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    OpenPayerNPI Medicare & MedicaidNorth Point Surgery Center, LLC
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    North Point Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1700263415 · Kansas City, MO · Ambulatory Surgical Clinic/Center

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    North Point Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Kansas City, Missouri. This profile covers 16 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)

    FieldValue
    Entity TypeOrganization
    OrganizationNorth Point Surgery Center, LLC
    Address5151 Nw 88th St
    CityKansas City
    StateMO
    ZIP64154
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 1, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$5.1K

    Key Findings

    NORTH POINT SURGERY CENTER, LLC operates as an ophthalmic-focused ambulatory surgical clinic/center, with its Medicare mix dominated by cataract and intraocular procedures. The top Medicare revenue drivers are cataract-related codes (66984 and 66991) alongside retinal surgery codes such as 67042, and the broader code list includes corneal transplant and eyelid repair procedures (for example, V2785, 65756, 15823), indicating a full-service eye surgery center rather than a single-procedure clinic.

    Medicare revenue is concentrated: the provider reports $1.8M in total Medicare revenue and its top 3 Medicare codes account for 68.1% of that Medicare revenue. Notably, 66984 alone contributes $917.1K (50.4% of Medicare revenue), showing a heavy reliance on extracapsular cataract extraction with intraocular lens placement as the primary revenue engine.

    Medicaid activity is negligible compared with Medicare: lifetime Medicaid revenue is $5.1K versus $1.8M in Medicare revenue, so the practice is effectively Medicare-dominant. The precomputed top-3 share for Medicaid is 100.0%, and the Medicaid revenue is entirely from 66984 (44 claims, $115 avg paid/claim, $5.1K), with the other reported Medicaid codes yielding $0 in paid revenue.

    Competitive standing is mixed by procedure. For cataract surgery (66984) the practice ranks #1850 of 15965 providers nationally (88th percentile) and is described as a typical, unremarkable volume for that code, whereas specific retinal and oculoplastic procedures show above-typical activity: 67042 ranks #44 of 1087 providers nationally (96th percentile; notably above typical national volume) and 15823 ranks #41 of 1718 (98th percentile; notably above typical national volume), indicating pockets of specialty proficiency within the broader cataract workload.

    At the state Medicaid level the provider is a modest participant: 66984 ranks #44 of 61 providers in-state (28th percentile), so its Medicaid cataract volume is lower relative to in-state peers. The presence of G8918 and G8907 on the Medicaid report with 19 claims each but $0 paid suggests these are quality/process reporting codes captured in claims data without associated Medicaid payment.

    The procedure mix shows ancillary surgical services and tissue handling capabilities beyond routine cataract extraction. V2785 (processing, preserving and transporting corneal tissue) generates $108K (5.9% of Medicare revenue) and 65756 (full-thickness corneal transplant) contributes $66.6K (3.7% of Medicare revenue), which together indicate the facility is equipped to support corneal transplant workflows and related tissue processing.

    The provider’s service profile also includes higher-than-typical volume for selected eyelid/ocular surface repairs: 67917 (extensive ectropion repair) ranks #28 of 596 (95th percentile; notably above typical national volume), and 67924 and 67908 appear among the procedure mix, supporting a meaningful oculoplastic caseload. This concentration in specialized reconstructive eyelid procedures complements the retina and cornea services already noted.

    NPI tenure indicates an established operation: the provider’s NPI was enumerated on 2015-05-01 (~11 years ago), and the lifetime Medicare revenue ($1.8M) suggests sustained Medicare-facing surgical activity since enumeration rather than a newly established practice.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…1,130$810$917.1K
    66991The 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…80$2,440$205K
    67042In 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…80$1,480$118K
    15823In 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…230$480$109.2K
    V2785Processing, preserving and transporting corneal tissue30$3,380$108K
    66982The 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…90$800$71.5K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.50$1,480$66.6K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…40$1,470$51.5K
    65820The 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$1,240$42.2K
    67917During 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…80$520$39.9K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841042050$390$74K
    V278511020$3,370$67.4K
    6699143030$1,230$55.5K
    65820174030$790$29.1K
    1582314040$530$28.6K
    6704223020$1,070$26.8K
    6711361020$1,170$25.8K
    6703682020$980$25.5K
    6698278020$610$22.5K
    6575611020$1,060$21.2K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…40$120$5.1K
    G8907Patient 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…20$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The 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…446080$280$53.5K
    G8907Patient 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…2430100$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis121050$0$0

    Nearby Providers

    Other providers in the same ZIP code as North Point Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Luke's North HospitalMOGeneral Acute Care Hospital$0$5.9M
    Mark CohenMOMOHS-Micrographic Surgery Physician$598.1K$0
    Daniel BettisMOOphthalmology Physician$332.5K$0
    Michelle BoyceMOOphthalmology Physician$315.8K$0
    Andrew MoyesMOOphthalmology Physician$300.9K$0
    Amanda BellMOEndocrinology, Diabetes & Metabolism Physician$290.4K$0
    Abraham ParkMOOphthalmology Physician$286K$0
    Kimberly SchoofsMODermatology Physician$273.3K$0
    Wenfei XieMODermatology Physician$236.5K$0
    Michael ChappellMOOphthalmic Plastic and Reconstructive Surgery Physician$231.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    North Point Surgery Center, LLC — 6 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    North Point Surgery Center, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri