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NPI 1689693970 · Milford, CT · Ophthalmologic Surgery Clinic/Center
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Connecticut Eye Surgery Center South LLC is a ophthalmologic surgery clinic/center provider located in Milford, Connecticut. This profile covers 10 Medicare and 4 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 | Connecticut Eye Surgery Center South LLC |
| Address | 60 Wellington Rd |
| City | Milford |
| State | CT |
| ZIP | 06461 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $516.1K |
Operational focus: CONNECTICUT EYE SURGERY CENTER SOUTH LLC functions principally as an ophthalmologic surgical center with a heavy emphasis on cataract procedures, as shown by its top Medicare codes 66984, 66982, and 66991. The code mix also includes glaucoma-related procedures (e.g., 65820, 66174, 66710) and eyelid surgery (15823), indicating a practice that combines routine cataract volume with a smaller set of anterior-segment and oculoplastic services.
Medicare revenue concentration: The provider reports $1.9M in total Medicare revenue with its top 3 Medicare codes (66984, 66982, 66991) accounting for 90.4% of that total. Within Medicare, 66984 alone contributes $1.4M (77.1% of Medicare revenue), while 66982 contributes $164.4K (8.9%) and 66991 contributes $81.9K (4.4%), indicating extreme revenue concentration on a small set of cataract and combined cataract/glaucoma procedures.
Medicaid revenue concentration: Total Medicaid revenue is $516.1K and the provider’s top 3 Medicaid codes account for 100.0% of its Medicaid revenue, showing near-complete reliance on a very small set of procedure lines. Specifically, 66984 drives $500.1K (96.7% of Medicaid revenue), with 66982 at $16.6K (3.2%) and 66821 at $468 (0.1%), meaning Medicaid billing is overwhelmingly tied to routine cataract surgery.
Payer mix and scale: The provider bills both Medicare ($1.9M) and Medicaid ($516.1K), with Medicare representing the larger revenue stream while Medicaid comprises a smaller but nontrivial portion of total public-payer receipts. Medicaid activity is effectively concentrated in a single procedure (66984), whereas Medicare shows a bit more diversity among its top three codes despite the overall concentration in cataract-related work.
Competitive standing — Medicare: For its Medicare work the provider shows mixed competitive positioning: 66984 ranks #1387 of 15965 providers nationally (91th percentile) and is described in the source as a "typical, unremarkable volume" for that code, 66982 ranks #101 of 4580 (98th percentile) indicating a strong national standing for complex cataract cases, and 66991 ranks #704 of 1445 (49th percentile) reflecting a modest middle-tier presence for combined procedures. These ranks imply the center is a regional/ national participant for certain high-complexity cataract services but otherwise performs typical volumes on its most common code.
Competitive standing — Medicaid: On Medicaid the provider is comparatively prominent for routine cataract work in-state: 66984 ranks #4 of 39 providers in-state (92th percentile) and is labeled "notably above typical state volume," making the center a leading Medicaid cataract provider in Connecticut. By contrast, 66982 ranks #4 of 7 (50th percentile) and 66821 ranks #3 of 3 (0th percentile) and are both characterized as "typical, unremarkable volume," indicating limited in-state depth beyond the primary cataract procedure.
Reimbursement pattern and payer rate gap: The average paid per claim for the same dominant procedure differs substantially between payers — for 66984 the Medicare average is $897 per claim while the Medicaid average is $146 per claim — and since 66984 dominates revenue on both payers this payer-rate gap materially affects overall revenue composition. Because 66984 generates $1.4M of Medicare revenue and $500.1K of Medicaid revenue, differences in per-claim reimbursement contribute meaningfully to the larger Medicare revenue total.
Tenure and operational stability: The provider’s NPI was enumerated on 2006-07-19 (~20 years ago), indicating long-tenured participation in public payers and suggesting an established surgical operation with sustained billing history across Medicare and Medicaid. This longevity supports interpreting the observed code concentration as an enduring business pattern rather than a short-term fluctuation.
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… | 1,590 | $900 | $1.4M |
| 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… | 190 | $880 | $164.4K |
| 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… | 30 | $2,730 | $81.9K |
| 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. | 40 | $1,460 | $51K |
| 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. | 40 | $1,450 | $50.9K |
| 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… | 60 | $540 | $32.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 90 | $230 | $20.4K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 20 | $580 | $11.7K |
| 66710 | The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure. | 20 | $490 | $9.8K |
| 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. | 20 | $110 | $2.2K |
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.
4 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… | 3,430 | $150 | $500.1K |
| 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… | 130 | $130 | $16.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 10 | $40 | $470 |
| 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… | 310 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
4 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… | 4 | 40 | 380 | $310 | $334K |
| 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… | 4 | 10 | 130 | $500 | $104.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 3 | 10 | 20 | $50 | $1.2K |
| 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… | 8 | 30 | 110 | $0 | $0 |
Other providers in the same ZIP code as Connecticut Eye Surgery Center South LLC, ranked by combined Medicare and Medicaid revenue.
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