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NPI 1760860977 · Columbia, MO · Ambulatory Surgical Clinic/Center
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Mid Missouri Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Columbia, Missouri. This profile covers 10 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 | Mid Missouri Surgery Center, LLC |
| Address | 1410 Forum Katy Parkway |
| City | Columbia |
| State | MO |
| ZIP | 65203 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 8, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $3.3K |
MID MISSOURI SURGERY CENTER, LLC operates as an ambulatory surgical clinic/center with a clear ophthalmology focus: the largest Medicare revenue drivers are cataract and intraocular procedures (codes 66984 and 66991) and glaucoma-related anterior segment surgery (65820), which together form the core clinical footprint described in the code set. The taxonomy and the predominance of cataract/IOL and glaucoma CPTs indicate the facility is organized to deliver high-volume outpatient eye surgery rather than a broad multi-specialty surgical mix.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes by revenue account for 85.2% of this provider's total Medicare revenue, and those three codes are 66984 ($942.8K, 60.2% of Medicare revenue), 66991 ($302.8K, 19.3%), and 65820 ($88.7K, 5.7%). This concentration implies financial dependence on a narrow set of ophthalmic procedures—primarily cataract extraction with IOL and associated glaucoma/limbus procedures—making overall Medicare performance sensitive to utilization trends in those services.
Medicaid activity is negligible in scale compared with Medicare: total Medicaid revenue is $3.3K versus $1.6M in Medicare, and the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue. Medicaid billing is effectively limited to cataract-related coding (66984: 48 claims, $68 avg paid/claim, $3.3K revenue), so the provider is functionally Medicare-dominant on revenue.
Competitive standing is mixed by procedure type: for complex intraocular/implant procedures 66991 the provider ranks #28 of 1445 nationally (98th percentile) and for limbal incision 65820 it ranks #30 of 1249 (98th percentile), both characterized in the source as "notably above typical national volume," indicating the center is a high-volume national outlier for those specific services. By contrast, standard cataract extraction 66984 ranks #1777 of 15965 (89th percentile) and is described as a typical, unremarkable volume for that code, so the facility is strong in certain advanced/subspecialty cataract and glaucoma procedures while being typical for routine cataract work.
Within state-level Medicaid comparisons the provider is a modest participant: Medicaid 66984 ranks #41 of 61 in-state (33rd percentile), indicating below-average Medicaid cataract volume locally despite the provider's national strength on certain Medicare ophthalmic codes. Additional Medicaid codes (V2632 and G8907) appear with claim counts but $0 paid amounts, suggesting administrative or indexing uses of those codes rather than material Medicaid revenue.
The center demonstrates capability in posterior-segment surgery at lower volumes: codes such as 67042 (48 claims, $68.2K revenue), 67108 (21 claims, $28.3K), and 67036 (13 claims, $18.5K) show paid claims for vitrectomy and retinal repair procedures. These entries indicate that, in addition to anterior segment/cataract work, the facility performs some advanced vitreoretinal procedures and can bill for higher-complexity surgeries, though these services contribute a smaller share of total Medicare revenue.
Operational tenure is established but not long-standing: the NPI was enumerated on 2015-05-08 (~11 years ago), which aligns with a stable presence in the market long enough to build programmatic volumes for the identified ophthalmic procedures. The combination of multi-year enumeration and concentrated Medicare revenue suggests the center has matured into a focused ophthalmic surgical provider rather than a newly launched or transient operation.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 1,200 | $790 | $942.8K |
| 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… | 130 | $2,330 | $302.8K |
| 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. | 130 | $700 | $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. | 390 | $180 | $70.8K |
| 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… | 50 | $1,420 | $68.2K |
| 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… | 60 | $780 | $43.8K |
| 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 | $1,350 | $28.3K |
| 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. | 10 | $1,430 | $18.5K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 30 | $100 | $2.5K |
| 68440 | In this procedure, the provider performs a snip incision of the lacrimal punctum, an opening that drains tears from the conjunctival sac into the lacrimal duct in the eye. | 20 | $30 | $380 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 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.
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… | 50 | $70 | $3.3K |
| 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… | 30 | $0 | $0 |
| V2632 | Posterior chamber intraocular lens | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri 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… | 41 | 60 | 80 | $280 | $53.5K |
| V2632 | Posterior chamber intraocular lens | 6 | 10 | 40 | $20 | $2.7K |
| 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… | 21 | 30 | 100 | $0 | $0 |
Other providers in the same ZIP code as Mid Missouri Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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