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NPI 1750390548 · Oxford, MS · Ophthalmologic Surgery Clinic/Center
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Oxford Eye Surgery Center,l.p is a ophthalmologic surgery clinic/center provider located in Oxford, Mississippi. This profile covers 18 Medicare and 7 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 | Oxford Eye Surgery Center,l.p |
| Address | 2604 S Lamar Blvd |
| City | Oxford |
| State | MS |
| ZIP | 38655 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | August 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.5M |
| Medicaid | $851.8K |
OXFORD EYE SURGERY CENTER,L.P. is clearly organized around high-volume cataract surgery and related intraocular procedures: Medicare top codes include 66984 ($1.2M revenue, 48.6% of Medicare revenue), J1097 ($548.1K) and 66991 ($248.9K), and Medicaid is even more concentrated with 66984 ($769.1K, 90.3% of Medicaid revenue), 66821 ($63.1K) and J1097 ($18.7K). The prominence of 66984 and supporting codes indicates the center functions primarily as an ambulatory ophthalmologic surgical center focused on cataract extraction and intraocular lens workflows and routinely uses ophthalmic irrigation products (J1097) in those cases.
Medicare revenue is $2.5M while Medicaid revenue is $851.8K, so Medicare is the larger payer by scale for this facility. Medicaid activity exists but is much more tightly focused on a narrow set of cataract-related codes compared with Medicare, which shows a slightly broader procedural mix.
Revenue concentration is high on both payers: the top 3 Medicare codes account for 80.3% of the provider's total Medicare revenue and the top 3 Medicaid codes account for 99.9% of total Medicaid revenue. This pattern indicates substantial dependence on a small set of procedures—particularly 66984—making overall revenue sensitive to changes in cataract surgery volume or reimbursement for those specific codes.
Competitive standing is mixed across codes and payers. The facility is a national high-volume participant for J1097 (Medicare rank #13 of 443, 97th percentile; described as notably above typical national volume) and for complex intraocular procedures like 66991 (Medicare rank #50 of 1445, 96th percentile; notably above typical national volume), while its Medicare volume for 66984 sits at rank #1279 of 15965 (92th percentile) but is characterized in the data as typical and unremarkable nationally.
At the state level the center is dominant for Medicaid cataract-related care: 66984 ranks #1 of 42 providers in-state (100th percentile; extreme outlier, far above typical state volume) and 66821 ranks #1 of 12 in-state (100th percentile; notably above typical state volume). These in-state leadership positions indicate the center is a primary destination for Medicaid-funded cataract procedures in Mississippi.
The facility’s code mix also reflects ancillary ophthalmic services beyond routine cataract extraction: Medicare reports nontrivial revenue for glaucoma-related procedures (for example 66174: $75.1K, 3.0% of Medicare revenue; 66183: $33.2K, 1.3%) and oculoplastic procedures (for example 67904: $73.3K, 2.9%; 15823: $53.5K, 2.1%). This breadth suggests the center supports a broader ambulatory ophthalmic surgery suite capable of glaucoma and eyelid surgeries in addition to cataract cases.
Several codes are flagged as statistical outliers or notably above typical volumes in the data: J1097 and 66991 are described as "notably above typical" nationally, while Medicaid 66984 is an "extreme outlier" in-state. At the same time some Medicare codes with meaningful revenue share (e.g., 66984) are labeled "typical, unremarkable volume for this code," underscoring that high absolute dollars do not always equate to unusual national activity levels.
The provider has an established enrollment history (NPI enumerated 2006-08-08, ~20 years ago), indicating long tenure in the market. Combined with the high claim counts reported for key codes (for example Medicare J1097: 7.2K claims and Medicaid 66984: 5.9K claims), the data point to sustained procedural throughput rather than a recent or transient spike in activity.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 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… | 1,700 | $720 | $1.2M |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 7,210 | $80 | $548.1K |
| 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… | 110 | $2,200 | $248.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 570 | $170 | $99K |
| 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. | 60 | $1,270 | $75.1K |
| 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… | 160 | $460 | $73.3K |
| 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… | 120 | $450 | $53.5K |
| 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. | 60 | $720 | $43.6K |
| 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 | $1,960 | $33.2K |
| 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… | 40 | $680 | $28.7K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 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.
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… | 5,870 | $130 | $769.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 1,290 | $50 | $63.1K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2,680 | $10 | $18.7K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 60 | $10 | $790 |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 650 | $0 | $0 |
| 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… | 2,060 | $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 Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
7 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 | 300 | $180 | $191.9K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 12 | 20 | 300 | $30 | $88.7K |
| 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 | 160 | $50 | $18.3K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1 | 10 | 190 | $20 | $12.9K |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1 | 10 | 130 | $10 | $1.9K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 31 | 40 | 140 | $1 | $590 |
| 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… | 10 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Oxford Eye Surgery Center,l.p, ranked by combined Medicare and Medicaid revenue.
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