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NPI 1720081664 · Tyler, TX · Ambulatory Surgical Clinic/Center
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Heaton Laser And Surgery Center L L C is a ambulatory surgical clinic/center provider located in Tyler, Texas. This profile covers 15 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 | Heaton Laser And Surgery Center L L C |
| Address | 3355 Earl Campbell Pkwy |
| City | Tyler |
| State | TX |
| ZIP | 75701 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 24, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $113K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 2,470 | $780 | $1.9M |
| 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… | 80 | $2,360 | $186.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 850 | $180 | $157.1K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 240 | $490 | $119.6K |
| 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 | $470 | $83.7K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 440 | $100 | $43.7K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 580 | $80 | $43.7K |
| 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 | $1,250 | $42.5K |
| 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 | $1,000 | $35.9K |
| 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… | 40 | $770 | $31.7K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 17 | 20 | 1,460 | $80 | $128.7K |
| 66984 | 3 | 990 | 100 | $560 | $113.9K |
| J1096 | 9 | 20 | 340 | $100 | $81.6K |
| 66991 | 6 | 100 | 30 | $1,510 | $55.7K |
| 65820 | 35 | 90 | 30 | $1,000 | $37K |
| 67904 | 3 | 70 | 30 | $550 | $32.9K |
| 15823 | 4 | 120 | 30 | $530 | $27.5K |
| 66174 | 18 | 40 | 30 | $690 | $26.3K |
| 66982 | 68 | 270 | 20 | $650 | $23.4K |
| 66821 | 2 | 700 | 50 | $230 | $20K |
Showing 1–10 of 15
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… | 460 | $250 | $112.9K |
| 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… | 390 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 390 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas 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… | 11 | 60 | 100 | $160 | $33.6K |
| 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… | 27 | 140 | 110 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 23 | 80 | 100 | $0 | $0 |
Other providers in the same ZIP code as Heaton Laser And Surgery Center L L C, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mother Frances Hospital Regional Health Care Center | TX | General Acute Care Hospital | $0 | $32.9M |
| Premier Kids Care Inc | TX | Community/Retail Pharmacy | $0 | $28.2M |
| Pediatric Home Healthcare, LLC | TX | Home Health Agency | $0 | $23.7M |
| Thomas Bochow | TX | Ophthalmology Physician | $3.6M | $0 |
| Wendy Prewett | TX | Acute Care Nurse Practitioner | $2.9M | $0 |
| Angela Sutherland | TX | Nurse Practitioner | $2.3M | $0 |
| Diman Lamichhane | TX | Rheumatology Physician | $2.1M | $0 |
| Trincare Inc | TX | Clinical Medical Laboratory | $539.4K | $1.5M |
| Speed Of Light Xray, LLC | TX | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $1.3M | $529.8K |
| Thomas Buzbee | TX | Internal Medicine Physician | $1.5M | $0 |
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