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NPI 1871847319 · Milwaukee, WI · Ambulatory Surgical Clinic/Center
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Wisconsin Laser And Surgery Center LLC is a ambulatory surgical clinic/center provider located in Milwaukee, Wisconsin. This profile covers 7 Medicare and 6 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 | Wisconsin Laser And Surgery Center LLC |
| Address | 10200 W Innovation Dr |
| City | Milwaukee |
| State | WI |
| ZIP | 53226 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 6, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2.9M |
| Medicare | $1.1M |
Payer mix strongly favors Medicaid by scale: lifetime Medicaid revenue is $2.9M versus total Medicare revenue of $1.1M, so the facility derives the bulk of its billings from Medicaid rather than Medicare. This makes the center effectively Medicaid-dominant for overall revenue generation.
Medicare revenue is highly concentrated in a few ophthalmic codes: the top 3 Medicare codes account for 88.5% of this provider's total Medicare revenue, with 66984 alone representing $803.6K (75.3% of Medicare revenue) across 974 claims at $825 avg paid/claim. That concentration indicates the Medicare business is driven almost entirely by cataract extraction with intraocular lens insertion.
Medicaid revenue is extremely concentrated in the same service line: the top 3 Medicaid codes account for 99.9% of this provider's total Medicaid revenue, and 66984 dominates Medicaid with $2.6M (91.7% of Medicaid revenue) from 5.4K claims at $494 avg paid/claim. This pattern shows the center’s Medicaid business is effectively a high-volume cataract surgery operation.
Service-line profile: the code mix (66984, 66982, 66991, 66988 and related codes plus ophthalmic irrigation J1097) indicates the site is an ambulatory surgical center focused on ophthalmology—predominantly cataract extraction and intraocular lens implantation, with some more complex cataract and glaucoma-related procedures. The presence of J1097 (944 Medicare claims, $76 avg paid/claim, $71.7K revenue) and smaller-volume glaucoma codes (e.g., 65855) supports a typical ASC ophthalmic supply and ancillary service pattern.
Competitive standing differs by payer and geography: nationally for Medicare the provider’s 66984 volume ranks #2001 of 15965 providers (87th percentile), described as typical/unremarkable volume for the code, so it is a solid but not dominant national Medicare participant for cataract surgery. By contrast, the provider is a statewide outlier on Medicaid for the same procedure—66984 ranks #1 of 33 providers in-state (100th percentile; extreme outlier)—indicating market leadership in Medicaid cataract volume within Wisconsin.
State-level uniqueness on Medicaid for complex cataract work: 66982 (complex extracapsular extraction with IOL) reports 410 Medicaid claims and $221.8K revenue and is listed as rank #1 of 1 providers in-state with no peer volume comparison available. That suggests this center performs types of complex cataract procedures on Medicaid that few or no other in-state facilities bill in comparable volume.
Operational throughput signal: the high Medicaid claim count for 66984 (5.4K claims) alongside 974 Medicare claims for the same code points to consistently high surgical throughput, particularly on Medicaid patients. Coupled with numerous zero-paid quality/reporting entries such as G8918 and G8907 (each with 1.3K Medicaid claims and $0 revenue), the billing pattern is consistent with an ambulatory surgical center that regularly submits facility-level quality and safety measure codes.
Tenure and stability: the provider’s NPI was enumerated on 2012-11-06 (~14 years ago), indicating more than a decade of operating history under the current billing identity. This tenure supports interpreting its large Medicaid cataract volumes as an established, ongoing service line rather than a short-term anomaly.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 970 | $830 | $803.5K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 940 | $80 | $71.7K |
| 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… | 30 | $2,450 | $68.6K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 40 | $1,500 | $58.3K |
| 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… | 60 | $840 | $48.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 80 | $180 | $14.2K |
| 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. | 30 | $90 | $2.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
6 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… | 5,350 | $490 | $2.6M |
| 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… | 410 | $540 | $221.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 90 | $150 | $13.7K |
| 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. | 90 | $40 | $3.7K |
| 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… | 1,300 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 1,300 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1 | 10 | 410 | $540 | $221.8K |
| 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 | 30 | 210 | $310 | $207.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 3 | 10 | 110 | $120 | $10.9K |
| 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. | 1 | 10 | 90 | $40 | $3.7K |
| 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… | 7 | 40 | 130 | $0 | $0 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 7 | 20 | 220 | $0 | $0 |
Other providers in the same ZIP code as Wisconsin Laser And Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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