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NPI 1710931134 · Jonesboro, AR · Ambulatory Surgical Clinic/Center
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Novamed Surgery Center Of Jonesboro, LLC is a ambulatory surgical clinic/center provider located in Jonesboro, Arkansas. This profile covers 7 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 | Novamed Surgery Center Of Jonesboro, LLC |
| Address | 601 E Matthews Ave |
| City | Jonesboro |
| State | AR |
| ZIP | 72401 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $968.9K |
NOVAMED SURGERY CENTER OF JONESBORO operates very clearly as an ophthalmic ambulatory surgical center: its Medicare top revenue driver is 66984 with 1.4K claims, $751 avg paid/claim, and $1.1M revenue (59.7% of this provider's total Medicare revenue), and multiple other cataract- and glaucoma-related codes (66982, 66821, 66174, 66183) appear on its Medicare listing. The Medicaid listing is even more concentrated around cataract surgery, with 66984 accounting for $964.8K in revenue and 99.6% of Medicaid revenue, confirming that routine cataract extraction with intraocular lens placement is the core service line across payers.
Revenue concentration is high for both payers: the provider’s precomputed top-3 Medicare codes account for 89.4% of Medicare revenue, and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue. This means a very small set of ophthalmic procedures drives the large majority of billings to both Medicare and Medicaid for this entity.
Payer mix shows Medicare is the larger single source by scale but Medicaid is material: total Medicare revenue is $1.8M while total Medicaid revenue is $968.9K. Both payers matter to the center’s throughput and reimbursement profile, but Medicare represents the larger share of reported lifetime revenue.
On national Medicare competitive standing the profile is mixed: 66984 ranks #1563 of 15965 providers nationally (90th percentile) indicating typical, unremarkable national volume for that cataract code, while J1097 ranks #26 of 443 providers nationally (94th percentile) and is described as notably above typical national volume. The presence of a high national percentile for J1097 (5.8K claims, $441.4K revenue; 25.0% of Medicare revenue) suggests the center is unusually active in intraoperative ophthalmic irrigation usage compared with most peers.
Within Medicaid and in-state comparisons the provider is a dominant outlier on cataract surgery: 66984 ranks #1 of 40 providers in-state (100th percentile; extreme outlier) with 2.7K claims, $352 avg paid/claim, and $964.8K revenue making up 99.6% of its Medicaid revenue. That statewide dominance on 66984 indicates the center is a major focal point for Medicaid-funded cataract procedures in Arkansas.
Certain auxiliary codes highlight standardized perioperative workflows: Medicare J1097 (phenylephrine + ketorolac irrigation) shows very high utilization (5.8K claims, $441.4K revenue) and ranks notably above typical national volume, implying routine use of this irrigation medication during cataract cases. On Medicaid the same code is present (318 claims, $3.5K revenue) and ranks #1 of 3 in-state (100th percentile; typical, unremarkable volume), suggesting the center consistently documents and bills for this product across payers even though reimbursement per claim differs markedly between Medicare and Medicaid.
Some billed quality/selection codes appear with non-revenue reporting on Medicaid (for example G8918 and G8907 show counts but $0 revenue), which reflects documentation/process codes that do not drive revenue but are commonly recorded; G8907 has 593 Medicaid claims and ranks #6 of 34 in-state (85th percentile). These items signal comprehensive perioperative documentation practices in addition to the revenue-driving surgical procedures.
The center has an established operating history: NPI enumerated on 2006-05-20 (~20 years ago), indicating long-tenure presence in the market which aligns with the sustained high volumes observed for core ophthalmic procedures across both Medicare and Medicaid. Longevity combined with the concentrated service mix supports the interpretation of a focused, mature ambulatory surgery operation specializing in cataract care.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 1,400 | $750 | $1.1M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5,810 | $80 | $441.4K |
| 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. | 70 | $1,150 | $83.1K |
| 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… | 90 | $740 | $69.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 340 | $200 | $66.3K |
| 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. | 20 | $2,050 | $38.9K |
| 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… | 30 | $480 | $12.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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… | 2,740 | $350 | $964.8K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 320 | $10 | $3.5K |
| 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… | 590 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas 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… | 1 | 40 | 60 | $250 | $77.5K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1 | 10 | 110 | $10 | $1.2K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 19 | 30 | 40 | $1 | $30 |
| 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… | 6 | 30 | 50 | $1 | $20 |
Other providers in the same ZIP code as Novamed Surgery Center Of Jonesboro, LLC, ranked by combined Medicare and Medicaid revenue.
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