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NPI 1922316835 · Chippewa Falls, WI · Ambulatory Surgical Clinic/Center
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Independent Surgery Center LLC is a ambulatory surgical clinic/center provider located in Chippewa Falls, Wisconsin. This profile covers 5 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 | Independent Surgery Center LLC |
| Address | 2751 Commercial Blvd |
| City | Chippewa Falls |
| State | WI |
| ZIP | 54729 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 14, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $775.9K |
| Medicaid | $89.1K |
INDEPENDENT SURGERY CENTER LLC operates as an ambulatory surgical clinic/center with a clinical mix heavily weighted toward ophthalmic procedures; the top Medicare and Medicaid codes (66984, 66821, 66982) are all cataract- or anterior-segment eye procedures, signaling the facility functions primarily as a cataract surgery center rather than a general multi‑specialty ASC. The taxonomy and code mix align with a focused surgical practice performing lens implantation, posterior capsulotomy, and more complex intraocular lens cases.
Medicare revenue is highly concentrated: the provider reports $775.9K in total Medicare revenue and its precomputed top-3 Medicare codes account for 97.7% of that Medicare revenue, with 66984 alone representing 87.4% of Medicare receipts, 66821 accounting for 6.7%, and 66982 contributing 3.6%. This level of concentration indicates financial performance is driven almost entirely by a small set of cataract-related procedures.
Medicaid billing is essentially single-code: the provider reports $89.1K in total Medicaid revenue and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with 66984 responsible for 100.0% of the Medicaid revenue (276 claims, $323 avg paid/claim). Medicaid participation is materially smaller in scale than Medicare and is concentrated in the same primary cataract procedure.
Payer mix is Medicare-dominant: lifetime Medicare revenue of $775.9K far exceeds Medicaid revenue of $89.1K, so commercial/Medicare work likely drives the center’s volume and margins while Medicaid represents a modest portion of overall billings. From an analytic perspective the center should be treated as effectively Medicare-primary for strategic benchmarking and risk modeling.
Competitive standing on key codes is modest-to-typical rather than dominant: 66984 ranks #2207 of 15965 providers nationally (86th percentile; typical, unremarkable volume for this code), 66821 ranks #464 of 10087 providers nationally (95th percentile; typical, unremarkable volume for this code), and 66982 ranks #1739 of 4580 providers nationally (61th percentile; typical, unremarkable volume for this code). Those ranks indicate the center appears well within normal peer ranges for these procedures nationally and is not an outlier leader or an unusually low-volume outlier.
Ancillary ophthalmic items and alternate procedures contribute only marginally to Medicare revenue: J1096 represents $15.5K (2.0% of Medicare revenue) and ranks #226 of 282 providers nationally (20th percentile; typical, unremarkable volume for this code), while 65855 represents $2K (0.3% of Medicare revenue) and ranks #1671 of 2796 providers nationally (38th percentile; typical, unremarkable volume for this code). The limited revenue share and modest ranks for these non‑surgical code lines suggest restricted service breadth beyond core cataract procedures.
The provider has an established operational tenure, with its NPI enumerated on 2010-09-14 (~16 years ago), which supports interpreting these concentrated billing patterns as stable rather than transient. The long enumeration period combined with consistent code concentrations indicates an entrenched specialty focus rather than a new or experimental service mix.
The current business profile presents both operational risk and potential strategic opportunity: heavy reliance on a single procedure family (top-3 Medicare codes = 97.7% of Medicare revenue and Medicaid top code = 100.0% of Medicaid revenue) makes revenue sensitive to changes in cataract volumes or reimbursement for 66984, while the small Medicaid footprint ($89.1K) and limited ancillary service billing suggest potential to diversify payer mix or expand non‑cataract services if the center chooses to mitigate concentration risk.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
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… | 820 | $830 | $678.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 300 | $170 | $51.9K |
| 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… | 30 | $830 | $28.2K |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 160 | $100 | $15.5K |
| 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 | $80 | $1.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 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.
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… | 280 | $320 | $89.1K |
| 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… | 40 | $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
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… | 15 | 30 | 210 | $310 | $207.3K |
| 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… | 30 | 40 | 130 | $0 | $0 |
Other providers in the same ZIP code as Independent Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Western Region Recovery & Wellness Consortia | WI | Community/Behavioral Health Agency | $0 | $83.2M |
| Smiles In Motion, S.c. | WI | Pediatric Dentistry | $0 | $9.6M |
| Family Health Center Of Marshfield Inc | WI | Federally Qualified Health Center (FQHC) | $0 | $8.7M |
| St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F | WI | General Acute Care Hospital | $0 | $4.5M |
| Chippewa County | WI | Case Management Agency | $0 | $4.2M |
| Chippewa Falls Area School District | WI | Local Education Agency (LEA) | $0 | $2.2M |
| Rena Christman | WI | Dentist | $0 | $1.2M |
| City Of Chippewa Falls | WI | Land Ambulance | $389K | $532.5K |
| Kunle Onade | WI | Dermatology Physician | $459.1K | $0 |
| Ltc Rx Inc | WI | Long Term Care Pharmacy | $162.3K | $141.8K |
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