Loading...
NPI 1629078043 · Overland Park, KS · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Novamed Eye Surgery Center Of Overland Park, LLC is a ambulatory surgical clinic/center provider located in Overland Park, Kansas. This profile covers 13 Medicare and 1 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 | Novamed Eye Surgery Center Of Overland Park, LLC |
| Address | 5520 College Blvd |
| City | Overland Park |
| State | KS |
| ZIP | 66211 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $24.9K |
This facility’s Medicare business is concentrated in cataract surgery and related ophthalmologic procedures: its top three Medicare codes account for 81.8% of total Medicare revenue and include 66984 (cataract extraction with lens insertion), J1096 (dexamethasone ophthalmic insert), and 66991 (intraocular lens insertion with aqueous drainage device). The dominance of these codes indicates an ASC-style operation focused on high-volume cataract case throughput combined with ancillary intraocular device and drug therapy services.
Medicare revenue scale is substantial relative to Medicaid: lifetime Medicare revenue is $2.9M versus lifetime Medicaid revenue of $24.9K, signaling the provider operates essentially as a Medicare-focused ambulatory surgical center with only minimal Medicaid activity. For Medicaid the entire reported revenue is accounted for by a single code (66984), reinforcing that Medicaid activity mirrors the Medicare cataract volume but at much lower dollar scale.
Revenue concentration on Medicare is heavily weighted toward 66984, which alone represents $1.7M or 59.5% of this provider’s Medicare revenue and ranks the facility at the 94th national percentile for that code. That placement and dollar share mark the provider as a high-volume cataract surgery center relative to national peers, making cataract extraction the primary revenue driver for the practice.
The provider also shows outsized use of J1096 (dexamethasone lacrimal insert), which contributes $401.3K or 13.8% of Medicare revenue and places the provider at rank #15 of 282 nationally (95th percentile). This unusually high utilization of an ophthalmic drug insert suggests a care model that pairs surgical cataract treatment with targeted postoperative or adjunctive pharmacologic therapy, and represents a distinctive ancillary revenue stream.
Several Medicare procedure codes record unusually high relative volume: code 66821 (YAG capsulotomy) is labeled an extreme outlier and contributes $167.2K (5.8% of Medicare revenue), placing the provider far above typical national volume; this reinforces a business profile that includes frequent postoperative laser management in addition to primary cataract surgery. Other codes such as 66991 and 15823 also rank in the 93rd–95th percentiles, indicating repeated use of complex intraocular device implantation and periocular soft-tissue procedures beyond routine cataract cases.
Competitive standing varies by code: for core cataract surgery (66984) and the dexamethasone insert (J1096), the provider is a major national outlier (94th and 95th percentiles respectively), suggesting strong national-level specialization. For Medicaid, 66984 ranks #7 of 13 in-state (50th percentile), indicating that while the provider is a leading Medicaid cataract biller in absolute terms within the state, its Medicaid cataract volume is typical relative to the small in-state peer group.
The provider’s tenure is long-standing for an ambulatory surgical center: its NPI was enumerated on 2005-07-28 (~21 years ago). This prolonged active enrollment supports interpretation of the observed high-volume patterns as established operational behavior rather than a brief programmatic shift.
Payer-product mix shows differentiated service intensity: Medicare receipts are diversified across surgical codes, laser aftercare, and drug inserts while Medicaid receipts are concentrated entirely in a single surgical CPT (66984). This asymmetric mix suggests the center’s contracted payer footprint favors Medicare beneficiaries and higher-reimbursing device/drug adjuncts, with limited engagement in the Medicaid population beyond routine cataract surgery.
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… | 2,110 | $820 | $1.7M |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 4,050 | $100 | $401.3K |
| 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… | 100 | $2,460 | $243.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 840 | $200 | $167.2K |
| 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… | 160 | $510 | $79.2K |
| 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. | 80 | $790 | $65.2K |
| 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 | $1,450 | $56.5K |
| 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 | $820 | $56.5K |
| 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… | 20 | $1,430 | $27.1K |
| 67903 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the… | 50 | $570 | $26.8K |
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.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 1 | 10 | 1,590 | $100 | $186.4K |
| 66991 | 4 | 20 | 50 | $1,520 | $94.3K |
| 66984 | 1 | 300 | 40 | $430 | $67.4K |
| 67042 | 4 | 20 | 20 | $1,140 | $31.9K |
| 65820 | 1 | 20 | 30 | $800 | $29.4K |
| 67108 | 7 | 20 | 20 | $1,130 | $24.8K |
| 66982 | 10 | 50 | 20 | $590 | $24.8K |
| 66821 | 1 | 110 | 60 | $210 | $24.8K |
| 67040 | 1 | 10 | 20 | $1,470 | $22.1K |
| 67036 | 5 | 10 | 20 | $930 | $21.4K |
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.
1 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… | 210 | $120 | $24.8K |
How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kansas median
1 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… | 7 | 10 | 210 | $120 | $41.4K |
Other providers in the same ZIP code as Novamed Eye Surgery Center Of Overland Park, LLC, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.