Loading...
NPI 1699817346 · Puyallup, WA · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Cascade Eye & Skin Centers PC is a ambulatory surgical clinic/center provider located in Puyallup, Washington. This profile covers 12 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 | Cascade Eye & Skin Centers PC |
| Address | 1703 S Meridian Ste 201 |
| City | Puyallup |
| State | WA |
| ZIP | 98371 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 12, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $93.8K |
Practice profile and service lines are consistent with an ophthalmic ambulatory surgical center: the top Medicare revenue drivers are cataract and related anterior-segment procedures (66984 and 66982) plus an oculoplastic/eyelid code (15823), and additional procedure codes (66821, 67042, 65756, V2785) show capability in posterior-segment surgery and corneal tissue work. This mix indicates the clinic performs high-volume cataract surgery with supplementary services in eyelid surgery, retina/vitreous procedures, and corneal transplantation/processing.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 76.7% of the provider's total Medicare revenue, with 66984 alone representing $1M (63.4% of Medicare revenue). This concentration shows that a small set of surgical procedures drive the bulk of Medicare billings.
Medicaid activity is effectively single-code dominated: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and 66984 alone represents $92.2K (98.3% of the provider's Medicaid revenue). Given total lifetimes of $1.6M Medicare and $93.8K Medicaid revenue, the provider is Medicare-dominant in scale with Medicaid representing a small fraction of reported public-payer income.
Competitive standing for eyelid surgery is above typical: 15823 produced $94.2K (5.9% of Medicare revenue) across 177 Medicare claims and ranks #69 of 1718 providers nationally (96th percentile; notably above typical national volume for this code), suggesting a regional specialty strength or referral focus in oculoplastic/upper-eyelid procedures relative to peers. This elevated rank distinguishes the practice from many ophthalmic clinics that primarily report cataract work.
Cataract-related volumes are active but not uniquely dominant nationally: 66984 (1.1K Medicare claims, $908 avg paid/claim, $1M revenue) ranks #1870 of 15965 providers nationally (88th percentile; typical, unremarkable volume for this code), while 66982 (129 claims, $900 avg paid/claim, $116.1K) ranks #220 of 4580 (95th percentile; typical, unremarkable volume). These ranks indicate the practice performs a substantial number of cataract procedures compared with most providers, but its Medicare cataract volumes are within the broad national range rather than being an extreme outlier.
There is a marked payer-rate differential on the dominant cataract code: the same procedure 66984 shows an average paid/claim of $908 on Medicare versus $143 on Medicaid (645 Medicaid claims, $92.2K revenue). This highlights both the clinic's reliance on Medicare reimbursement for its core surgical revenue and the lower per-claim Medicaid payment for identical procedures in the state dataset.
Ancillary high-value services are present but not leading nationally: V2785 (processing, preserving and transporting corneal tissue) accounts for $72.3K Medicare revenue (18 claims, $4015 avg paid/claim; 4.6% of Medicare revenue) and ranks #162 of 231 providers nationally (27th percentile; typical, unremarkable volume). The high avg paid/claim for V2785 contributes materially to Medicare revenue despite modest claim counts, indicating corneal tissue handling is a non-negligible ancillary revenue stream for the clinic.
Quality/administrative measure codes appear in Medicaid billing with no recorded paid amounts: G8918 (14 claims) and G8907 (89 claims) show $0 avg paid/claim and $0 revenue on Medicaid, reflecting reporting of perioperative quality/safety measures in the Medicaid dataset rather than reimbursed procedure volume. Analysts should interpret those lines as measure-reporting activity rather than direct revenue drivers.
Provider tenure is long-standing: the NPI enumerated on 2007-02-12 (~19 years ago), indicating an established practice history which, combined with concentrated surgical revenue and above-typical eyelid surgery volume, suggests a stable ambulatory surgical operation with repeated referral and payer relationships over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 1,110 | $910 | $1M |
| 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 | $900 | $116.1K |
| 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… | 180 | $530 | $94.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 360 | $220 | $78.2K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $4,020 | $72.3K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 40 | $1,660 | $71.3K |
| 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 | $1,660 | $51.4K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 20 | $1,600 | $35.1K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,660 | $29.9K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 20 | $550 | $11K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 11 | 460 | 50 | $560 | $97.5K |
| V2785 | 7 | 10 | 30 | $3,540 | $91.9K |
| 15823 | 4 | 40 | 40 | $560 | $39.4K |
| 67042 | 5 | 40 | 30 | $1,190 | $39.2K |
| 65820 | 10 | 20 | 20 | $1,120 | $37K |
| 67036 | 8 | 20 | 20 | $1,140 | $28.6K |
| 65756 | 11 | 20 | 20 | $1,270 | $27.9K |
| 66982 | 4 | 120 | 30 | $720 | $27.3K |
| 66821 | 9 | 260 | 50 | $230 | $20.4K |
| 67917 | 16 | 20 | 30 | $470 | $17.9K |
Showing 1–10 of 12
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… | 650 | $140 | $92.2K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 160 | $10 | $1.6K |
| 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… | 90 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington 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… | 18 | 50 | 410 | $180 | $154K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 482 | 710 | 480 | $10 | $16K |
| 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… | 26 | 50 | 90 | $1 | $1 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 24 | 30 | 120 | $0 | $0 |
Other providers in the same ZIP code as Cascade Eye & Skin Centers PC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Multicare Health System | WA | Pediatrics Physician | $0 | $21.2M |
| Kevin Sakai | WA | Pediatric Dentistry | $0 | $4.9M |
| Western Washington Endoscopy Centers LLC | WA | Ambulatory Surgical Clinic/Center | $305.5K | $74.4K |
| Zhuowei Wang | WA | Nephrology Physician | $226.5K | $0 |
| Jerry Duris | WA | Family Medicine Physician | $184.6K | $0 |
| Chad Smith | WA | Foot Surgery Podiatrist | $143.4K | $0 |
| Aimee Lam | WA | Ophthalmology Physician | $109.1K | $0 |
| Miroslava Dostan | WA | Nurse Practitioner | $41.9K | $0 |
| William Duke | WA | Otolaryngology Physician | $41.7K | $0 |
| Nicholas Sun | WA | Gastroenterology Physician | $36K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.