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NPI 1750362869 · Portland, OR · Ambulatory Surgical Clinic/Center
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Eye Health Eastside Surgery Center is a ambulatory surgical clinic/center provider located in Portland, Oregon. This profile covers 12 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 | Eye Health Eastside Surgery Center |
| Address | 12050 Se Stevens Rd Ste 400 |
| City | Portland |
| State | OR |
| ZIP | 97086 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $1.1M |
EYE HEALTH EASTSIDE SURGERY CENTER operates as an ambulatory surgical clinic/center with a service mix dominated by cataract and intraocular procedures; its top Medicare and Medicaid procedures (notably 66984, 66821, 66991/66982) are all cataract-related or anterior-segment eye surgeries, and several eyelid repair codes (e.g., 67904, 15823) appear further down the Medicare list, indicating a secondary practice of oculoplastic procedures alongside high-volume cataract work.
Revenue is highly concentrated in a few procedures: precomputed figures show the top 3 Medicare codes by revenue account for 85.9% of total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of total Medicaid revenue, signaling that a small set of cataract-related codes drives essentially all payer revenue.
The provider has a meaningful dual-payer footprint with $1.5M in total Medicare revenue and $1.1M in total Medicaid revenue; Medicare is the larger single source but Medicaid represents a substantial share of lifetime revenue, so payer strategy and network participation with both programs will materially affect volume and cash flow.
Competitive standing differs by payer and code: for Medicare the primary cataract code 66984 ranks #1823 of 15965 (89th percentile) described as typical/unremarkable national volume, while 66821 ranks #193 of 10087 (98th percentile) and is labeled notably above typical national volume, indicating above-average national activity specifically for posterior capsulotomy among its Medicare caseload.
In the state Medicaid market the provider is a clear leader for cataract services: 66984 ranks #1 of 39 providers in-state (100th percentile; extreme outlier, far above typical state volume) and 66821 ranks #1 of 3 in-state (100th percentile; characterized as typical for that small peer group), implying market dominance in Medicaid cataract billing within Oregon.
Payer payment rates for the same services differ materially: for 66984 the avg paid/claim is $944 on Medicare versus $307 on Medicaid, and for 66821 the avg paid/claim is $201 on Medicare versus $65 on Medicaid, reflecting substantial per-claim reimbursement differentials between the two programs for core procedures.
The provider shows sustained operational tenure, with its NPI enumerated on 2005-11-07 (~21 years ago), indicating long-standing certification and market presence that likely supports repeated referral relationships and established surgical throughput.
Medicaid claim lines include substantial counts for measure/reporting codes G8918 and G8907 (514 claims each) with $0 avg paid/claim; these represent documented quality/compliance reporting events (e.g., SSI prophylaxis documentation and no-adverse-event documentation) and suggest systematic capture of perioperative quality measures in Medicaid submissions.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 1,150 | $940 | $1.1M |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 550 | $200 | $109.9K |
| 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… | 30 | $2,860 | $91.6K |
| 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… | 110 | $590 | $64.3K |
| 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… | 60 | $960 | $53.8K |
| 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. | 20 | $1,720 | $34.4K |
| 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… | 40 | $520 | $19.6K |
| 67917 | During 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… | 30 | $600 | $17.4K |
| 67961 | The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.… | 10 | $720 | $7.9K |
| 65400 | In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,… | 20 | $400 | $6.7K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 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… | 3,310 | $310 | $1M |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 1,110 | $70 | $71.9K |
| 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… | 10 | $510 | $6.2K |
| 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… | 510 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 510 | $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… | 1 | 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. | 1 | 10 | 100 | $70 | $28K |
| 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… | 2 | 10 | 30 | $260 | $6.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 8 | 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… | 11 | 40 | 110 | $1 | $1 |
Other providers in the same ZIP code as Eye Health Eastside Surgery Center, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hilltop View Inc | OR | Home Health Agency | $0 | $2.8M |
| Sunnyside Collaborative Care | OR | Health Service Clinic/Center | $0 | $1.9M |
| Mountain Crest Counseling Services, LLC | OR | Community/Behavioral Health Agency | $0 | $1.3M |
| East Portland Surgery Center LLC | OR | Ambulatory Surgical Clinic/Center | $295.5K | $38.2K |
| Joseph Stapleton | OR | Pain Medicine (Anesthesiology) Physician | $147.4K | $0 |
| Kevin Phan | OR | Optometrist | $139.8K | $2.1K |
| Lauren Wikholm | OR | Surgery Physician | $121.7K | $0 |
| Mithlesh Sharma | OR | Ophthalmology Physician | $51.9K | $0 |
| Stephen Fritz | OR | Allergy & Immunology Physician | $41.2K | $0 |
| Paul Jones | OR | Foot & Ankle Surgery Podiatrist | $32.6K | $0 |
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