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NPI 1720156482 · Medford, OR · Ambulatory Surgical Clinic/Center
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Laser & Surgical Eye Center LLC is a ambulatory surgical clinic/center provider located in Medford, Oregon. This profile covers 9 Medicare and 5 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 | Laser & Surgical Eye Center LLC |
| Address | 1333 E Barnett Rd |
| City | Medford |
| State | OR |
| ZIP | 97504 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | December 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $593.5K |
LASER & SURGICAL EYE CENTER LLC operates as an ambulatory surgical clinic/center whose billing mix is dominated by cataract-related procedures — the presence of 66984, 66991 and 66821 as top Medicare codes, and overwhelming Medicaid volume in 66984, indicates the facility is primarily organized around high-volume cataract surgery and immediate intraocular lens services. The Medicare code mix also includes YAG capsulotomy (66821) and corneal tissue processing (V2785), which supports a surgical center model that handles both primary cataract cases and routine postoperative or ancillary ocular procedures.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 86.2% of the provider’s $1.6M Medicare revenue, and 66984 alone represents $1.2M (72.1% of Medicare revenue). 66984 for Medicare ranks #1629 of 15965 providers nationally (90th percentile) and is labeled as typical, unremarkable volume for this code, indicating the ASC achieves substantial cataract surgical revenue in line with many national peers.
Medicaid revenue is even more concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s $593.5K Medicaid revenue, with 66984 contributing $580K (97.8% of Medicaid revenue). In-state, Medicaid billing for 66984 ranks #4 of 39 providers (92th percentile) and is described as notably above typical state volume for this code, signaling the provider is a leading site for Medicaid-covered cataract cases in Oregon.
Payer mix shows Medicare is the larger single payer by scale: the practice reports $1.6M in total Medicare revenue versus $593.5K in total Medicaid revenue, so while the provider serves both populations it is materially more dependent on Medicare dollars. This dual-payer presence with Medicare dominance suggests operational planning, staffing and capital allocation are likely optimized around Medicare-driven cataract throughput.
There are meaningful pockets of specialty activity within the Medicare dataset: 66821 (YAG capsulotomy) posted 467 claims and $96.7K in revenue and ranks #239 of 10087 providers nationally (98th percentile), with the descriptor notably above typical national volume. That unusually high percentile for 66821 suggests the center performs a very large number of postoperative laser capsulotomies relative to national peers, consistent with a mature cataract surgery pipeline and follow-up service line.
Other Medicare codes point to ancillary surgical capabilities but at smaller scale: V2785 (corneal tissue processing) generated $86.2K (5.3% of Medicare revenue) and 65756 (full corneal transplant) and retina/vitreoretinal codes (67108, 67041) appear at modest volumes. On Medicaid the facility also bills J1097 and a small volume of 66821, indicating some ophthalmic drug and laser services are provided to Medicaid patients but these are minor revenue contributors compared with cataract work.
The provider’s competitive standing is mixed by code: 66991 (IOL with aqueous drainage device) ranks #318 of 1445 nationally (77th percentile) and is characterized as typical, unremarkable volume, while several other cataract-related Medicare codes sit at high national percentiles. Taken together, these ranks describe an ASC that is neither an outlier across all cataract procedures nor a low-volume operator — it achieves strong volume on specific follow-up and adjunct procedures relative to peers.
The practice has longevity in the Medicare/Medicaid environment with an NPI enumerated on 2006-12-01 (~20 years ago), indicating an established presence in the market. Given the concentration of revenue into a few cataract-centric codes (86.2% of Medicare revenue and 100.0% of Medicaid revenue driven by the top three codes), the business is efficient for high-throughput ophthalmic surgery but exposed to demand or reimbursement shifts tied to cataract procedure volumes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 1,350 | $880 | $1.2M |
| 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… | 50 | $2,620 | $133.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 470 | $210 | $96.7K |
| V2785 | Processing, preserving and transporting corneal tissue | 30 | $3,450 | $86.2K |
| 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… | 70 | $860 | $55.9K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,600 | $30.4K |
| 67108 | The 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… | 20 | $1,600 | $25.6K |
| 67041 | In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical… | 20 | $1,600 | $24K |
| 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. | 40 | $110 | $3.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 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.
5 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… | 1,970 | $300 | $580K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 90 | $130 | $11.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 20 | $70 | $1.1K |
| 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… | 250 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 250 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
5 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 | 120 | $330 | $175.5K |
| 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 | 100 | $70 | $28K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1 | 10 | 50 | $130 | $6.6K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 10 | 20 | 250 | $1 | $10 |
| 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… | 14 | 40 | 110 | $1 | $1 |
Other providers in the same ZIP code as Laser & Surgical Eye Center LLC, ranked by combined Medicare and Medicaid revenue.
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