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NPI 1629152053 · Westbury, NY · Ambulatory Surgical Clinic/Center
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Island Eye Surgicenter LLC is a ambulatory surgical clinic/center provider located in Westbury, New York. This profile covers 56 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 | Island Eye Surgicenter LLC |
| Address | 1500 Jericho Tpke |
| City | Westbury |
| State | NY |
| ZIP | 11590 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $9.5M |
| Medicaid | $2.6M |
ISLAND EYE SURGICENTER LLC is an Ambulatory Surgical Clinic/Center whose billing mix is heavily ophthalmology‑focused, with high-volume cataract surgery and associated intraoperative ophthalmic products forming the core of services. The Medicare top codes and numerous high‑percentile ophthalmic procedure codes (e.g., 66984, J1097, 66991, 66821, 67904) indicate an ambulatory surgical practice built around cataract extraction, intraocular lens insertion, glaucoma drainage devices, eyelid reconstruction, and related corneal and vitreoretinal procedures.
Revenue concentration on Medicare is pronounced: the precomputed top 3 Medicare codes by revenue account for 65.1% of the provider's total Medicare revenue. Those top three codes are 66984 ($4.2M, 46.3% of Medicare revenue), J1097 ($1.1M, 11.9%), and 66991 ($628.4K, 7.0%), demonstrating that a small set of cataract and intraoperative-product codes drives the majority of Medicare receipts.
On the Medicaid side the provider is effectively single‑service by revenue: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 66984 alone representing $2.5M (98.7% of Medicaid revenue) and 66821 contributing $32.9K (1.3%). This pattern shows near‑exclusive Medicaid reliance on cataract extraction procedures for revenue.
Payer mix favors Medicare in scale: total Medicare revenue is $9.5M versus total Medicaid revenue of $2.6M, so Medicare is the substantially larger payer for this provider. While the practice bills both programs, Medicare dollars are the primary revenue base and Medicaid payments are concentrated in the same cataract procedure line.
The provider’s competitive standing on key Medicare codes is well above typical national volume: 66984 ranks #213 of 15965 providers (99th percentile; extreme outlier), J1097 ranks #3 of 443 providers (100th percentile; extreme outlier), and 66991 ranks #7 of 1445 providers (100th percentile; extreme outlier). These rankings indicate the center is a national high‑volume outlier for cataract extraction, the specific ophthalmic irrigation product J1097, and combined cataract/aqueous drainage device procedures, consistent with a regional or specialized referral hub for these services.
State-level Medicaid positioning for cataract is also strong: 66984 ranks #16 of 156 in-state (90th percentile; notably above typical state volume for this code), while 66821 ranks #11 of 21 (50th percentile; typical). This suggests the center is a significant Medicaid cataract provider within New York, even though Medicaid revenue is smaller overall than Medicare.
Beyond cataract work, the provider reports elevated volumes or above-typical ranks for multiple ancillary ophthalmic and oculoplastic procedures—examples include high national ranks and extreme outlier language for eyelid procedures (67904 rank #8 of 991; 67900 rank #2 of 444; 67917 rank #5 of 596) and notable activity in glaucoma drainage and corneal services (0449T, 66180, V2785, 65756). This supports a service mix that extends into oculoplastics, glaucoma device implantation, and corneal tissue processing, implying capability to manage complex anterior-segment and periocular cases.
The provider has an established presence with NPI enumeration date 2006-10-24 (~20 years ago), indicating long tenure in the market. The combination of long operational history and concentrated, high‑percentile volumes on core ophthalmic codes suggests an established surgical center with sustained referral flow for cataract and related ophthalmic procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
56 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… | 4,310 | $970 | $4.2M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 14,150 | $80 | $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… | 210 | $2,950 | $628.4K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 5,790 | $100 | $572.8K |
| 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… | 350 | $950 | $331.7K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 1,140 | $240 | $271.3K |
| 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. | 180 | $1,390 | $246.6K |
| V2785 | Processing, preserving and transporting corneal tissue | 70 | $3,520 | $239.2K |
| 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… | 300 | $580 | $171.9K |
| 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… | 280 | $500 | $138.4K |
Showing 1–10 of 56
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 56 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
56 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 2 | 10 | 740 | $100 | $227.3K |
| J1097 | 1 | 20 | 500 | $80 | $200.1K |
| V2785 | 2 | 10 | 70 | $3,430 | $164.6K |
| 66984 | 1 | 680 | 90 | $430 | $104.3K |
| 66991 | 1 | 50 | 30 | $1,830 | $65.9K |
| 65820 | 2 | 90 | 30 | $1,170 | $48K |
| 67904 | 2 | 30 | 40 | $570 | $45.2K |
| 66989 | 6 | 10 | 20 | $2,100 | $39.8K |
| 66982 | 5 | 280 | 30 | $760 | $35.6K |
| 0449T | 1 | 10 | 20 | $1,680 | $35.3K |
Showing 1–10 of 56
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… | 2,310 | $1,100 | $2.5M |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 100 | $330 | $32.9K |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York 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… | 16 | 160 | 140 | $720 | $423.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 11 | 20 | 100 | $110 | $30.1K |
Other providers in the same ZIP code as Island Eye Surgicenter LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jmd Care Services Inc | NY | Home Health Agency | $0 | $169.2M |
| Maxim Of New York, LLC | NY | Home Health Agency | $0 | $20.8M |
| Stephen Scarantino | NY | Obstetrics & Gynecology Physician | $230.8K | $6.8M |
| Karthik Gujja | NY | Cardiovascular Disease Physician | $2.9M | $394.9K |
| Lynda Piboon | NY | Obstetrics & Gynecology Physician | $62.2K | $3.1M |
| Gastro Operating Company LLC | NY | Ambulatory Surgical Clinic/Center | $894.3K | $1.7M |
| Teresita Santiago-escalera | NY | Obstetrics & Gynecology Physician | $35.3K | $1M |
| Carman Ave Drugs Inc | NY | Community/Retail Pharmacy | $428.4K | $0 |
| Kwan-iong Jakobsen | NY | Physical Medicine & Rehabilitation Physician | $379.7K | $0 |
| Stanley Berke | NY | Ophthalmology Physician | $353.4K | $0 |
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