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NPI 1649218009 · Elmwood Park, NJ · Ambulatory Surgical Clinic/Center
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River Drive Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Elmwood Park, New Jersey. This profile covers 18 Medicare and 16 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 | River Drive Surgery Center, LLC |
| Address | 619 River Dr Fl 1 |
| City | Elmwood Park |
| State | NJ |
| ZIP | 07407 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 4, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $8.8M |
| Medicare | $8M |
RIVER DRIVE SURGERY CENTER, LLC appears to be an ophthalmic ambulatory surgical center: Medicare and Medicaid top codes are overwhelmingly cataract- and anterior-segment focused (notably 66984, 66991, 66982), indicating the facility primarily performs cataract extraction and intraocular lens procedures and associated glaucoma/laser adjuncts. The code mix (surgical lens insertion, complex lens procedures, and drainage/laser codes) aligns with an ASC that specializes in high-volume outpatient eye surgery rather than broad multispecialty services.
Revenue concentration is very high on both payers: the precomputed top-3 Medicare codes account for 84.1% of total Medicare revenue and the top-3 Medicaid codes account for 92.1% of total Medicaid revenue. This indicates the center’s financial performance depends heavily on a narrow set of ophthalmic procedures—chiefly cataract-related services—making its business sensitive to volume or reimbursement changes affecting those specific codes.
Payer mix shows roughly comparable lifetime scale between the two public payers: Total Medicare revenue is $8M while Total Medicaid revenue is $8.8M, so the center receives substantial business from both programs rather than being single-payer dependent. The near parity suggests the center serves a mixed population of Medicare-age and Medicaid-covered patients in its market.
On Medicare the provider is an extreme outlier for several cataract and anterior segment procedures: 66984 (61.7% of Medicare revenue) ranks #140 of 15965 providers nationally (99th percentile; extreme outlier) and 66991 (15.0% of Medicare revenue) ranks #2 of 1445 providers nationally (100th percentile; extreme outlier). These rankings indicate RIVER DRIVE SURGERY CENTER is operating at volumes for these procedures far above typical national peers and is a major national-volume provider for selected ophthalmic CPTs.
On Medicaid the facility is a dominant in-state performer for its leading codes: Medicaid 66984 (74.2% of Medicaid revenue) and 66982 (16.1% of Medicaid revenue) both rank #1 in-state (100th percentile; extreme outlier / notably above typical state volume). State-level ranking as the top provider for these high-volume Medicaid codes signals that the center is a primary ambulatory destination for cataract surgery within New Jersey’s Medicaid network.
Several accessory and glaucoma-related codes appear as meaningful secondary revenue streams across payers — for example Medicare 66174 (2.9% of Medicare revenue) ranks #7 nationally (99th percentile; extreme outlier) and Medicaid 66761 and 67400 each appear among the top Medicaid codes with high in-state ranks. This suggests the center performs adjunct glaucoma or orbit procedures in addition to routine cataract surgery, supporting a service line that includes both refractive/vision-restorative and pressure-management interventions.
The provider’s national and state rank profile shows a bifurcated competitive standing: nationally it is an extreme-volume outlier for several cataract codes (e.g., top percentiles for 66984, 66991, 66982), while within New Jersey it is the leading Medicaid provider for multiple cataract and related codes. That combination indicates local market dominance for Medicaid and outsized specialty procedure volume relative to national Medicare peers.
Tenure is long-standing: the NPI was enumerated on 2006-06-04 (~20 years ago), implying over a decade of operational history which can support sustained relationships with referring practices and payer contracts. This duration is consistent with the high cumulative lifetime revenues reported to both Medicare and Medicaid.
Where present, code-level statistical labels in the source amplify the center’s concentrated profile: multiple codes are explicitly described as 'extreme outlier' or 'notably above typical' in national or state comparisons, reinforcing that these high volumes are unusual relative to peers rather than being a typical ASC distribution. Analysts should treat the provider as a specialized, high-volume cataract surgery center with concentrated exposure to a few high-return 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.
