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NPI 1871591248 · Nashua, NH · Ambulatory Surgical Clinic/Center
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Novamed Surgery Center Of Nashua, LLC is a ambulatory surgical clinic/center provider located in Nashua, New Hampshire. This profile covers 13 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 | Novamed Surgery Center Of Nashua, LLC |
| Address | 5 Coliseum Ave Ste 7 |
| City | Nashua |
| State | NH |
| ZIP | 03063 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $36.7K |
NOVAMED SURGERY CENTER OF NASHUA, LLC is functionally an ophthalmic ambulatory surgery center: its Medicare top codes are dominated by cataract and related anterior-segment eye procedures (notably 66984, 66991, 66982), indicating a procedural mix focused on cataract extraction with intraocular lens placement and some glaucoma-related adjuncts rather than broad multispecialty surgery. The presence of eyelid repair codes (15823, 67903/67904) and glaucoma procedures (65820, 65855, 66170, 66761) suggests the center routinely handles both routine cataract workflows and a modest volume of oculoplastic and glaucoma interventions that complement cataract practice.
Revenue concentration on Medicare is high: the three highest-revenue Medicare codes account for 80.1% of the provider's total Medicare revenue, with code 66984 alone representing $959.7K (61.5% of Medicare revenue). This concentration implies the facility’s financial performance on Medicare is heavily dependent on a narrow set of cataract procedures.
On Medicaid the provider is effectively single-service and low-volume: total Medicaid revenue is $36.7K and 100.0% of that Medicaid revenue derives from a single code, 66984, across 161 claims. Compared with Medicare ($1.6M total Medicare revenue), Medicaid contributes only a small fraction of the facility’s lifetime public-payer revenue, so the center operates as a predominantly Medicare-revenue provider.
Competitive standing for its principal Medicare cataract code 66984 is modest-to-strong: the provider ranks #1806 of 15965 nationally (89th percentile) for 66984, described as typical, unremarkable volume relative to peers, which indicates the center performs cataract surgery at a scale above most providers but within expected ranges for ambulatory eye surgery centers. Other high-revenue Medicare cataract codes also show above-average national standings: 66991 ranks #179 of 1445 (87th percentile) and 66982 ranks #170 of 4580 (96th percentile), supporting that the center is a meaningful regional provider of complex and combined cataract procedures.
For Medicaid competitiveness in-state, the center ranks #2 of 3 providers for 66984 (50th percentile) and the Medicaid activity is described as typical and unremarkable; this indicates that, within New Hampshire, the facility is not a dominant Medicaid cataract provider and its Medicaid footprint is limited compared with its Medicare presence.
The provider has long tenure in the NPI registry, enumerated on 2005-07-11 (~21 years ago), which supports continuity of operation and may explain accumulated lifetime revenue patterns that are concentrated in established ophthalmic services.
Several Medicare codes are high-percentile relative to national peers for specific glaucoma and posterior-capsule procedures (for example 66821 ranks #321 of 10087, 97th percentile; 66982 at the 96th percentile), which indicates the center delivers higher-than-typical volumes of postoperative laser capsulotomy and some complex cataract work; these are consistent with an integrated cataract/glaucoma procedural mix and suggest capacity for both routine and more complex anterior-segment care.
The overall payer mix and code-level breakdown point to business implications for contracting and capacity planning: with $1.6M in Medicare revenue concentrated in a few cataract codes and only $36.7K from Medicaid, payers and network planners should treat this entity as a Medicare-centric cataract surgery provider with limited Medicaid exposure, and reimbursement or referral strategies should reflect the center’s specialization and revenue concentration risks.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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 | $820 | $959.7K |
| 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… | 70 | $2,500 | $172.3K |
| 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… | 150 | $810 | $118.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 370 | $200 | $76.1K |
| 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 | $1,120 | $60.3K |
| 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… | 110 | $510 | $56.9K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 30 | $1,510 | $51.2K |
| 66170 | In this procedure, the provider creates a fistula and removes part of the trabecular meshwork to treat glaucoma and relieve intraocular pressure. | 20 | $730 | $17.5K |
| 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… | 20 | $570 | $12.6K |
| 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… | 20 | $600 | $11.4K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 9 | 60 | 220 | $310 | $144.6K |
| 66991 | 2 | 10 | 40 | $1,590 | $74.7K |
| 65820 | 3 | 10 | 50 | $1,080 | $57.4K |
| 66988 | 1 | 10 | 30 | $1,020 | $29.5K |
| 15823 | 1 | 10 | 40 | $540 | $28.8K |
| 66982 | 2 | 30 | 30 | $660 | $26.5K |
| 66821 | 2 | 40 | 60 | $250 | $19.4K |
| 66170 | 1 | 10 | 20 | $820 | $16.3K |
| 67904 | 3 | 10 | 30 | $630 | $15.6K |
| 67903 | 3 | 10 | 20 | $530 | $13.3K |
Showing 1–10 of 13
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… | 160 | $230 | $36.7K |
How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Hampshire 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… | 2 | 10 | 160 | $200 | $68.7K |
Other providers in the same ZIP code as Novamed Surgery Center Of Nashua, LLC, ranked by combined Medicare and Medicaid revenue.
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