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NPI 1659594307 · Reno, NV · Ambulatory Surgical Clinic/Center
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Eye Surgery Center Of Northern Nevada, LLC is a ambulatory surgical clinic/center provider located in Reno, Nevada. This profile covers 11 Medicare and 3 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 Of Northern Nevada, LLC |
| Address | 5420 Kietzke Ln |
| City | Reno |
| State | NV |
| ZIP | 89511 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 11, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $114.7K |
EYE SURGERY CENTER OF NORTHERN NEVADA presents as a high-volume cataract surgery specialty center: Medicare code 66984 (cataract extraction with IOL) accounts for $1.7M of Medicare revenue and 63.4% of that payer’s receipts, and J1097 (ophthalmic irrigation solution) contributes $543.9K (19.9%). The prominence of 66984 and J1097 in the top billing lines indicates the facility’s operations are centered on routine and high-throughput cataract cases with substantial use of intraoperative irrigation/medication products.
Revenue concentration is pronounced: the precomputed top-3 Medicare codes by revenue account for 86.7% of the provider’s total Medicare revenue, while the precomputed top-3 Medicaid codes account for 100.0% of its Medicaid revenue. This indicates Medicare receipts are heavily dependent on a very small set of ophthalmic procedure and supply codes, and Medicaid revenue is effectively concentrated in a single procedure code.
Payer mix is heavily Medicare-weighted: lifetime Medicare revenue is $2.7M compared with $114.7K in Medicaid, so Medicare dominates the provider’s public-payer volume and dollars. Medicaid activity is narrowly focused — Medicaid revenue is entirely from 66984 ($114.7K, 637 claims) — suggesting the center’s participation in Medicaid is limited and procedure-specific.
The center’s competitive standing for its leading cataract and supply codes is strong nationally: 66984 ranks #932 of 15,965 providers (94th percentile) and is labeled “notably above typical national volume,” while J1097 ranks #15 of 443 providers (97th percentile) and is also “notably above typical national volume.” These ranks show the provider is a high-volume national participant on its core Medicare cataract and intraoperative supply lines rather than a modest local operator for those codes.
Within the state Medicaid market the provider is a moderate participant: Medicaid 66984 ranks #9 of 28 in-state (70th percentile) and is described as a “typical, unremarkable volume for this code” regionally. In other words, the facility’s Medicare dominance on cataract surgery does not translate into clear market leadership in Nevada Medicaid for the same procedure.
The provider shows a mix of routine and more complex anterior-segment procedures beyond routine cataract work: codes associated with glaucoma devices and combined procedures (for example, 66991 at $75.5K, 66183 at $59.9K, and 66982 at $90.7K) appear in the Medicare top-25, indicating occasional higher-complexity surgical cases and device implants alongside high-volume cataract surgeries. These code-level revenues are smaller shares of total Medicare revenue but signal capability for advanced anterior-segment interventions.
There are notable statistical outliers in procedure mix despite their smaller revenue shares: code 65855 (laser trabeculoplasty) has 227 claims and $22.5K revenue and is ranked #38 of 2,796 providers (99th percentile) — labeled an “extreme outlier, far above typical national volume for this code.” The center’s very high relative use of certain laser glaucoma procedures stands out relative to national peers even though those codes represent under 1.0% of Medicare revenue.
The practice is well-established: the NPI was enumerated 2007-04-11 (~19 years ago), consistent with an ambulatory surgical clinic/center that has maintained a stable service profile dominated by cataract surgery over a multi-year period. This tenure, combined with concentrated high-volume codes, suggests a mature specialty surgery operation focused on cataract care and related anterior-segment 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.
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… | 2,110 | $820 | $1.7M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 7,160 | $80 | $543.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 460 | $200 | $93K |
| 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… | 110 | $800 | $90.7K |
| 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… | 30 | $2,430 | $75.5K |
| 66183 | The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma. | 30 | $2,220 | $59.9K |
| 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 | $1,390 | $36.1K |
| 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. | 30 | $1,390 | $36K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 20 | $1,990 | $29.8K |
| 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. | 230 | $100 | $22.5K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 10 | 1,110 | $80 | $220.9K |
| 66984 | 1 | 120 | 80 | $590 | $121.4K |
| 66991 | 7 | 20 | 30 | $1,760 | $56.4K |
| 66183 | 1 | 10 | 30 | $1,510 | $40.8K |
| 65820 | 7 | 10 | 30 | $1,160 | $30.1K |
| 66982 | 3 | 30 | 30 | $710 | $29.7K |
| 66180 | 6 | 10 | 20 | $1,490 | $28.3K |
| 66821 | 1 | 70 | 70 | $240 | $26K |
| 66174 | 4 | 10 | 20 | $740 | $20.1K |
| 65855 | 1 | 20 | 60 | $140 | $10.3K |
Showing 1–10 of 11
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.
3 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… | 640 | $180 | $114.7K |
| 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… | 560 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 560 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nevada median
3 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 | 30 | 340 | $280 | $158K |
| 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… | 10 | 40 | 190 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 8 | 20 | 250 | $0 | $0 |
Other providers in the same ZIP code as Eye Surgery Center Of Northern Nevada, LLC, ranked by combined Medicare and Medicaid revenue.
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