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NPI 1780658245 · Rogers, AR · Ambulatory Surgical Clinic/Center
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Rogers Ar Ophthalmology Asc LLC is a ambulatory surgical clinic/center provider located in Rogers, Arkansas. This profile covers 15 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 | Rogers Ar Ophthalmology Asc LLC |
| Address | 3737 W Walnut St |
| City | Rogers |
| State | AR |
| ZIP | 72756 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $41.9K |
This provider is Medicare-dominant in scale: Total Medicare revenue is $1.3M compared with Total Medicaid revenue of $41.9K, so Medicare accounts for the overwhelming share of billed revenue and the practice functions operationally as an ASC that primarily serves Medicare patients. The NPI was enumerated 2006-02-13 (~20 years ago), indicating an established ambulatory surgical clinic with a long tenure in the market.
The code mix indicates a surgical ophthalmology ASC focused on cataract surgery and glaucoma procedures alongside periocular soft-tissue work. The top Medicare codes are cataract extraction with insertion of an intraocular lens (66984, 66991) and aqueous outflow expansion (66174), and the practice also bills meaningful volumes for eyelid procedures such as 15823, consistent with an ASC that performs high-volume anterior segment and adnexal operations.
Revenue concentration on Medicare is high: the precomputed top-3 Medicare codes account for 65.6% of this provider's total Medicare revenue, driven by 66984 ($589.4K, 45.6% of Medicare revenue), 66991 ($147.1K, 11.4%), and 66174 ($111.5K, 8.6%). This concentration indicates that a relatively small set of ophthalmic surgical procedures generate the majority of Medicare receipts.
On Medicaid the provider is effectively single-code: the precomputed top-3 Medicaid codes account for 100.0% of its Medicaid revenue, and 66984 alone represents 100.0% of the provider's Total Medicaid revenue with $42K reported from 135 claims. In-state competitive standing on Medicaid for 66984 is modest—ranks #17 of 40 providers in-state (59th percentile; typical, unremarkable volume for this code)—suggesting limited Medicaid cataract volume relative to other Arkansas providers.
Competitive standing versus national Medicare peers is mixed by procedure: 66984 ranks #2255 of 15965 nationally (86th percentile; typical, unremarkable volume for this code), and 66991 ranks #220 of 1445 (84th percentile; typical, unremarkable volume), indicating routine national-scale volumes for cataract work. By contrast, 66174 ranks #61 of 741 nationally (92th percentile; typical, unremarkable volume), which denotes a relatively stronger presence in canal-based glaucoma procedures compared with most peers.
There are identifiable specialty outliers within the provider's case mix: 15823 ranks #71 of 1718 (96th percentile) and is labeled notably above typical national volume, pointing to an above-average throughput of upper eyelid excisions/blepharoplasty for an ASC. Conversely, codes such as V2785 (ranks #147 of 231, 30th percentile; typical, unremarkable volume) and 66180 (29th percentile) sit lower in their national distributions, indicating corneal tissue processing and some shunt implant procedures are not major revenue drivers.
Reimbursement patterns show materially different average paid per claim across payers and procedures: for the same cataract code 66984 the Medicare average paid/claim is $747 while the Medicaid average paid/claim is $311, and higher-reimbursement glaucoma and combined procedures such as 66991 show an average Medicare paid/claim of $2372. These differences highlight that procedure mix plus payer-level rates (Medicare vs Medicaid) both materially shape the provider's revenue profile.
Taken together—an ASC taxonomy, ~20 years of enumeration, Medicare revenue of $1.3M concentrated (65.6%) in a small set of cataract and glaucoma codes, and a very small Medicaid footprint ($41.9K concentrated 100.0% in 66984)—the provider operates as an established, ophthalmic ambulatory surgical center with specialized strength in cataract surgery and selected glaucoma and eyelid procedures rather than as a broad-based multiservice clinic. This profile frames where payers and competing surgery centers would expect to see most procedure volume and reimbursement risk exposure.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 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… | 790 | $750 | $589.4K |
| 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 | $2,370 | $147.1K |
| 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. | 80 | $1,410 | $111.5K |
| 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. | 50 | $2,090 | $98.2K |
| 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… | 180 | $410 | $71.2K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,680 | $69.9K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 90 | $490 | $43.6K |
| 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 | $790 | $33.8K |
| 67908 | The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat… | 60 | $550 | $31.3K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 20 | $1,420 | $27K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 13 | 210 | 60 | $430 | $90.5K |
| V2785 | 1 | 10 | 20 | $3,680 | $69.9K |
| 66991 | 3 | 10 | 40 | $1,440 | $66.2K |
| 66183 | 1 | 10 | 30 | $1,540 | $49.4K |
| 15823 | 4 | 20 | 70 | $490 | $47.3K |
| 66174 | 1 | 10 | 30 | $930 | $41.7K |
| 66180 | 3 | 10 | 20 | $1,440 | $30.1K |
| 14060 | 16 | 30 | 30 | $500 | $23.6K |
| 66982 | 12 | 50 | 30 | $590 | $22.9K |
| 67908 | 1 | 10 | 50 | $480 | $22.9K |
Showing 1–10 of 15
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… | 140 | $310 | $42K |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas 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… | 17 | 40 | 60 | $250 | $77.5K |
Other providers in the same ZIP code as Rogers Ar Ophthalmology Asc LLC, ranked by combined Medicare and Medicaid revenue.
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