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NPI 1750036174 · Kalispell, MT · Ambulatory Surgical Clinic/Center
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Glacier Surgical Inc. is a ambulatory surgical clinic/center provider located in Kalispell, Montana. This profile covers 14 Medicare and 1 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 | Glacier Surgical Inc. |
| Address | 155 Timberwolf Pkwy |
| City | Kalispell |
| State | MT |
| ZIP | 59901 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 14, 2022 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $153.9K |
GLACIER SURGICAL INC. is classified as an Ambulatory Surgical Clinic/Center and its Medicare and Medicaid billing profile is dominated by ophthalmology procedures. The top Medicare and Medicaid codes are cataract-related (66984 and 66982) and tissue-processing (V2785), indicating the operation functions principally as an outpatient eye surgery center focused on cataract services and associated corneal tissue handling. The presence of multiple retina and corneal procedure codes in the Medicare top-25 supports a surgical suite capable of a broader set of ophthalmic procedures beyond routine cataract extraction.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 87.0% of this provider's total Medicare revenue. Those three codes are 66984 ($1M, 73.4% of Medicare revenue), 66982 ($122.9K, 9.0%), and V2785 ($62.1K, 4.6%), showing that a single cataract code (66984) is the primary Medicare revenue driver for this center.
Medicaid billing is effectively single-code: total Medicaid revenue is $153.9K and the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue because all Medicaid revenue is reported under 66984. For Medicaid, 66984 has 361 claims at $426 avg paid/claim for $153.8K in revenue, so Medicaid activity is narrowly focused on cataract extraction/implantation.
The provider’s payer mix is Medicare-dominant by scale: Medicare revenue is $1.4M versus Medicaid revenue of $153.9K, indicating Medicare is the principal source of fee-for-service volume and revenue. Operational and growth strategies should therefore be evaluated with Medicare reimbursement and referral patterns as the primary financial driver.
On competitive standing for major Medicare codes, 66984 ranks #1700 of 15965 providers nationally (89th percentile) and is described in the file as "typical, unremarkable volume" for the code, indicating a solid national presence for routine cataract surgery. The more complex cataract code 66982 ranks #149 of 4580 providers nationally (97th percentile) and is also labeled "typical, unremarkable volume," suggesting relatively strong national placement for complex cataract procedures despite the characterization as typical in the dataset.
For Medicare ancillary services, V2785 (corneal tissue processing) ranks #183 of 231 providers nationally (19th percentile) and is characterized as "typical, unremarkable volume," indicating that corneal tissue processing contributes meaningfully to revenue ($62.1K) but the provider is not a national leader in that specific service. Other Medicare codes tied to retina and corneal surgery (for example 67041 $31.2K, 67042 $31.2K, 67036 $29.8K, 65756 $22K) appear in the top-25 but at much smaller dollar amounts, showing capability for more complex ophthalmic procedures at modest volumes.
Within-state Medicaid standing for cataract surgery is relatively strong: 66984 ranks #3 of 11 providers in-state (80th percentile) and is labeled "typical, unremarkable volume," so the center is among higher-volume Medicaid cataract providers locally even though Medicaid revenue remains small relative to Medicare. Given the Medicaid revenue is entirely from 66984, any changes in Medicaid reimbursement or referrals for cataract cases would disproportionately affect the provider's Medicaid performance.
The NPI was enumerated on 2022-02-14 (~4 years ago), indicating the entity is a relatively recent entrant under this NPI. This short tenure means observed billing patterns—heavy reliance on 66984 for both payers and the Medicare concentration in three codes—could reflect early-stage specialization and should be monitored for stability or diversification 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.
14 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… | 1,270 | $790 | $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… | 160 | $790 | $122.9K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,880 | $62.1K |
| 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 | $1,420 | $31.2K |
| 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… | 20 | $1,420 | $31.2K |
| 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 | $1,420 | $29.8K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,370 | $22K |
| 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 | $1,420 | $21.3K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 10 | $1,420 | $19.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 80 | $180 | $14.9K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 4 | 120 | 50 | $490 | $78.1K |
| V2785 | 3 | 10 | 20 | $3,600 | $71.9K |
| 66982 | 2 | 30 | 30 | $600 | $29.6K |
| 67042 | 3 | 10 | 20 | $1,140 | $22.8K |
| 65756 | 4 | 10 | 20 | $1,180 | $22.3K |
| 67108 | 3 | 10 | 10 | $1,140 | $20.5K |
| 67041 | 1 | 10 | 20 | $1,180 | $20K |
| 67113 | 1 | 10 | 10 | $1,400 | $19.6K |
| 66821 | 19 | 70 | 50 | $220 | $18.3K |
| 67036 | 1 | 10 | 10 | $1,160 | $16.2K |
Showing 1–10 of 14
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.
1 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… | 360 | $430 | $153.8K |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
1 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… | 3 | 10 | 210 | $270 | $90.8K |
Other providers in the same ZIP code as Glacier Surgical Inc., ranked by combined Medicare and Medicaid revenue.
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