18 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… | 5,010 | $990 | $5M |
| 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… | 400 | $2,970 | $1.2M |
| 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… | 610 | $980 | $591.7K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2,500 | $100 | $247.6K |
| 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. | 200 | $1,150 | $230.2K |
| 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. | 140 | $1,450 | $201.1K |
| 66989 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction using complex techniques and devices. The provider also inserts one or more anterior… | 60 | $2,930 | $172.9K |
| 67400 | The provider incises and explores the orbit, the bony cavity that holds the eyes, through an incision in the eye area, without creating a bone flap. She examines the orbital cavity for the presence… | 100 | $1,030 | $103.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 400 | $250 | $98.2K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 40 | $1,800 | $72K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1096 | 5 | 20 | 860 | $100 | $162.9K |
| 66984 | 1 | 370 | 100 | $670 | $141.2K |
| 66991 | 1 | 50 | 30 | $2,020 | $82.9K |
| 66989 | 1 | 10 | 30 | $2,250 | $74.3K |
| 67400 | 1 | 10 | 60 | $1,040 | $62.2K |
| 65820 | 4 | 60 | 30 | $1,130 | $50.9K |
| 66982 | 2 | 160 | 30 | $740 | $40.7K |
| 66988 | 2 | 10 | 30 | $1,200 | $34.7K |
| 66174 | 1 | 40 | 30 | $860 | $34.5K |
| 67904 | 3 | 20 | 40 | $600 | $32.3K |
Showing 1–10 of 18
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.
16 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… | 14,850 | $440 | $6.5M |
| 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… | 3,370 | $420 | $1.4M |
| 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. | 610 | $270 | $160.9K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 470 | $330 | $155.3K |
| 67400 | The provider incises and explores the orbit, the bony cavity that holds the eyes, through an incision in the eye area, without creating a bone flap. She examines the orbital cavity for the presence… | 550 | $190 | $107.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 490 | $190 | $91.4K |
| 65426 | During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft. | 200 | $390 | $77.4K |
| 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… | 390 | $160 | $62.8K |
| 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… | 140 | $420 | $59.2K |
| 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. | 150 | $270 | $40.8K |
Showing 1–10 of 16
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
16 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… | 1 | 60 | 110 | $370 | $327.3K |
| 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… | 1 | 10 | 80 | $330 | $266.2K |
| 67400 | The provider incises and explores the orbit, the bony cavity that holds the eyes, through an incision in the eye area, without creating a bone flap. She examines the orbital cavity for the presence… | 1 | 10 | 350 | $190 | $68.5K |
| 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… | 1 | 10 | 140 | $420 | $59.2K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 2 | 10 | 70 | $180 | $56K |
| 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. | 1 | 10 | 270 | $170 | $50.4K |
| 65426 | During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft. | 1 | 10 | 130 | $360 | $46.6K |
| 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… | 1 | 10 | 270 | $130 | $35.6K |
| 68700 | The provider repairs a laceration of the canaliculus of the eye. He performs this procedure to prevent infection or other complications and to relieve pain or discomfort. | 2 | 10 | 510 | $70 | $33.4K |
| 66711 | The provider destroys a portion of the ciliary body using a laser beam. This procedure decreases the production of fluid in the eye, thereby decreasing intraocular pressure. The procedure is… | 1 | 10 | 250 | $100 | $26.3K |
Showing 1–10 of 16
Other providers in the same ZIP code as River Drive Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bioreference Health, LLC | NJ | Clinical Medical Laboratory | $66.8M | $620.1M |
| Atmiya Adult Day Care LLC | NJ | Adult Day Care Clinic/Center | $0 | $19.9M |
| Careway Medical Adult Day Care Corp | NJ | Adult Day Care Clinic/Center | $0 | $16.9M |
| Garden State Rehab Services | NJ | Rehabilitation Clinic/Center | $0 | $12.3M |
| Preferred Home Health Care & Nursing Services, Inc. | NJ | Home Health Agency | $0 | $11.5M |
| Biogenica Laboratories LLC | NJ | Clinical Medical Laboratory | $149K | $2.3M |
| Masters Ambulance Service | NJ | Non-emergency Medical Transport (VAN) | $801K | $382.8K |
| Global Health Ems Inc | NJ | Land Ambulance | $570.3K | $317K |
| Pinnacle Mri Group, LLC | NJ | Radiology Clinic/Center | $8.5K | $813.6K |
| Hadley Phillips | NJ | Ophthalmology Physician | $382.2K | $0 |
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