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NPI 1790844132 · Memphis, TN · Ophthalmologic Surgery Clinic/Center
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Ridge Lake Asc, LLC is a ophthalmologic surgery clinic/center provider located in Memphis, Tennessee. This profile covers 16 Medicare and 5 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 | Ridge Lake Asc, LLC |
| Address | 825 Ridge Lake Blvd |
| City | Memphis |
| State | TN |
| ZIP | 38120 |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| NPI Enumerated | December 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.4M |
| Medicaid | $390.5K |
RIDGE LAKE ASC, LLC operates primarily as an ophthalmologic surgery center focused on cataract and glaucoma procedures: its Medicare top codes are dominated by cataract extraction with intraocular lens insertion (66984) and related complex lens procedures (66982, 66991), and its Medicaid billing mirrors this mix with 66984 and 66982 accounting for essentially all Medicaid revenue. The presence of glaucoma device codes (66183, 0449T, 66989) and canaloplasty/angle procedures (66174) indicates the ASC performs both cataract surgery and anterior-segment glaucoma interventions alongside routine posterior-capsule laser work (66821).
Revenue concentration is high for both payers: precomputed metrics show the top 3 Medicare codes by revenue account for 75.3% of total Medicare revenue, and the top 3 Medicaid codes account for 100.0% of total Medicaid revenue, signaling that a small number of procedure types drive the practice’s financial performance on both payers. This concentration suggests vulnerability to reimbursement or volume changes in those few codes, especially 66984 which is the single largest revenue contributor.
Medicare revenue ($2.4M) materially exceeds Medicaid revenue ($390.5K), indicating the practice is Medicare-dominant in scale rather than single-payer; Medicaid is present but represents a substantially smaller portion of lifetime revenue. Given both payers are active, the ASC should be evaluated within the context of fee-for-service Medicare volume plus a modest Medicaid caseload concentrated in cataract procedures.
Code-level competitive standing is mixed: on Medicare, 66984 (1.7K claims, $1.3M revenue) ranks #1246 of 15965 providers nationally (92nd percentile), reflecting typical but unremarkable national volume for cataract surgeries relative to peers, while 66821 ranks in the 98th percentile (notably above typical national volume) indicating an unusually high procedural volume for posterior-capsule laser capsulotomy. On Medicaid, 66984 ranks #3 of 65 providers in-state (97th percentile), which points to a strong state-level presence for that procedure and suggests local market leadership in Medicaid cataract services.
Tenure and established presence: the NPI was enumerated on 2006-12-08 (~20 years ago), indicating long-standing operation in the market which supports the accumulation of the lifetime revenue totals and sustained specialty focus on ophthalmologic surgical services. This longevity combined with concentrated procedural revenue implies an experienced cataract/glaucoma ASC rather than a new entrant.
There are notable statistical outliers within the code mix that warrant attention: 66821 is labeled "notably above typical national volume" on Medicare (98th percentile) and 66984 is "notably above typical state volume" on Medicaid (97th percentile). These labels indicate the ASC is performing far more posterior-capsule laser procedures for Medicare patients and far more Medicaid cataract extractions than most peers in the corresponding comparison sets, suggesting operational emphasis or referral patterns that favor these services.
Procedure-level pricing and utilization patterns diverge across payers: Medicare shows high average paid/claim for complex intraocular procedures (e.g., 66991 avg paid/claim $2296, 66982 avg paid/claim $777) contributing significant Medicare revenue share, whereas Medicaid average paid/claim for the dominant cataract code 66984 is much lower ($84) but is offset by very high claim volume (4.6K claims, $383.5K revenue). This combination produces a Medicare-heavy revenue base despite large Medicaid procedural volumes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 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… | 1,720 | $770 | $1.3M |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2,530 | $100 | $252.7K |
| 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… | 90 | $2,300 | $199.8K |
| 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… | 170 | $780 | $129.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 660 | $170 | $109.4K |
| 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. | 40 | $2,080 | $87.3K |
| 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. | 90 | $840 | $71.8K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,270 | $55.7K |
| 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 | $2,140 | $32K |
| 66989 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction using complex techniques and devices. The provider also inserts one or more anterior… | 10 | $2,350 | $30.5K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| V2785 | 10 | 10 | 20 | $3,460 | $124.7K |
| J1096 | 1 | 10 | 610 | $100 | $96.2K |
| 66984 | 76 | 450 | 170 | $120 | $89.5K |
| 66991 | 1 | 40 | 30 | $1,400 | $47.8K |
| 66183 | 1 | 10 | 30 | $1,590 | $44.5K |
| 15823 | 36 | 60 | 50 | $490 | $33K |
| 65756 | 13 | 20 | 20 | $1,170 | $30.5K |
| 66989 | 1 | 10 | 10 | $2,340 | $30.5K |
| 66174 | 2 | 20 | 40 | $680 | $29.8K |
| 66982 | 4 | 110 | 30 | $620 | $24.9K |
Showing 1–10 of 16
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.
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… | 4,570 | $80 | $383.5K |
| 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 | $110 | $6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 30 | $40 | $1K |
| 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… | 730 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 730 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
5 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… | 3 | 70 | 250 | $110 | $96.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 9 | 10 | 60 | $50 | $11.2K |
| 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… | 1 | 10 | 50 | $190 | $9.2K |
| 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… | 14 | 70 | 160 | $1 | $10 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 9 | 50 | 100 | $0 | $0 |
Other providers in the same ZIP code as Ridge Lake Asc, LLC, ranked by combined Medicare and Medicaid revenue.
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