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NPI 1831636752 · Twin Falls, ID · Ambulatory Surgical Clinic/Center
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River View Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Twin Falls, Idaho. This profile covers 9 Medicare and 2 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 | River View Surgery Center, LLC |
| Address | 1502 Locust St N Ste 100 |
| City | Twin Falls |
| State | ID |
| ZIP | 83301 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | January 30, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $920K |
| Medicaid | $626.6K |
RIVER VIEW SURGERY CENTER operates as an ophthalmic ambulatory surgical center: its Medicare and Medicaid billing is heavily weighted toward cataract and intraocular lens procedures (notably 66984, 66982, 66991) with additional, smaller-volume oculoplastic procedures such as 15823, 67904, and 67900 showing the facility performs both routine cataract work and selected eyelid/ocular surface cases. The code mix and descriptions point to a surgical center focused on anterior-segment eye surgery rather than broad multispecialty services.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 88.7% of this provider's total Medicare revenue, with 66984 alone representing $685K (74.5% of Medicare revenue), 66982 accounting for $75.8K (8.2%), and 66991 contributing $55.5K (6.0%). This concentration indicates Medicare income is driven mainly by standard cataract extraction with lens insertion and related complex IOL procedures.
Medicaid activity is effectively single-procedure centric: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, and 66984 alone accounts for $626.5K (100.0% of Medicaid revenue) across 1.6K claims at $397 avg paid/claim. The provider ranks #2 of 15 in-state for 66984 and is labeled as notably above typical state volume, signaling the center is a leading Medicaid cataract provider within Idaho.
Payer mix shows a meaningful presence in both public payers: total Medicare revenue is $920K while total Medicaid revenue is $626.6K, so the center serves both populations materially rather than being single-payer dependent. Nevertheless, Medicaid revenue is dominated by a single code (66984) while Medicare revenue, although concentrated, shows a slightly broader mix of cataract-related codes.
National and state competitive standing is mixed: for the high-revenue Medicare code 66984 the center ranks #2149 of 15965 (described as typical, unremarkable national volume) while 66982 ranks #403 of 4580 (above typical national volume) and 66991 ranks #964 of 1445 (lower relative national participation). In contrast, the provider is a strong in-state competitor for Medicaid 66984 (rank #2 of 15, notably above typical state volume), so it is modest nationally but comparatively prominent in the state Medicaid market for cataract surgery.
The practice has an established operational history: NPI enumerated on 2017-01-30 (~9 years ago), indicating the center has been active for nearly a decade and has built a concentrated surgical case mix over that period. This tenure supports observed stable specialization in cataract and related anterior-segment procedures.
Operational and revenue risk considerations stem from the high procedural concentration: with 88.7% of Medicare revenue and 100.0% of Medicaid revenue driven by the top codes, the center’s financial performance will be sensitive to shifts in reimbursement, referral patterns, or patient volume for cataract surgery. The presence of smaller-volume oculoplastic codes (for example 15823 at $38.7K on Medicare) provides limited diversification but does not offset the dominant cataract dependence.
Administrative detail: Medicaid reporting includes 68 claims for G8907 with $0 avg paid/claim and $0 revenue, meaning the facility documents the safety measure captured by G8907 but it contributes no direct Medicaid revenue. This is an operational note rather than a revenue driver and should be considered separately from procedure-based billing analysis.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 850 | $800 | $685K |
| 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… | 90 | $810 | $75.8K |
| 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… | 20 | $2,410 | $55.5K |
| 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… | 90 | $450 | $38.7K |
| 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. | 10 | $1,450 | $20.3K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 30 | $510 | $15.7K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 30 | $490 | $12.6K |
| 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. | 100 | $100 | $9.3K |
| 65426 | During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft. | 10 | $620 | $6.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
2 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… | 1,580 | $400 | $626.5K |
| 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… | 70 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
2 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… | 2 | 20 | 150 | $360 | $178.3K |
| 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… | 16 | 20 | 210 | $1 | $680 |
Other providers in the same ZIP code as River View Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.
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