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NPI 1760473425 · Beckley, WV · Ambulatory Surgical Clinic/Center
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Beckley Surgery Center, Inc is a ambulatory surgical clinic/center provider located in Beckley, West Virginia. This profile covers 4 Medicare and 3 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 | Beckley Surgery Center, Inc |
| Address | 84 Brookshire Ln |
| City | Beckley |
| State | WV |
| ZIP | 25801 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 2, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $928.2K |
| Medicaid | $549.6K |
BECKLEY SURGERY CENTER, INC operates as an ambulatory surgical clinic/center with its billing dominated by cataract procedures; the Medicare and Medicaid code mix is led by cataract extraction and intraocular lens insertion codes (notably 66984, 66982, 66991), indicating the facility’s primary business is outpatient ophthalmic surgery rather than a broad multi-specialty ambulatory practice. The presence of 64721 (carpal tunnel release) at much lower volume suggests a small secondary surgical service line but not a significant revenue driver.
Medicare revenue is highly concentrated in a handful of procedures: the top three Medicare codes account for 98.7% of this provider’s total Medicare revenue, and 66984 alone represents $810K and 87.3% of Medicare revenue. That concentration signals financial dependence on routine cataract extraction with lens insertion as the principal revenue source for Medicare.
Medicaid billing is even more concentrated: the top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, and 66984 accounts for $522K and 95.1% of Medicaid revenue. This makes cataract surgery the near-entirety of the provider’s Medicaid business, creating a payer-specific concentration risk if outpatient cataract demand or coverage changes.
The provider’s payer mix shows Medicare scale larger than Medicaid in lifetime receipts: total Medicare revenue is $928.2K versus total Medicaid revenue of $549.6K, so the center is not single-payer reliant but draws materially from both programs with Medicare representing the larger share. Both payers matter operationally, but strategic decisions that affect cataract throughput would disproportionately impact overall revenue.
Competitively, the provider reports typical national Medicare volumes for its leading cataract codes: 66984 ranks #1880 of 15965 providers nationally (88th percentile) and is characterized as “typical, unremarkable volume,” while 66982 ranks #790 of 4580 (83th percentile) and 66991 ranks #815 of 1445 (41th percentile), both likewise labeled typical. In plain terms, BECKLEY SURGERY CENTER is a modest but established national participant in common cataract procedures rather than a high-volume national center for complex anterior-segment work.
By contrast, the provider is a strong state-level outlier for Medicaid cataract volume: Medicaid 66984 ranks #1 of 22 providers in-state (100th percentile) and is labeled “notably above typical state volume,” indicating regional market dominance for Medicaid-paid cataract procedures. Ancillary Medicaid codes (G8918, G8907) appear at low revenue shares and have limited or no in-state peer comparisons, so the dominant Medicaid footprint is concentrated in the surgical cataract code.
Operational detail in claims and payment shows different utilization and payment patterns by payer for the same service: for 66984 the provider reported 1.1K Medicare claims with an average paid/claim of $737 (yielding $810K Medicare revenue) versus 2K Medicaid claims with an average paid/claim of $257 (yielding $522K Medicaid revenue). This pattern reflects higher cataract claim volume on Medicaid but substantially lower average payment per claim compared with Medicare for the same CPT code.
The practice has a long operational tenure that supports an established referral and procedural volume profile: the NPI was enumerated on 2005-11-02 (~21 years ago). That longevity is consistent with a stable outpatient surgical center focused on cataract services and may underpin the provider’s dominant Medicaid cataract position in-state.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 1,100 | $740 | $810K |
| 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 | $2,260 | $61K |
| 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 | $730 | $45.4K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 20 | $580 | $11.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
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.
3 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… | 2,030 | $260 | $522K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 130 | $110 | $13.6K |
| 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… | 130 | $110 | $13.5K |
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
3 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 | 20 | 100 | $180 | $81.5K |
| 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 | 10 | 220 | $100 | $22.8K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1 | 10 | 130 | $110 | $13.5K |
Other providers in the same ZIP code as Beckley Surgery Center, Inc, ranked by combined Medicare and Medicaid revenue.
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