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NPI 1750592531 · Lancaster, PA · Ambulatory Surgical Clinic/Center
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The Physicians' Surgery Center Lancaster General, LLC is a ambulatory surgical clinic/center provider located in Lancaster, Pennsylvania. This profile covers 48 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 | The Physicians' Surgery Center Lancaster General, LLC |
| Address | 2150 Harrisburg Pike |
| City | Lancaster |
| State | PA |
| ZIP | 17604 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 24, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $23.8K |
This entity is registered as an Ambulatory Surgical Clinic/Center and its Medicare billing pattern is dominated by ophthalmic surgery. The single largest Medicare code is 66984 ($1.4M revenue, 56.5% of Medicare revenue) and the next-highest Medicare contributors include 66991 and 67042, indicating the center performs a high volume of cataract procedures plus combined intraocular lens/glaucoma work and vitreoretinal surgeries. The concentration on eye surgery is consistent with an ASC that operates specialty ophthalmic service lines rather than a general surgical mix.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 68.1% of this provider's total Medicare revenue, with 66984 alone representing $1.4M (56.5%). The other two top contributors are 66991 ($184.8K, 7.2%) and 67042 ($114K, 4.5%), showing that a small set of ophthalmic procedures drives most Medicare dollars for the center.
On Medicaid this provider is effectively single-code: total Medicaid revenue is $23.8K and 100.0% of Medicaid revenue is attributable to 66984 (34 claims, $699 avg paid/claim). By scale, Medicare ($2.8M) dwarfs Medicaid ($23.8K), so the operation is Medicare-dominant and Medicaid represents a very small share of billed volume and revenue.
Competitive standing across codes is mixed: for cataract surgery 66984 the provider ranks #1209 of 15965 (92th percentile) which the source labels as typical, unremarkable volume nationally, whereas advanced retinal code 67042 ranks #47 of 1087 (96th percentile) and 67036 ranks #58 of 832 (93th percentile), both described as notably above typical national volume. In plain terms, the center appears to be a regional high-volume provider for vitreoretinal procedures while maintaining typical national cataract volumes.
Beyond core ophthalmology, the Medicare code mix shows substantial activity in related oculoplastic and urologic ambulatory procedures. For example, 15823 (upper eyelid skin trim) generated $69.5K and ranks #80 of 1718 (95th percentile; notably above typical), and cystoscopy 52000 produced $60.9K across 300 claims and ranks #190 of 8548 (98th percentile; notably above typical), suggesting the ASC handles a steady stream of shorter, procedure-based visits in addition to higher-complexity eye surgery.
There are clear statistical contrasts within the CPT portfolio: several ophthalmic and procedural codes are high-performing relative to peers (e.g., 67042 and 67036 noted as notably above typical), while other billed services appear low relative to national samples. Examples of lower-percentile codes include C9740 (15th percentile), 28750 (12th percentile), and 67039 (15th percentile), indicating some procedures are uncommon for this provider compared with national cohorts.
Payer-level revenue-per-claim and case-mix signals suggest a mix of routine and higher-complexity surgeries: 66984 has an avg paid/claim of $816 (1.8K claims) while the higher-complexity combined intraocular/glaucoma code 66991 shows an avg paid/claim of $2464 (75 claims). This contrast—high volume, lower-per-claim cataract work combined with fewer but higher-paid complex eye procedures—aligns with an ASC that manages both routine cataract throughput and periodic specialty ophthalmic cases.
The provider has long tenure in the Medicare program, enumerated since 2007-05-24 (~19 years ago), which supports its developed mix of specialty services and the ability to sustain steady Medicare revenue ($2.8M lifetime). Longevity combined with the observed code-level concentrations suggests an established ambulatory surgical operation with a sustained ophthalmology and ancillary procedural footprint.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
48 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… | 1,770 | $820 | $1.4M |
| 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 | $2,460 | $184.8K |
| 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… | 80 | $1,460 | $114K |
| 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. | 60 | $1,450 | $90.1K |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 10 | $5,430 | $76K |
| 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… | 160 | $420 | $69.5K |
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 300 | $200 | $60.9K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 20 | $1,970 | $47.3K |
| 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… | 30 | $1,490 | $43.1K |
| 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… | 80 | $530 | $42.4K |
Showing 1–10 of 48
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
48 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9740 | 8 | 10 | 20 | $5,610 | $202.1K |
| 66984 | 6 | 670 | 80 | $530 | $97.8K |
| 66991 | 10 | 70 | 40 | $1,430 | $67K |
| J0585 | 101 | 140 | 7,600 | $1 | $47.7K |
| 65820 | 38 | 50 | 30 | $950 | $36.2K |
| 66174 | 13 | 30 | 40 | $700 | $32.1K |
| 67042 | 2 | 50 | 20 | $1,100 | $31.9K |
| 66180 | 6 | 20 | 20 | $1,160 | $25.5K |
| 66982 | 53 | 200 | 30 | $640 | $23.2K |
| 67904 | 5 | 60 | 30 | $580 | $22.7K |
Showing 1–10 of 48
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… | 30 | $700 | $23.8K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania 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… | 48 | 80 | 50 | $610 | $122.4K |
Other providers in the same ZIP code as The Physicians' Surgery Center Lancaster General, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Doreen Bett | PA | Nephrology Physician | $194.9K | $0 |
| Dhiren Patel | PA | Diagnostic Radiology Physician | $92.2K | $180 |
| Charles Rodenberger | PA | Nephrology Physician | $88.6K | $0 |
| Janak Doshi | PA | Physical Medicine & Rehabilitation Physician | $48.7K | $0 |
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