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    OpenPayerNPI Medicare & MedicaidCj Elmwood Partners L P
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    Cj Elmwood Partners L P — Billing Profile & Reimbursement Data

    NPI 1780661967 · Sioux City, IA · Ambulatory Surgical Clinic/Center

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    Cj Elmwood Partners L P is a ambulatory surgical clinic/center provider located in Sioux City, Iowa. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 9

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCj Elmwood Partners L P
    Address4405 Hamilton Blvd
    CitySioux City
    StateIA
    ZIP51104
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 28, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$944.8K
    Medicaid$0

    Key Findings

    CJ ELMWOOD PARTNERS L P presents as an ambulatory surgical clinic focused on ophthalmic procedures: its largest revenue drivers are cataract extraction with intraocular lens insertion (66984: 858 claims, $782 avg paid/claim, $671K revenue), upper eyelid skin excision/blepharoplasty (15823: 197 claims, $471 avg paid/claim, $92.8K revenue), and YAG posterior capsulotomy (66821: 474 claims, $184 avg paid/claim, $87.2K revenue). The mix of these high-value cataract and oculoplastic codes indicates the facility operates primarily as a cataract/eye surgery center with a meaningful cosmetic/functional eyelid procedure line.

    Revenue is highly concentrated in a few codes: the precomputed top-3 Medicare codes account for 90.1% of the provider’s total Medicare revenue, with 66984 alone representing 71.0% of Medicare dollars. This concentration implies financial sensitivity to volume changes in cataract cases and related laser follow-up procedures.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $944.8K while total Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid billing on file suggests the practice either does not participate in Medicaid networks or does not serve a material Medicaid population.

    Competitive standing by code is mixed: for blepharoplasty 15823 the provider ranks #53 of 1718 nationally (97th percentile) and is labeled “notably above typical national volume,” indicating a relatively dominant position in that service. For YAG capsulotomy 66821 the rank is #237 of 10087 (98th percentile) and also “notably above typical national volume,” while cataract extraction 66984 ranks #2142 of 15965 (87th percentile) and is described as “typical, unremarkable volume,” so the practice is particularly strong in certain niche ophthalmic services even if cataract volume is comparable to many peers.

    The provider has a long tenure in the NPI file (enumerated 2005-12-28, ~21 years ago), which supports the interpretation of an established local surgical practice rather than a newly created billing entity. Coupled with lifetime Medicare revenue of $944.8K, the data suggest a stable, modestly sized ambulatory surgery operation with focused specialty services.

    Procedure-level volume and downstream care patterns are consistent with an experienced cataract program: 66984 (858 claims) and 66821 (474 claims) together represent the surgical extraction and common postoperative laser management pathway for cataract patients. High counts for these two codes alongside their revenue shares indicate routine cataract throughput with substantial follow-up laser procedures.

    Other ophthalmic and oculoplastic codes contribute only small shares of revenue: 67904 ($33.9K, 3.6%), 67917 ($24.4K, 2.6%), and 66982 ($23.8K, 2.5%) are all characterized as typical or unremarkable volume in their national rank descriptions. Several minor codes produce negligible revenue (for example 68440 $600 and 67810 $550), underscoring that the practice’s Medicare income is concentrated in a very small set of high-volume ophthalmic services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…860$780$671K
    15823In 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…200$470$92.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.470$180$87.2K
    67904The 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…70$480$33.9K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…50$510$24.4K
    66982The 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…30$790$23.8K
    67903The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the…20$520$10.4K
    68440In 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$600
    67810The provider takes a sample of a suspicious area on the skin of the eyelid or its edges. He submits the specimen to a laboratory for analysis to determine its nature.10$50$550

    Medicare: Competitive Analysis & Benchmarks

    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

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841634050$340$50.4K
    66982346040$450$39K
    1582312030$520$29.4K
    6790421030$580$20.8K
    66821213040$210$14.4K
    6791711030$440$11K
    6790311020$480$8.1K
    6781021030$100$3.5K
    6844011020$30$650

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cj Elmwood Partners L P, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason JonesIAOphthalmology Physician$515.6K$0
    Yian JonesIAOphthalmology Physician$174.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Cj Elmwood Partners L P, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Iowa Hospital CorporationIAGeneral Acute Care Hospital$0$22.8M
    Northwest Iowa Hospital CorporationIAEmergency Medical Services (Emergency Medicine) Physician$0$7.9M
    Simple Life, Inc.IACommunity/Behavioral Health Agency$0$5.1M
    Unitypoint At HomeIADurable Medical Equipment & Medical Supplies$0$5M
    Opportunities UnlimitedIAChild Mental Illness Respite Care$0$2.8M
    Anesthesia Consultants PCIAAnesthesiology Physician$0$1.9M
    Siouxland Dental HealthIADentist$0$1.8M
    Pierce Street Same Day Surgery, LcIAAmbulatory Surgical Clinic/Center$633.9K$1.1M
    Siouxland Medical Education Foundation, IncIAFamily Medicine Physician$0$1.3M
    Siouxland Hospitalists PLLCIAInternal Medicine Physician$0$1.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Iowa Distribution
    Cj Elmwood Partners L P — 5 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa