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 Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

Cataract And Laser Center LLC (NPI 1821010638)

Field	Value
Entity Type	Organization
Organization	Cataract And Laser Center LLC
Address	4102 Ogletown Stanton Rd
City	Newark
State	DE
ZIP	19713
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 24, 2006

Payer Source	Total Paid
Medicare	$777.9K
Medicaid	$0

Key Findings

This entity is concentrated on ophthalmic surgical services consistent with its Ambulatory Surgical Clinic/Center taxonomy: 66984 (routine extracapsular cataract extraction with IOL insertion) accounts for $584.6K and 75.2% of the provider's total Medicare revenue, and other cataract-related codes 66821 and 66982 also appear in the top five. The presence of high-volume cataract procedures and a YAG capsulotomy (66821) profile this clinic as primarily a cataract-focused surgical practice rather than a broad multispecialty center.

Revenue concentration is extreme within Medicare: the precomputed top-3 Medicare codes account for 95.0% of this provider's total Medicare revenue, driven primarily by 66984 ($584.6K, 75.2%), 65820 ($92.6K, 11.9%), and 66821 ($61.6K, 7.9%). This level of concentration indicates that Medicare financial performance for this provider is highly sensitive to volumes and reimbursement for those specific ophthalmic procedures.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $777.9K and there is no Medicaid billing on file. Analysts should treat this provider as operating with negligible Medicaid exposure when modeling payor risk or access, and focus on Medicare utilization and reimbursement trends.

Competitive standing by procedure is mixed: 66984 ranks #2386 of 15965 providers nationally (85th percentile), which places the practice above many peers in absolute volume but the dataset characterizes this as "typical, unremarkable volume" for the code; 66821 ranks #494 of 10087 (95th percentile) indicating relatively high national activity for laser posterior capsulotomy. Overall, the practice is a solid participant in cataract care but not a dominant national outlier.

Several code-level metrics suggest procedure mix and case complexity: 65820 (limbal incision to improve aqueous drainage, typically performed on children) contributes $92.6K (11.9%) with an $1570 avg paid/claim and ranks #171 of 1249 (86th percentile). The notable share for a procedure typically used in pediatric congenital glaucoma is data-worthy given the Medicare patient base and should prompt review of case mix and coding context.

Per-claim payment patterns reinforce service focus: 66984 shows an $828 avg paid/claim and accounts for the largest revenue share, while 66821 has a lower $216 avg paid/claim across 285 claims, and 65820 carries a higher per-claim average ($1570) relative to its claim volume (59 claims). These per-claim differentials align with expected reimbursement for operative cataract work versus laser or drainage procedures and help explain revenue concentration.

Lower-revenue procedures are present but immaterial to total Medicare receipts: 66982 contributes $36.6K (4.7%) and 65855 contributes $2.4K (0.3%), each described in the reference data as "typical, unremarkable volume" at their respective percentiles. These items appear to be occasional adjunct procedures in the clinic's overall cataract- and glaucoma-related service mix rather than separate revenue pillars.

The practice has long tenure in the Medicare program, with its NPI enumerated (registered) on 2006-07-24 (~20 years ago), which supports continuity of operations and a stable enrollment history when assessing longitudinal billing trends and market positioning.

Medicare: Complete Services Breakdown

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…	710	$830	$584.6K
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.	60	$1,570	$92.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	290	$220	$61.6K
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…	40	$870	$36.6K
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	$110	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Cataract And Laser Center LLC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	6	50	70	$590	$163.6K
66982	14	20	60	$700	$60K
65820	1	10	50	$1,150	$52.8K
66821	6	30	140	$230	$37.1K
65855	9	10	40	$150	$7K

Nearby Providers

Other providers in the same ZIP code as Cataract And Laser Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M

Cataract And Laser 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