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NPI 1629429410 · Bowie, MD · Ambulatory Surgical Clinic/Center
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Lakeview Surgery Center LLC is a ambulatory surgical clinic/center provider located in Bowie, Maryland. This profile covers 21 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 | Lakeview Surgery Center LLC |
| Address | 17001 Science Dr |
| City | Bowie |
| State | MD |
| ZIP | 20715 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 23, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.6M |
| Medicaid | $43.5K |
LAKEVIEW SURGERY CENTER LLC bills almost exclusively as an Ambulatory Surgical Clinic/Center and its Medicare code mix is dominated by ophthalmic surgical procedures, notably cataract extraction and intraocular lens placement (codes 66984 and 66982) plus a high volume of glaucoma-related surgeries (65820). The presence of corneal processing and transplant codes (V2785, 65756) and multiple vitrectomy/retinal codes (67041, 67036, 67042) indicates the center provides a spectrum of eye surgeries beyond routine cataract work, consistent with a multi-specialty ophthalmic ambulatory surgery center.
Medicare revenue is concentrated: the provider reports $2.6M in total Medicare revenue and its top 3 Medicare codes by revenue account for 65.8% of that total. Those top three are 66984 (46.3% of Medicare revenue), 65820 (13.6%), and 66982 (5.9%), showing cataract and glaucoma procedures are the primary drivers of Medicare collections.
Medicaid billing is extremely limited in scale compared with Medicare, with total Medicaid revenue of $43.5K and its top 3 Medicaid codes by revenue accounting for 100.0% of Medicaid receipts. Medicaid volume is effectively split between G8918 (50.1% of Medicaid revenue, $21.8K) and 66984 (49.9% of Medicaid revenue, $21.7K), indicating routine cataract work and related surgical-site documentation codes drive the small Medicaid footprint.
The payer mix is heavily Medicare-weighted: $2.6M in Medicare versus $43.5K in Medicaid means Medicare overwhelmingly funds the facility’s activity, and the center should be treated as effectively Medicare-driven for revenue- and utilization-based analyses. Medicaid participation exists but is modest and concentrated in a few codes, so Medicaid strategy would have limited immediate impact on overall revenue.
The provider’s competitive standing is mixed by code: it is an extreme national outlier on pediatric glaucoma incision 65820 (ranks #8 of 1249 nationally, 99th percentile; labeled an "extreme outlier"), and also shows notably above-typical national volume on aqueous shunt placement 66179 (ranks #1 of 26 nationally, 96th percentile; "notably above typical"). By contrast, high-revenue cataract code 66984 ranks #1492 of 15965 nationally (91th percentile) and is described as a typical, unremarkable volume for that code, meaning the center combines routine high-volume cataract work with unusually concentrated volumes in select glaucoma procedures.
Several specific procedures and device/implant codes point to complex procedural capability: 66170 (trabeculectomy) and 66180/66179 (aqueous shunt procedures) appear among Medicare billings with 66170 listed as an "extreme outlier" (ranks #5 of 178, 98th percentile) and 66179 as "notably above typical," supporting the view that this ASC performs advanced glaucoma surgeries in addition to cataract cases. The presence of 66991 (combined lens implant plus drainage device) and high-cost corneal tissue processing V2785 ($102.5K, 4.0% of Medicare revenue) further corroborates device- and tissue-based service lines.
Procedure-level payment and supply use are visible in the billing mix: J1096 (dexamethasone lacrimal ophthalmic insert) accounts for $45.5K (1.8% of Medicare revenue) and 66991 and other implant codes show higher average paid-per-claim amounts (for example 66991 average $2,564/claim). These entries suggest routine use of proprietary implants and in-office ophthalmic drug/device therapies as part of the surgical care pathway.
The provider has an established NPI with enumeration date 2016-06-23 (~10 years ago), indicating a multi-year operational history. Combined with concentrated Medicare revenue and several specialty high-percentile rankings for glaucoma and retinal procedures, this tenure supports a profile of an established, specialty-focused ophthalmic ASC that relies on Medicare volumes and selective complex-case capability rather than broad Medicaid-dependent throughput.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 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… | 1,490 | $800 | $1.2M |
| 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. | 230 | $1,540 | $349.6K |
| 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… | 180 | $830 | $150.8K |
| 66179 | In this procedure, the provider places, by external approach, an aqueous shunt, an implantable device in the aqueous humor of the eye. The shunt facilitates drainage and thereby reduces the overall… | 70 | $1,950 | $130.5K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $3,420 | $102.5K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 60 | $1,540 | $89.4K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 60 | $1,370 | $79.4K |
| 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… | 30 | $2,560 | $76.9K |
| 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 | $1,570 | $54.9K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 30 | $1,570 | $51.8K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 6 | 250 | 130 | $630 | $172.5K |
| J1096 | 5 | 10 | 540 | $100 | $97K |
| V2785 | 3 | 10 | 30 | $3,530 | $84.6K |
| 66991 | 18 | 30 | 30 | $1,580 | $64.7K |
| 66179 | 1 | 10 | 40 | $1,440 | $57.4K |
| 65820 | 2 | 40 | 30 | $1,150 | $53.9K |
| 66174 | 9 | 30 | 30 | $790 | $36.4K |
| 66982 | 6 | 130 | 30 | $710 | $34.3K |
| 67041 | 2 | 10 | 20 | $1,060 | $30.9K |
| 65756 | 6 | 20 | 30 | $1,210 | $29.1K |
Showing 1–10 of 21
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 |
|---|---|---|---|---|
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 100 | $220 | $21.8K |
| 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… | 70 | $290 | $21.7K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 100 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland 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… | 14 | 30 | 60 | $200 | $103.2K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 25 | 50 | 90 | $70 | $28.2K |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 49 | 90 | 110 | $30 | $11.9K |
Other providers in the same ZIP code as Lakeview Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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