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NPI 1790862183 · Andover, MA · Ambulatory Surgical Clinic/Center
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Cataract And Laser Center Of The North Shore, LLC is a ambulatory surgical clinic/center provider located in Andover, Massachusetts. This profile covers 8 Medicare and 3 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 | Cataract And Laser Center Of The North Shore, LLC |
| Address | 349 N Main St |
| City | Andover |
| State | MA |
| ZIP | 01810 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $1.2M |
Operating as an Ambulatory Surgical Clinic/Center, the provider’s CPT mix is heavily ophthalmic: the dataset is dominated by cataract extraction and intraocular lens insertion codes (66984, 66991, 66982) with additional anterior-segment glaucoma procedures appearing in the tail of the Medicare list. This combination of codes is consistent with a specialty surgical center focused on high-volume cataract surgery with capability to perform concurrent glaucoma device or complex cataract interventions.
Medicare revenue exhibits extreme concentration: the precomputed top-three Medicare codes account for 96.2% of this provider’s total Medicare revenue, and those codes are 66984, 66991, and 66982. That concentration indicates the business is highly dependent on cataract and related anterior-segment procedures for its Medicare topline, which makes reimbursement or utilization changes for those codes a material business risk.
Medicaid revenue is effectively single-procedure driven: the precomputed top-three Medicaid codes account for 100.0% of Medicaid revenue, and the entirety of reported Medicaid payments ($1.2M) is tied to 66984. Two other Medicaid-listed codes (G8918 and G8907) appear in claims counts but show $0 revenue, reinforcing that Medicaid collections are concentrated in routine cataract extraction services.
Payer mix and scale: this entity reports $2.1M in lifetime Medicare revenue versus $1.2M in lifetime Medicaid revenue, so Medicare represents the larger payer relationship by absolute dollars while Medicaid remains a meaningful secondary payer. The presence of substantial revenue from both government payers indicates the center serves a mixed public-benefit population rather than being effectively single-payer.
Competitive standing on Medicare is mixed by code: 66991 (insertion of an IOL with anterior segment aqueous drainage device) ranks #77 of 1445 providers nationally (95th percentile) and is labeled as notably above typical national volume, signaling a relatively strong national presence for combined cataract+glaucoma device procedures. By contrast, 66984 and 66982 are both in the 93th percentile but are described as typical, unremarkable volume for those codes, suggesting solid but not dominant national scale for routine cataract procedures.
State-level competitive posture for Medicaid is prominent: 66984 ranks #3 of 63 providers in-state (97th percentile) and is characterized as notably above typical state volume, indicating the center is one of the leading Medicaid cataract surgery providers in Massachusetts. That high state rank for the single Medicaid-revenue-driving code implies local market importance for cataract services to Medicaid patients.
There is a marked difference in average paid amounts by payer for the same procedure: for 66984 the dataset shows Medicare avg paid/claim $876 versus Medicaid avg paid/claim $267. This payer-level reimbursement spread, combined with the provider’s concentration in 66984 for Medicaid, highlights how payer mix and per-claim reimbursement materially affect revenue composition and should be considered in contract or rate negotiations.
Tenure and operational consistency: the NPI was enumerated on 2006-11-01 (~20 years ago), indicating the center is an established operator. The long tenure together with concentrated high-volume cataract billing across both payers suggests stable surgical throughput and an entrenched specialty service line rather than a newly formed or sporadic practice.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 1,880 | $880 | $1.6M |
| 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… | 100 | $2,640 | $261.2K |
| 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… | 110 | $880 | $98.1K |
| 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. | 20 | $1,480 | $31.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 130 | $200 | $26.5K |
| 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. | 170 | $90 | $15K |
| 65400 | In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,… | 10 | $280 | $3.7K |
| 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 | $100 | $3.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
3 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… | 4,520 | $270 | $1.2M |
| 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… | 1,730 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1,730 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
3 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 | 60 | 330 | $380 | $352.9K |
| 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… | 6 | 40 | 350 | $1 | $560 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 3 | 20 | 390 | $1 | $160 |
Other providers in the same ZIP code as Cataract And Laser Center Of The North Shore, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Partners In Child Development, Inc | MA | Early Intervention Provider Agency | $0 | $20.7M |
| Beyond Healthcare Agency LLC | MA | Home Health Agency | $0 | $13.2M |
| Safetynet Solutions | MA | In Home Supportive Care Agency | $0 | $7.8M |
| Daniel Morocco | MA | Clinical Psychologist | $21.5K | $1.9M |
| Town Of Andover | MA | Land Ambulance | $463.2K | $859.6K |
| Merrimack Valley Health Services Inc | MA | Radiology Clinic/Center | $62.4K | $461.2K |
| Caille Roy | MA | Family Nurse Practitioner | $399.8K | $0 |
| Cvs Pharmacy Inc | MA | Pharmacy | $347.2K | $0 |
| First-call Medical Inc | MA | Physiological Laboratory | $152.4K | $121.9K |
| Anthony Turiano | MA | Family Medicine Physician | $191K | $0 |
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