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NPI 1801094669 · Fairview Park, OH · Ambulatory Surgical Clinic/Center
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Cleveland Eye And Laser Surgery Center LLC is a ambulatory surgical clinic/center provider located in Fairview Park, Ohio. This profile covers 25 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 | Cleveland Eye And Laser Surgery Center LLC |
| Address | 22715 Fairview Center Dr |
| City | Fairview Park |
| State | OH |
| ZIP | 44126 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 3, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $4.4K |
Practice profile and tenure: CLEVELAND EYE AND LASER SURGERY CENTER LLC is listed as an Ambulatory Surgical Clinic/Center with an NPI enumerated 2007-07-03 (~19 years ago), indicating long-standing surgical outpatient operations in the Fairview Park, OH market. The taxonomy and multi-year presence support a mature ambulatory surgical practice rather than a new entrant or purely office-based ophthalmology group.
Medicare vs Medicaid scale and payer mix: This provider’s Medicare revenue is $2.7M compared with $4.4K in Medicaid, indicating an overwhelmingly Medicare-dominant patient and revenue mix and an effectively single-payer scale for business impact. Medicaid activity is negligible relative to Medicare and is concentrated in a single code on file.
Revenue concentration on Medicare: The top three Medicare codes account for 58.0% of this provider’s total Medicare revenue, which shows a high concentration of earnings in a small set of procedures. The leading Medicare code is 66984 (cataract extraction with IOL) which alone represents $908.3K (34.1% of Medicare revenue), highlighting cataract surgery as the primary revenue driver.
Service-line implications — cataract and perioperative ophthalmic supply utilization: The prominence of 66984 and high volume of J1097 (4.6K claims, $350.5K revenue) suggest routine cataract surgery with substantial use of intraoperative ophthalmic irrigation/medication products. Together these codes indicate a high-throughput cataract surgery workflow consistent with an ambulatory surgical center model.
Service-line implications — complex vitreoretinal surgery: Multiple high-paying posterior-segment codes appear among the top billings, including 67042 ($285K), 67036 ($202.3K), 67108 ($189.5K), and 67113 ($84K). These codes are procedures for vitrectomy, membrane peeling, and retinal reattachment, indicating the center performs both routine cataract and advanced vitreoretinal surgery, including complex retinal repairs.
Competitive standing and statistical outliers nationally: The provider is an extreme outlier on several high-acuity retina procedures — 67042 ranks #7 of 1087 providers nationally (99th percentile; extreme outlier), 67036 ranks #3 of 832 (100th percentile; extreme outlier), and 67108 ranks #4 of 706 (100th percentile; extreme outlier). These rankings indicate much higher-than-typical national volumes for complex posterior-segment surgery relative to peers.
Mixed competitiveness on anterior-segment and glaucoma codes: While 66984 (cataract) ranks #1808 of 15965 (89th percentile; typical volume) and is a primary revenue source, some glaucoma and drainage procedures such as 66174 and 65855 show above-typical to typical volumes (e.g., 65855 ranks in the 95th percentile). This pattern suggests the center combines high-volume cataract work with selective glaucoma procedures, but its national market leadership is most pronounced in vitreoretinal surgeries.
Medicaid billing concentration and in-state standing: All reported Medicaid revenue (100.0% of Medicaid revenue) is from 66984 (18 claims, $4.4K), and that Medicaid activity ranks #80 of 89 in-state (9th percentile; typical, unremarkable volume for this code). This confirms the provider’s Medicaid footprint is narrowly focused on cataract procedures and small in scale compared with its Medicare business.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 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… | 1,170 | $780 | $908.3K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4,610 | $80 | $350.5K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 200 | $1,430 | $285K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 140 | $1,440 | $202.3K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 130 | $1,430 | $189.5K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1,140 | $100 | $113.6K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 60 | $1,420 | $84K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 440 | $190 | $81K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 50 | $1,450 | $72.4K |
| 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. | 50 | $1,160 | $58K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 1 | 20 | 860 | $80 | $98.1K |
| 66984 | 147 | 530 | 210 | $110 | $92.8K |
| J1096 | 2 | 10 | 660 | $100 | $77.7K |
| 66991 | 24 | 40 | 30 | $1,060 | $52.8K |
| 67040 | 2 | 10 | 30 | $1,460 | $35K |
| 65820 | 11 | 40 | 40 | $850 | $33.3K |
| 66174 | 9 | 20 | 40 | $690 | $29.8K |
| 67042 | 1 | 50 | 20 | $960 | $29.7K |
| 67904 | 23 | 40 | 40 | $540 | $28.2K |
| 67108 | 1 | 30 | 20 | $1,020 | $26.5K |
Showing 1–10 of 25
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… | 20 | $250 | $4.4K |
| 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… | 50 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio 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… | 80 | 90 | 180 | $410 | $234.6K |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 17 | 40 | 40 | $1 | $100 |
| 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… | 35 | 50 | 90 | $1 | $60 |
Other providers in the same ZIP code as Cleveland Eye And Laser Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Alexander Kosmidis | OH | Ophthalmology Physician | $322.4K | $0 |
| Theodore Loizos | OH | Ophthalmology Physician | $284.5K | $0 |
| Carla Krebs | OH | Ophthalmology Physician | $209.5K | $0 |
| Stanley Luksenburg | OH | Podiatrist | $47.3K | $73.4K |
| John Ellis | OH | Podiatrist | $101.3K | $10.7K |
| Tamouh Hamoud | OH | Clinical Cardiac Electrophysiology Physician | $103.6K | $0 |
| Emad Nukta | OH | Interventional Cardiology Physician | $99K | $0 |
| Jane Hoashi | OH | Orthopaedic Surgery Physician | $65.3K | $0 |
| Roy Miler | OH | Vascular Surgery Physician | $44.6K | $0 |
| Katherine Garcia | OH | Nurse Practitioner | $10.3K | $0 |
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