Spencer Hardenbrook	UT	Family Medicine Physician	$965.5K	$3.7K
Jeffrey Welch	UT	General Practice Dentistry	$0	$856.8K

Eye Surg Of Utah, LLC — Billing Profile & Reimbursement Data

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Eye Surg Of Utah, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References