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NPI 1649721259 · Hilo, HI · Ambulatory Surgical Clinic/Center
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Hawaii Vision Surgical Suites LLC is a ambulatory surgical clinic/center provider located in Hilo, Hawaii. This profile covers 10 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 | Hawaii Vision Surgical Suites LLC |
| Address | 392 Kapiolani St |
| City | Hilo |
| State | HI |
| ZIP | 96720 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 18, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $46.3K |
HAWAII VISION SURGICAL SUITES LLC operates as an ambulatory surgical clinic/center with a procedure mix dominated by cataract and intraocular lens work; its Medicare top codes are focused on cataract extraction and lens insertion (66984, 66991) alongside intracameral implant therapy (J7351), and the presence of glaucoma codes (e.g., 66174, 66761, 65855) plus a small volume of oculoplastic work (15823) suggests an integrated cataract/glaucoma surgical practice rather than a general multispecialty outpatient clinic.
Medicare revenue is concentrated in a few high-value ocular procedures: the precomputed top 3 Medicare codes account for 81.3% of Medicare revenue, with 66984 contributing $575.9K (54.4% of Medicare revenue), 66991 contributing $181K (17.1%), and J7351 contributing $103.7K (9.8%). These three codes form the financial core of the provider's Medicare business line.
Medicaid billing is even more concentrated: the top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 66984 representing $43.7K (94.4% of Medicaid revenue) and V2632 representing $2.6K (5.6%). Medicaid volumes are small in absolute terms (total Medicaid revenue $46.3K), indicating the provider is effectively Medicare-dominant in scale.
The payer mix is heavily skewed toward Medicare: total Medicare revenue is $1.1M versus total Medicaid revenue of $46.3K, so Medicare is the primary revenue driver and Medicaid represents a very small share of billed services. This pattern indicates the practice’s operations and growth are likely tied to Medicare patient flows and reimbursement dynamics for cataract services.
National competitive standing on flagship Medicare codes is above median but not an extreme outlier: 66984 ranks #2579 of 15965 (84th percentile) and is described as "typical, unremarkable volume for this code," 66991 ranks #202 of 1445 (86th percentile, "typical, unremarkable volume for this code"), and J7351 ranks #24 of 148 (84th percentile, "typical, unremarkable volume for this code"). These placements indicate the provider performs at an above-median level for key ophthalmic procedures nationally while remaining within typical volume expectations for those CPT/HCPCS codes.
State-level Medicaid standing is modest: Medicaid 66984 ranks #9 of 16 in-state (47th percentile, "typical, unremarkable volume for this code") and V2632 ranks #7 of 8 (14th percentile), showing the provider is not a leading Medicaid cataract/lens supplier in Hawaii and has limited Medicaid market penetration for intraocular lens billing.
The provider’s procedural footprint includes high-frequency intracameral implant use: J7351 shows 640 claims and $103.7K Medicare revenue, signaling routine use of intracameral bimatoprost implants as part of care pathways. Coupled with substantial Medicare cataract volume (614 claims for 66984), this pattern points to standardized perioperative or adjunct therapies being incorporated into the ambulatory surgery workflow.
The NPI was enumerated on 2016-10-18 (~10 years ago), indicating roughly a decade of billing history under this identifier. This tenure supports interpretation of the observed code mix and revenue concentration as an established operating pattern rather than a short-term anomaly.
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… | 610 | $940 | $575.9K |
| 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… | 70 | $2,780 | $181K |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 640 | $160 | $103.7K |
| 66030 | The provider injects medication in the anterior chamber of the eye, typically for therapeutic purposes. | 60 | $960 | $61.6K |
| 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. | 50 | $850 | $42.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 140 | $240 | $32.9K |
| 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… | 30 | $960 | $29.9K |
| 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… | 30 | $590 | $17.7K |
| 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… | 50 | $170 | $7.6K |
| 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. | 50 | $120 | $5.8K |
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.
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… | 70 | $660 | $43.7K |
| V2632 | Posterior chamber intraocular lens | 20 | $150 | $2.6K |
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii 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… | 9 | 20 | 80 | $590 | $129.1K |
| V2632 | Posterior chamber intraocular lens | 7 | 10 | 130 | $20 | $5.8K |
Other providers in the same ZIP code as Hawaii Vision Surgical Suites LLC, ranked by combined Medicare and Medicaid revenue.
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