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NPI 1639456973 · Albuquerque, NM · Ambulatory Surgical Clinic/Center
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Physician Surgery Center Of Albuquerque LLC is a ambulatory surgical clinic/center provider located in Albuquerque, New Mexico. This profile covers 8 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 | Physician Surgery Center Of Albuquerque LLC |
| Address | 9551 Paseo Del Norte Ne |
| City | Albuquerque |
| State | NM |
| ZIP | 87122 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 15, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $541.3K |
| Medicaid | $56.4K |
PHYSICIAN SURGERY CENTER OF ALBUQUERQUE LLC presents as a specialty ambulatory surgical clinic focused on ophthalmology: its top Medicare procedures are cataract- and anterior-segment related (66984, 66821, 66982), which correspond to routine cataract extraction with lens insertion, capsulotomy, and complex intraocular lens implantation respectively. The code mix indicates the operation is structured around high-volume cataract services with some capacity for more complex anterior-segment cases.
Revenue for Medicare is highly concentrated: the precomputed top three Medicare codes account for 85.5% of this provider's total Medicare revenue, with 66984 alone representing 65.2% ($352.8K) of the Medicare total. This concentration signals that routine cataract extraction with lens insertion is the primary revenue driver on the Medicare side.
Medicaid billing is effectively single-procedure driven: the precomputed top three Medicaid codes account for 100.0% of Medicaid revenue, and in the available Medicaid detail 66984 represents 100.0% of the provider’s total Medicaid revenue ($56.4K from 128 claims at $441 avg paid/claim). This indicates near-total reliance on cataract extraction with lens insertion for the provider’s Medicaid activity.
The payer mix is Medicare-dominant in scale: total Medicare revenue ($541.3K) far exceeds total Medicaid revenue ($56.4K), and the same CPT (66984) shows different average payments by payer ($791 avg paid/claim Medicare vs $441 avg paid/claim Medicaid). Those figures underline both a Medicare-heavy case volume and materially higher per-claim payments coming from Medicare for the principal procedure.
Competitive standing is mixed across codes nationally: for 66984 the provider ranks #3142 of 15965 (80th percentile) and is described as a typical, unremarkable volume performer for that code, while for 66821 it ranks #336 of 10087 (97th percentile) and thus performs at a relatively high national percentile for laser capsulotomy by claim volume. The provider is not a dominant national player across the full ophthalmic CPT set but shows particular strength on 66821.
Within Medicare the practice performs occasional specialized ophthalmic procedures beyond routine cataract work: codes such as 66174 (18 claims, $1,426 avg paid/claim, $25.7K; ranked #608 of 741, 15th percentile, typical, unremarkable volume) and 67042 (15 claims, $1,455 avg paid/claim, $21.8K; ranked #748 of 1087, 25th percentile, typical, unremarkable volume) indicate a capability for glaucoma and vitreoretinal interventions at lower volumes. These smaller but higher-paid-per-claim procedures suggest the center handles selected complex cases in addition to high-volume cataract surgery.
State-level competitive position on Medicaid is modest: 66984 ranks #16 of 26 providers in-state (40th percentile), characterizing the center as a mid-to-lower-volume Medicaid cataract provider within New Mexico. Combined with the Medicaid revenue concentration on a single code, the provider is a modest participant in the state Medicaid cataract market rather than a local leader.
The center has an established presence with its NPI enumerated 2011-11-15 (~15 years ago), which supports interpretation of the billing patterns as persistent rather than transient. Longevity plus concentrated cataract billing suggests a stable, specialized ambulatory surgical operation centered on 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.
8 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… | 450 | $790 | $352.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 370 | $200 | $72.7K |
| 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… | 50 | $790 | $37.3K |
| 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. | 20 | $1,430 | $25.7K |
| 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… | 20 | $1,460 | $21.8K |
| 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… | 20 | $520 | $11.4K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 110 | $100 | $10.2K |
| 66986 | The provider removes a previously placed intraocular lens and places a new one. | 10 | $780 | $9.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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… | 130 | $440 | $56.4K |
How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Mexico 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… | 16 | 30 | 280 | $400 | $607.8K |
Other providers in the same ZIP code as Physician Surgery Center Of Albuquerque LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lisa Sisneros Brow, Speech-language Pathologist, LLC | NM | Speech-Language Pathologist | $0 | $6.2M |
| High Desert Pedicatrics PC | NM | Pediatrics Physician | $0 | $2.1M |
| Balanced Physical Therapy And Wellness, LLC | NM | Physical Therapy Clinic/Center | $0 | $1.8M |
| Cyd Evans | NM | Contractor | $0 | $1.4M |
| Diego Gonzalez | NM | Interventional Pain Medicine Physician | $189.6K | $29.2K |
| Dennis Garcia | NM | Family Medicine Physician | $110.4K | $0 |
| Cvs Pharmacy, Inc. | NM | Pharmacy | $91.9K | $0 |
| Tomas Tafoya | NM | Orthopedic Physical Therapist | $71.6K | $0 |
| Gerard Kerbleski | NM | Foot & Ankle Surgery Podiatrist | $64.3K | $0 |
| Shanti Balkissoon-castillo | NM | Foot & Ankle Surgery Podiatrist | $63K | $0 |
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