Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dupage Eye Surgery Center, LLC (NPI 1801811773)

Field	Value
Entity Type	Organization
Organization	Dupage Eye Surgery Center, LLC
Address	2015 N Main St
City	Wheaton
State	IL
ZIP	60187
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicare	$4.5M
Medicaid	$0

Key Findings

DUPAGE EYE SURGERY CENTER, LLC is effectively a single-payer Medicare-focused ambulatory surgical center: lifetime Medicare revenue is $4.5M and there is no Medicaid billing on file, indicating the center’s patient mix and reimbursement footprint is concentrated in Medicare rather than dual Medicaid/Medicare operations. This payer concentration suggests contracting, capacity planning, and quality reporting will be driven primarily by Medicare volume and reimbursement dynamics.

Revenue concentration is highly focused on cataract surgery: the top three Medicare codes account for 76.3% of the provider’s Medicare revenue, with code 66984 alone representing $2.8M (62.6% of Medicare revenue). This concentration implies the center’s business model and operating throughput are dominated by routine intraocular lens implantation and related cataract procedures.

Procedure mix and service-line implications point to an advanced ophthalmic surgery practice rather than a broad outpatient surgery center: high-volume cataract work (66984, 66982, 66821) plus significant numbers of complex glaucoma and vitreoretinal procedures (66180, 67042, 67108, 67036) indicate the center manages both high-volume standard cataract cases and a steady stream of more complex subspecialty ophthalmic surgeries. Staffing, equipment, and downstream follow-up resources are likely aligned with these eye-specialty services.

Competitive standing on Medicare for primary cataract codes is strong: 66984 ranks #393 of 15,965 providers (98th percentile) and 66982 ranks #18 of 4,580 providers (100th percentile), marking the center as a high-volume outlier nationally for cataract procedures. Several glaucoma and complex procedure codes also show above-typical national volumes or extreme outlier status (for example, 66180 ranks #6 of 375 and 65855 ranks #20 of 2,796), which reinforces that the center competes at a higher-than-typical level for ophthalmic surgery nationally rather than being a low-volume local provider.

Several codes are flagged as statistical outliers or notably above typical volume, signaling service specialization: 66982 is an "extreme outlier, far above typical national volume," 65855 and 66180 are also characterized as extreme outliers, and codes like 66984, 65820, and 66821 are described as "notably above typical" or "notably above typical national volume." These descriptors indicate the provider disproportionately performs both routine and complex ophthalmic interventions compared with national peers, which may reflect a referral footprint for complicated cases in addition to high local cataract throughput.

Operational and clinical implications of the code-level revenue mix include significant utilization of high-reimbursement supply/intensive procedures: codes such as V2785 (processing corneal tissue, $153.8K) and 66180 ($117.2K) have substantial per-claim payments and revenue share, suggesting the center either handles tissue-related services and implantable devices or partners closely with tissue suppliers and device vendors. This impacts cost structure, inventory, and capital planning for specialty implants and laser/retinal equipment.

Tenure and stability: the provider’s NPI was enumerated on 2006-07-13 (about 20 years ago), indicating long-term presence in the market. Combined with concentrated high volumes on core ophthalmic procedures, this tenure supports an interpretation of an established specialty center with an enduring referral base for both routine cataract and complex ophthalmic surgeries.

Medicare: Complete Services Breakdown

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

28 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…	3,320	$840	$2.8M
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…	500	$850	$424.8K
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.	120	$1,560	$188.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	820	$210	$168.7K
V2785	Processing, preserving and transporting corneal tissue	50	$3,420	$153.8K
66180	The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…	60	$2,060	$117.2K
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…	60	$1,530	$95K
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…	50	$1,540	$73.7K
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.	50	$1,500	$69.1K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	40	$1,580	$66.2K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Dupage Eye Surgery Center, LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	74	570	360	$70	$97.8K
V2785	1	10	20	$3,370	$77.5K
65820	1	50	30	$940	$33.9K
66174	7	30	30	$950	$29.6K
66180	1	10	20	$1,300	$28.7K
66982	1	190	30	$590	$27.1K
67041	3	10	20	$1,140	$26.3K
67904	12	20	40	$590	$23.6K
65756	1	20	20	$1,180	$23.5K
67210	15	20	30	$410	$22K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Dupage Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Dupage Department Of Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.7M
County Of Dupage Department Of Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.6M
City Of Wheaton	IL	Land Ambulance	$492.3K	$4.7M
Vikram Setlur	IL	Retina Specialist (Ophthalmology) Physician	$2.9M	$219.8K
Gregory Fenton	IL	Ophthalmology Physician	$2.7M	$292.2K
Susan Anderson-nelson	IL	Retina Specialist (Ophthalmology) Physician	$1.5M	$14.5K
Mark Daily	IL	Ophthalmology Physician	$1.2M	$8.6K
Jon Gieser	IL	Retina Specialist (Ophthalmology) Physician	$771.4K	$0
Steven Lafayette	IL	Ophthalmology Physician	$637K	$7.3K
Bradley Sacher	IL	Ophthalmology Physician	$527.6K	$16.1K

Dupage Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

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Dupage Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References