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NPI 1659409241 · Medford, OR · Ambulatory Surgical Clinic/Center
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Eye Surgery Center is a ambulatory surgical clinic/center provider located in Medford, Oregon. This profile covers 9 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 | Eye Surgery Center |
| Address | 1408 E Barnett Rd |
| City | Medford |
| State | OR |
| ZIP | 97504 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | March 2, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $960.5K |
| Medicaid | $355.2K |
EYE SURGERY CENTER shows a Medicare-heavy revenue profile with total Medicare revenue of $960.5K compared with total Medicaid revenue of $355.2K; Medicare is the larger payer on file but Medicaid still represents a meaningful secondary revenue stream. The provider is not single-payer in practice because both payers contribute material revenue.
Procedurally the practice is focused on cataract and anterior-segment ophthalmic surgery: Medicare top codes are 66984, 66991 and 66982 (the precomputed top-3 Medicare codes account for 84.3% of this provider's total Medicare revenue), and those codes describe extracapsular cataract extraction with intraocular lens insertion and related complex techniques. The code mix also includes postoperative YAG capsulotomy (66821) and glaucoma outflow procedures (66174, 66175), indicating the center performs both routine cataract work and adjunctive anterior-segment glaucoma procedures.
Revenue concentration is high by code: a single code, 66984, is the dominant revenue driver for both payers — it generated $607.4K (63.2% of Medicare revenue) on Medicare and $355K (100.0% of Medicaid revenue) on Medicaid — and the dataset flags that the top 3 Medicaid codes account for 100.0% of Medicaid revenue. This pattern indicates heavy dependence on cataract extraction with lens insertion for Medicaid reimbursement and a concentrated Medicare book of business.
Against national Medicare peers the center posts above-median volumes for its top cataract work: 66984 ranks #2409 of 15965 providers nationally (85th percentile; typical, unremarkable volume for this code), 66991 ranks #296 of 1445 (79th percentile; typical, unremarkable volume), and 66982 ranks #582 of 4580 (87th percentile; typical, unremarkable volume). These percentiles position the center as a solid, established participant in cataract procedures nationally rather than a dominant outlier.
On the Medicaid side 66984 ranks #8 of 39 providers in-state (82th percentile; typical, unremarkable volume for this code), indicating a strong in-state position for Medicaid cataract work relative to peers. The combination of an 82th in-state rank for the primary Medicaid code and full Medicaid revenue concentration into 66984 suggests the center is a notable state-level provider for cataract services to Medicaid beneficiaries.
The center shows some niche capacity in glaucoma-related device procedures: 66175 (canal expansion with device/stent) produced $37.1K and ranks #3 of 10 providers nationally (78th percentile; typical, unremarkable volume for this code), which, given the small national provider pool for this code, indicates a comparatively high share among a limited set of providers. Other glaucoma-related codes such as 66174 rank lower (433 of 741, 38th percentile), showing selective emphasis rather than broad dominance across all drainage procedures.
Administrative/documentation code activity appears in Medicaid billing but generates no revenue: G8907 shows 154 claims with $0 avg paid/claim and $0 revenue (ranks #18 of 39 in-state; 55th percentile). This signals consistent reporting of a non-revenue quality/documentation measure on Medicaid claims but no direct reimbursement impact.
The provider has a long tenure on the NPI file, enumerated 2007-03-02 (~19 years ago), supporting interpretation of the current billing mix as the product of an established ambulatory surgical clinic. The combination of long tenure, concentrated cataract revenue, and selective glaucoma device activity points to a stable specialty center primarily structured around cataract surgery services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 700 | $870 | $607.4K |
| 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… | 50 | $2,640 | $139.7K |
| 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… | 80 | $840 | $63.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 270 | $220 | $57.4K |
| 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. | 30 | $1,540 | $38.5K |
| 66175 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure includes leaving a device or stent in place. | 40 | $1,060 | $37.1K |
| 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… | 10 | $820 | $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… | 30 | $150 | $4.4K |
| 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. | 40 | $110 | $4.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 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… | 880 | $400 | $355K |
| 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… | 150 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon 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… | 8 | 40 | 120 | $330 | $175.5K |
| 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… | 18 | 40 | 110 | $1 | $1 |
Other providers in the same ZIP code as Eye Surgery Center, ranked by combined Medicare and Medicaid revenue.
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