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NPI 1780851691 · Lewiston, ID · Ambulatory Surgical Clinic/Center
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Pacific Cataract And Laser Institute, Inc., P.C. is a ambulatory surgical clinic/center provider located in Lewiston, Idaho. This profile covers 5 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 | Pacific Cataract And Laser Institute, Inc., P.C. |
| Address | 3330 4th St |
| City | Lewiston |
| State | ID |
| ZIP | 83501 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 9, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $786.5K |
| Medicaid | $20.1K |
PACIFIC CATARACT AND LASER INSTITUTE, INC., P.C. presents as a focused ambulatory surgical clinic centered on cataract care: its top Medicare revenue drivers are 66984 ($596.9K, 75.9% of Medicare revenue), 66991 ($109.2K, 13.9%), and 66821 ($57.4K, 7.3%), and the precomputed top 3 Medicare codes by revenue account for 97.1% of this provider's total Medicare revenue. The code descriptions point to routine phacoemulsification with intraocular lens insertion (66984), combined IOL plus anterior segment aqueous drainage device procedures (66991), and YAG capsulotomy for posterior capsular opacification (66821), indicating the practice is primarily a high-volume cataract surgery center with some glaucoma and postoperative laser services.
Revenue is heavily concentrated in Medicare: lifetime Medicare revenue is $786.5K versus $20.1K in Medicaid, and the precomputed top 3 Medicaid codes by revenue account for 100.0% of Medicaid revenue. Medicaid billing is effectively limited to 66984 (59 claims, $20.1K), so the provider’s payer mix is heavily skewed toward Medicare and operational performance is likely sensitive to changes in cataract surgical volume.
Competitive standing by code is mixed. The provider’s 66984 activity ranks #2326 of 15965 nationally (85th percentile; typical, unremarkable volume for this code), indicating above-median national cataract throughput but still characterized as typical; 66821 ranks #394 of 10087 (96th percentile; typical, unremarkable volume for this code), signaling notably high relative activity on capsulotomy procedures; and 66991 ranks #404 of 1445 (71th percentile; typical, unremarkable volume for this code), which reflects modest-to-strong participation in combined IOL plus drainage-device cases.
Within the Medicaid population the provider’s footprint is small and concentrated: Medicaid revenue is entirely from 66984 (100.0% of Medicaid revenue) and that 66984 Medicaid activity ranks #9 of 15 in-state (43th percentile; typical, unremarkable volume for this code). This positioning suggests limited market penetration among Medicaid beneficiaries for cataract surgery compared with other in-state ambulatory surgical centers.
Although cataract surgery dominates, the presence of codes for more complex procedures and adjunct glaucoma treatments shows some clinical breadth. The provider reports 66982 activity ($21.2K, 2.7% of Medicare revenue) and limited use of 65855 ($1.9K, 0.2% of Medicare revenue), indicating occasional complex cataract cases and low-volume laser trabeculoplasty within the practice mix rather than regular high-volume glaucoma surgery.
The provider’s revenue concentration creates operational sensitivity: the precomputed fact that the top 3 Medicare codes account for 97.1% of Medicare revenue means a large share of financial performance depends on a handful of cataract-related procedures, and Medicaid revenue is entirely dependent on a single procedure (66984). This concentration implies that fluctuations in cataract case volume, reimbursement for those codes, or referral patterns could materially affect overall revenue.
Tenure and credentialing are long-established: the NPI was enumerated 2008-05-09 (~18 years ago), indicating the provider has been active in Medicare/Medicaid billing for nearly two decades, which supports the observed stable, procedure-focused billing profile rather than a newly entered or transient operation.
The coding and ranking profile suggests a practice that is a solid regional cataract surgery provider with selective offerings for complex cases and glaucoma adjuncts. High relative activity on 66821 (96th percentile) may reflect local practice patterns for postoperative capsulotomy care, while national rankings for 66984 (85th percentile) and 66991 (71th percentile) show competent but not dominant standing in core cataract and combined procedures at the national level.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 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… | 740 | $810 | $596.9K |
| 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… | 50 | $2,430 | $109.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 330 | $170 | $57.4K |
| 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… | 30 | $820 | $21.2K |
| 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. | 20 | $90 | $1.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
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… | 60 | $340 | $20.1K |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho 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… | 9 | 20 | 150 | $360 | $178.3K |
Other providers in the same ZIP code as Pacific Cataract And Laser Institute, Inc., P.C., ranked by combined Medicare and Medicaid revenue.
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