Loading...
NPI 1831368356 · South Burlington, VT · Ambulatory Surgical Clinic/Center
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Vermont Eye Surgery & Laser Center is a ambulatory surgical clinic/center provider located in South Burlington, Vermont. This profile covers 12 Medicare and 1 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 | Vermont Eye Surgery & Laser Center |
| Address | 1100 Hinesburg Rd |
| City | South Burlington |
| State | VT |
| ZIP | 05403 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 28, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $2.7K |
This facility’s Medicare business is concentrated in cataract and anterior-segment surgery: the three highest-revenue Medicare codes are 66984, 66991, and 66982 and the top 3 Medicare codes account for 83.0% of this provider's total Medicare revenue. The single largest Medicare code is 66984 ($1.2M, 64.2% of Medicare revenue), followed by 66991 ($253.3K, 13.9%) and 66982 ($91.2K, 5.0%), indicating a surgical center model anchored on cataract procedures and related lens-device work rather than broad multispecialty outpatient services.
Revenue concentration is pronounced across payers: the provider reports $1.8M in total Medicare revenue versus only $2.7K in total Medicaid revenue, making Medicare effectively the dominant payer for clinical volume and cash flow. On Medicaid the entire recorded revenue comes from the same cataract code 66984 (16 claims, $2.7K, 100.0% of Medicaid revenue), which underscores a near-single-payer operational footprint at state Medicaid rates.
The provider’s competitive standing varies by code: for cataract extraction with intraocular lens insertion 66984 it ranks #1539 of 15965 nationally (90th percentile; typical, unremarkable volume for this code), reflecting a solid but not exceptional national presence for that routine cataract CPT. By contrast 66991 ranks #70 of 1445 nationally (95th percentile; notably above typical national volume for this code), signaling above-typical national activity for combined cataract plus anterior segment drainage-device insertion and suggesting a relative specialty strength in more complex cataract/glaucoma combined procedures.
Procedure mix shows some subspecialty services beyond routine cataract: the Medicare top-25 list includes V2785 (processing corneal tissue, $56.8K, 3.1% of Medicare revenue), multiple eyelid/oculoplastic codes such as 15823 and 67903, and corneal transplant code 65756. The presence of V2785 and 65756 alongside eyelid repair codes indicates the center performs or bills for corneal tissue handling and oculoplastic procedures in addition to high-volume cataract surgery, consistent with an ambulatory surgical clinic/center focused on anterior segment and periocular surgical services.
Several codes register as low or atypical relative to national peers: V2785 ranks #183 of 231 nationally (19th percentile; typical, unremarkable volume for this code) and 65756 ranks #558 of 567 nationally (0th percentile; typical, unremarkable volume for this code), indicating corneal transplant and tissue-processing activity are present but modest by national standards. These low percentiles suggest the practice’s corneal and transplant-related work is limited compared with specialized corneal centers, even though it still contributes nontrivial Medicare revenue.
Tenure and stability: the provider’s NPI was enumerated on 2008-02-28 (~18 years ago), indicating an established ambulatory surgical operation with a long billing history to Medicare. That longevity, combined with concentrated revenue in standard and more complex cataract codes, points to sustained specialization in cataract and anterior segment surgical services rather than a recent or transient entrant.
Payer-level concentration and operational implications: top three Medicare codes drive the bulk of Medicare dollars (83.0% of Medicare revenue) and the same core cataract code 66984 also accounts for 100.0% of the provider’s Medicaid revenue, implying the center’s service-line economics are highly dependent on cataract procedural throughput. For payers and network planners, this profile identifies the facility as a high-volume cataract surgical site for Medicare beneficiaries with very limited Medicaid exposure, which affects contracting leverage and risk-sharing considerations.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 1,430 | $820 | $1.2M |
| 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 | $2,480 | $253.3K |
| 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 | $820 | $91.2K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 120 | $510 | $63.7K |
| V2785 | Processing, preserving and transporting corneal tissue | 20 | $3,550 | $56.8K |
| 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. | 40 | $1,470 | $52.8K |
| 67903 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the… | 70 | $540 | $37.1K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 60 | $570 | $31.8K |
| 66170 | In this procedure, the provider creates a fistula and removes part of the trabecular meshwork to treat glaucoma and relieve intraocular pressure. | 30 | $690 | $20.6K |
| 67924 | During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and… | 30 | $590 | $18.3K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66991 | 1 | 10 | 60 | $2,160 | $131.7K |
| 66984 | 4 | 20 | 180 | $210 | $121.4K |
| V2785 | 1 | 10 | 20 | $3,550 | $56.8K |
| 15823 | 1 | 10 | 90 | $550 | $52K |
| 65820 | 1 | 10 | 30 | $1,140 | $33.1K |
| 67903 | 1 | 10 | 50 | $520 | $28.2K |
| 67917 | 1 | 10 | 50 | $510 | $23.8K |
| 66982 | 1 | 10 | 30 | $630 | $21.3K |
| 66170 | 1 | 10 | 30 | $690 | $20.6K |
| 65756 | 1 | 10 | 10 | $1,510 | $16.6K |
Showing 1–10 of 12
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.
1 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 | $170 | $2.7K |
How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Vermont median
1 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… | 1 | 10 | 20 | $170 | $2.7K |
Other providers in the same ZIP code as Vermont Eye Surgery & Laser Center, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Nfi Vermont, Inc | VT | Clinic/Center | $0 | $33.6M |
| Bla Partners, LLC | VT | Clinical Medical Laboratory | $0 | $15.2M |
| Timberlane Dental Group | VT | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $7.5M |
| Tms Vt, LLC | VT | Durable Medical Equipment & Medical Supplies | $0 | $2.9M |
| Michelle Young | VT | Ophthalmology Physician | $2.1M | $0 |
| Howard Center Inc | VT | Psychiatry Physician | $0 | $2M |
| David Weissgold | VT | Ophthalmology Physician | $1.7M | $0 |
| Surgi-care Inc | VT | Prosthetic/Orthotic Supplier | $0 | $1.7M |
| City Of So Burlington | VT | Ambulance | $400.9K | $1M |
| Green Mountain Pediatric Dentistry, PLLC | VT | Pediatric Dentistry | $0 | $1.3M |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.