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NPI 1770570467 · Rehoboth Beach, DE · Ambulatory Surgical Clinic/Center
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Delaware Eye Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Rehoboth Beach, Delaware. This profile covers 9 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 | Delaware Eye Surgery Center, LLC |
| Address | 18791 John J Williams Hwy Ste 2 |
| City | Rehoboth Beach |
| State | DE |
| ZIP | 19971 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $20.1K |
DELAWARE EYE SURGERY CENTER, LLC is overwhelmingly Medicare-driven: the provider reports $1.3M in lifetime Medicare revenue versus $20.1K in Medicaid revenue, indicating Medicare is the dominant payer by scale and the practice operates effectively as a Medicare-focused ambulatory surgical clinic. Medicaid activity is present but immaterial to total revenue.
The facility’s case mix is centered on cataract surgery and intraocular lens procedures, with the three Medicare revenue leaders being 66984, 66991, and 66982. These codes describe extracapsular cataract extraction with insertion of an artificial lens and related complex/combined lens procedures, consistent with an ambulatory surgical clinic focused on routine and some complex cataract cases.
Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes account for 86.3% of the provider’s Medicare revenue, with 66984 alone representing $851.3K (67.9% of Medicare revenue). This concentration signals a business model heavily dependent on a small set of cataract-related procedures for the majority of payer income.
On the Medicaid side the provider is effectively single-code: the precomputed top-3 share is 100.0% and all reported Medicaid revenue ($20.1K) comes from 66984 (114 claims at $176 avg paid/claim). That implies Medicaid exposure is limited to routine cataract services and is a very small portion of overall activity.
Competitive standing versus peers is mixed: for Medicare cataract work 66984 ranks #1929 of 15965 providers (88th percentile) and 66982 ranks #261 of 4580 providers (94th percentile), which places the center above average nationally on those cataract measures but still characterized in the source data as "typical, unremarkable volume." The combined picture is an above-average regional performer for certain cataract procedures rather than a dominant national center.
The practice also bills a smaller but notable stream of glaucoma and drainage-device procedures, including 0449T ($46.7K, 3.7% of Medicare revenue), 66180 ($29.3K, 2.3%), and 66170 ($15K, 1.2%). These entries show the center offers surgical glaucoma interventions in addition to cataract surgery, adding clinical breadth though these procedures are a minority of revenue.
Claim-level detail highlights operational scale and payer-rate differences: Medicare 66984 activity shows 1K claims at $817 avg paid/claim compared with Medicaid 66984 activity of 114 claims at $176 avg paid/claim. That contrast underscores both higher reimbursement through Medicare for the same CPT and the much larger Medicare patient volume driving the practice’s economics.
The provider has long tenure in the NPI file, enumerated 2005-09-29 (~21 years ago), which together with its $1.3M Medicare lifetime revenue and concentrated cataract case mix indicates an established, small-to-midsize ambulatory surgical clinic with a stable local referral base focused on cataract and adjunct glaucoma procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 1,040 | $820 | $851.3K |
| 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… | 60 | $2,440 | $134.3K |
| 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… | 120 | $810 | $95.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 350 | $210 | $71.1K |
| 0449T | The provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device… | 20 | $2,230 | $46.7K |
| 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 | $1,950 | $29.3K |
| 66170 | In this procedure, the provider creates a fistula and removes part of the trabecular meshwork to treat glaucoma and relieve intraocular pressure. | 20 | $650 | $15K |
| 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. | 60 | $100 | $6.4K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 30 | $140 | $3.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 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.
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… | 110 | $180 | $20.1K |
How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Delaware 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… | 7 | 10 | 380 | $300 | $112K |
Other providers in the same ZIP code as Delaware Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Coastal Kids Pediatric Dentistry, LLC | DE | Pediatric Dentistry | $0 | $9.7M |
| Beacon Pediatrics LLC | DE | Pediatrics Physician | $0 | $3.7M |
| Ams Of Delaware, LLC | DE | Substance Use Disorder Rehabilitation Hospital Unit | $123.6K | $3.3M |
| Nouman Asif | DE | Hematology & Oncology Physician | $1.5M | $0 |
| Charles Curry | DE | Ophthalmology Physician | $605.3K | $0 |
| Rehoboth Beach Volunteer Fire Co., Inc. | DE | Ambulance | $459.2K | $62.8K |
| Scott Fudemberg | DE | Ophthalmology Physician | $353.5K | $0 |
| Arthur Belson | DE | Ophthalmology Physician | $316.3K | $0 |
| Matthew Tulloch | DE | Family Medicine Physician | $257K | $0 |
| Laurie Conti | DE | Optometrist | $203.8K | $44.9K |
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