Loading...
NPI 1639177751 · Greenwood, MS · Ophthalmologic Surgery Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Coleman Cataract And Eye Laser Surgery Center, Inc is a ophthalmologic surgery clinic/center provider located in Greenwood, Mississippi. This profile covers 10 Medicare and 11 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 | Coleman Cataract And Eye Laser Surgery Center, Inc |
| Address | 2005 Highway 82 W |
| City | Greenwood |
| State | MS |
| ZIP | 38930 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | July 12, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $1.5M |
This facility operates as a high-volume cataract surgery center: 66984 (insertion of an intraocular lens after extracapsular cataract extraction) is the single largest revenue driver with $706.4K on Medicare (42.0% of Medicare revenue) and $1.2M on Medicaid (79.7% of Medicaid revenue). Supporting codes commonly used in cataract workflows — J1097 (ophthalmic irrigation solution) and J2403 (ophthalmic chloroprocaine gel) — also appear among the top billers for both payers, indicating the practice’s procedures are centered on routine intraoperative medications and local ophthalmic anesthesia. The code mix and volumes are consistent with an ambulatory eye surgery specialty focused primarily on cataract procedures rather than broad multispecialty surgery.
Revenue concentration is pronounced on both payers: the provider’s top three Medicare codes account for 78.6% of its total Medicare revenue, and the top three Medicaid codes account for 90.2% of its total Medicaid revenue. This indicates the business is heavily dependent on a very small set of high-revenue ophthalmic procedures and related intraoperative medications rather than a diversified portfolio of services.
The payer mix is nearly balanced in scale: total Medicare revenue is reported as $1.6M while total Medicaid revenue is $1.5M, so the provider is not single-payer dependent and draws roughly comparable revenue from both government programs. Given the near parity, operational and reimbursement changes in either Medicare or Medicaid could meaningfully affect overall revenue.
National competitive standing on Medicare is mixed: the flagship cataract code 66984 ranks #1958 of 15965 nationally (88th percentile) which is a solid but not dominant national position for cataract surgery volume, while medication/anesthesia code J2403 ranks #7 of 76 nationally (92th percentile), indicating especially high national activity on that specific ophthalmic anesthetic. Other Medicare codes such as 66821 (laser capsulotomy) rank near the top of national percentiles (96th) even though they represent smaller revenue shares, suggesting pockets of above-average national performance on certain ancillary eye procedures.
State-level competitive standing on Medicaid shows the provider is a major in-state cataract surgery provider: 66984 ranks #2 of 42 in-state (98th percentile; notably above typical state volume), and J1097 ranks #2 of 11 in-state (90th percentile), reinforcing the center’s dominant role in Medicaid-funded cataract care within Mississippi. Several procedure and implant codes (for example, 66030 and J7351) also rank at or near the top of in-state lists (#1 of 2 and #1 of 1 respectively), underscoring disproportionate state-level volume for some glaucoma or intracameral implant procedures despite their smaller revenue shares.
The practice reports sizable use of glaucoma- and implant-related codes in addition to cataract surgery: Medicare J7351 (bimatoprost intracameral implant) produced $127.8K (7.6% of Medicare revenue) and Medicaid J7351 produced $53.9K (3.7% of Medicaid revenue), while Medicaid 66174 (canal expansion) produced $15.4K (1.1%). These entries indicate the center performs glaucoma-focused interventions and intracameral implant procedures in addition to routine cataract services, though these lines are secondary to cataract work based on revenue share.
There are notable high-volume, zero-dollar Medicaid reporting codes that appear as outliers in state comparisons: G8918 shows 4.2K claims with $0 revenue and ranks #1 of 35 in-state (100th percentile; extreme outlier), and G8907 shows 4.2K claims with $0 revenue and ranks #2 of 56 in-state (98th percentile; notably above typical state volume). These codes reflect non-payment reporting or quality-measure items rather than reimbursed services, but the very high counts suggest unusually extensive documentation activity on these specific measure codes relative to peers.
The provider has an established presence with an NPI enumerated on 2005-07-12 (~21 years ago), indicating long-standing participation in Medicare and Medicaid billing streams. That tenure, combined with very high in-state rankings on core cataract codes, suggests this center is a mature, regionally significant ophthalmologic surgery clinic with entrenched service lines concentrated on cataract and related intraoperative medications.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 1,020 | $700 | $706.4K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4,200 | $80 | $315.3K |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 300,000 | $1 | $300K |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 790 | $160 | $127.8K |
| 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. | 70 | $1,310 | $91.5K |
| 66030 | The provider injects medication in the anterior chamber of the eye, typically for therapeutic purposes. | 90 | $660 | $58.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 340 | $170 | $57.3K |
| 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… | 20 | $710 | $12.1K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 70 | $100 | $7.2K |
| 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… | 10 | $600 | $6.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
11 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… | 5,230 | $220 | $1.2M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,630 | $30 | $89.6K |
| 66030 | The provider injects medication in the anterior chamber of the eye, typically for therapeutic purposes. | 200 | $320 | $63.6K |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 200 | $270 | $53.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 720 | $60 | $45.5K |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 240 | $70 | $15.7K |
| 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. | 50 | $340 | $15.4K |
| 0191T | N/A | 10 | $450 | $6.3K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 600 | $10 | $6K |
| 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… | 4,160 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
11 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… | 2 | 40 | 300 | $180 | $191.9K |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 1 | 10 | 200 | $270 | $53.8K |
| 66030 | The provider injects medication in the anterior chamber of the eye, typically for therapeutic purposes. | 1 | 10 | 110 | $280 | $31.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 2 | 10 | 160 | $50 | $18.3K |
| 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. | 1 | 10 | 50 | $340 | $15.4K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 7 | 20 | 340 | $20 | $15.1K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2 | 10 | 190 | $20 | $12.9K |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 1 | 10 | 140 | $70 | $9.2K |
| 0191T | N/A | 1 | 10 | 10 | $450 | $6.3K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1 | 40 | 140 | $1 | $590 |
Showing 1–10 of 11
Other providers in the same ZIP code as Coleman Cataract And Eye Laser Surgery Center, Inc, 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.