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NPI 1629130521 · Woodbury, MN · Ambulatory Surgical Clinic/Center
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Midwest Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Woodbury, Minnesota. 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 | Midwest Surgery Center, LLC |
| Address | 2080 Woodwinds Dr |
| City | Woodbury |
| State | MN |
| ZIP | 55125 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $33.2K |
MIDWEST SURGERY CENTER, LLC appears to operate primarily as an ophthalmic ambulatory surgical center: its Medicare top codes are dominated by cataract- and intraocular procedures, with 66984 accounting for $881.8K (62.4% of the provider's total Medicare revenue) from 1K claims, supported by adjacent codes 66991 ($130.1K, 9.2%) and 66821 ($80.4K, 5.7%). The presence of oculoplastic and reconstructive codes such as 15823 ($78.3K, 5.5%) and eyelid/skin graft codes indicates ancillary oculoplastic and minor reconstructive work alongside core cataract surgery services, consistent with its Ambulatory Surgical Clinic/Center taxonomy and outpatient surgical model.
Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 77.3% of the provider's Medicare revenue, signaling that a small set of cataract-related procedures drive the bulk of income. On the Medicaid side the precomputed top 3 codes account for 100.0% of Medicaid revenue, and all reported Medicaid billing is for 66984 ($33.2K, 41 claims), indicating Medicaid revenue is entirely concentrated in routine cataract extraction.
Payer mix is heavily Medicare-biased: lifetime Medicare revenue totals $1.4M versus $33.2K in Medicaid, so Medicare dominates the revenue base and Medicaid represents a very small fraction of total public-payer receipts. Practically, the provider functions as Medicare-primary for its surgical volume and reimbursement exposure.
Competitive standing for the flagship cataract code 66984 is solid nationally: the provider ranks #1971 of 15965 (88th percentile) for Medicare volume in that code and is characterized as "typical, unremarkable volume," which implies a strong but not unusually dominant national presence in routine cataract surgery. The same code in Medicaid ranks #5 of 15 in-state (71th percentile; "typical, unremarkable volume"), indicating a moderate in-state position for Medicaid cataract work.
Other top codes show mixed relative strength: 66821 ranks #300 of 10087 (97th percentile) but is labeled "typical, unremarkable volume," suggesting unusually high relative placement that is nevertheless not characterized as an extreme outlier, while 15823 ranks #93 of 1718 (95th percentile) and is explicitly labeled "notably above typical national volume," marking oculoplastic eyelid procedures as an area where the provider performs above typical national levels. Conversely, some specialty glaucoma/implant work such as 66180 ($29.7K, 2.1% of Medicare revenue) ranks lower (#228 of 375; 29th percentile) and represents a more modest contribution to Medicare revenue.
Tenure and stability: the provider's NPI was enumerated on 2006-12-15 (~20 years ago), indicating an established outpatient surgical operation with a multi-year presence in the market. That longevity, paired with concentrated high-volume cataract work, is consistent with a stable, procedure-focused ASC rather than a newer entrant experimenting with diversified service lines.
Concentration-driven business implications: dependence on a narrow suite of cataract-related codes (top 3 Medicare codes = 77.3% of Medicare revenue) means the center's financial performance is sensitive to changes in cataract referral patterns or reimbursement for those specific codes. While some diversification exists through oculoplastic and minor ENT/skin-graft procedures, the overall revenue profile suggests limited diversification beyond ophthalmic surgery, which should be considered by payers and network planners when assessing contracting or utilization management strategies.
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… | 1,000 | $880 | $881.8K |
| 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… | 50 | $2,660 | $130.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 390 | $200 | $80.4K |
| 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 | $500 | $78.3K |
| 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. | 60 | $1,260 | $72K |
| 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… | 80 | $830 | $65.6K |
| 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… | 10 | $2,120 | $29.7K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 40 | $550 | $24.4K |
| 14060 | The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less. | 20 | $610 | $14.6K |
| 30520 | Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation. | 20 | $510 | $10.8K |
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 |
|---|---|---|---|---|---|
| 66984 | 106 | 300 | 190 | $50 | $56K |
| 66991 | 6 | 30 | 30 | $1,460 | $53.9K |
| 65820 | 1 | 20 | 30 | $1,010 | $31.2K |
| 15823 | 3 | 40 | 30 | $530 | $25K |
| 66982 | 7 | 70 | 30 | $610 | $23.2K |
| 66180 | 3 | 10 | 10 | $1,540 | $21.5K |
| 67900 | 5 | 20 | 20 | $420 | $14.1K |
| 66821 | 10 | 170 | 50 | $110 | $13.8K |
| 14060 | 7 | 20 | 20 | $550 | $11.5K |
| 30520 | 1 | 10 | 20 | $570 | $11.4K |
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… | 40 | $810 | $33.2K |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota 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… | 5 | 20 | 40 | $410 | $69K |
Other providers in the same ZIP code as Midwest Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Valhalla Place, LLC | MN | Community/Behavioral Health Agency | $581K | $22.1M |
| St. Croix Psychiatric, LLC | MN | Psychiatry Physician | $0 | $19.9M |
| Kubei Holding Group Inc | MN | Community/Behavioral Health Agency | $0 | $15.5M |
| Holistic Home Care LLC | MN | Home Health Agency | $0 | $14.7M |
| Redeemer Services, Inc. | MN | Case Management Agency | $0 | $14.3M |
| Greatercare Facilities, LLC | MN | Home Health Agency | $0 | $10.4M |
| B Tek, LLC | MN | Clinical Medical Laboratory | $0 | $10.2M |
| Summit Orthopedics, Ltd | MN | Orthopaedic Surgery Physician | $0 | $6.7M |
| Healtheast Woodwinds Hospital | MN | General Acute Care Hospital | $0 | $6.2M |
| Allina Health System | MN | Family Medicine Physician | $0 | $5.5M |
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