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NPI 1932207669 · Flowood, MS · Ambulatory Surgical Clinic/Center
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Eye Surgical Center Of Mississippi is a ambulatory surgical clinic/center provider located in Flowood, Mississippi. This profile covers 4 Medicare and 3 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 | Eye Surgical Center Of Mississippi |
| Address | 1053 River Oaks Dr |
| City | Flowood |
| State | MS |
| ZIP | 39232 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | September 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.6M |
| Medicaid | $846.7K |
EYE SURGICAL CENTER OF MISSISSIPPI operates as an Ambulatory Surgical Clinic/Center with a procedure mix overwhelmingly concentrated on cataract surgery and immediate intraocular lens implantation, as evidenced by its top codes 66984, 66991 and 66821. The code descriptions (lens insertion after extracapsular cataract removal, insertion of an intraocular lens with anterior segment drainage device, and laser posterior capsulotomy) align with a focused eye surgery center that primarily delivers high-volume cataract care rather than a broad multispecialty ambulatory facility.
Medicare revenue is highly concentrated: total Medicare revenue is $1.6M and the precomputed top-3 Medicare codes account for 99.0% of that Medicare revenue. In particular, 66984 generates $1.4M (85.9% of Medicare revenue) on 1.8K claims at $780 avg paid/claim, while 66991 and 66821 contribute $127.7K (7.9%) and $83.9K (5.2%) respectively, signaling heavy dependence on a small set of cataract-related CPTs for Medicare receipts.
Medicaid revenue is even more concentrated: total Medicaid revenue is $846.7K and the precomputed top-3 Medicaid codes account for 100.0% of that Medicaid revenue. Code 66984 alone produces $844.3K (99.9% of Medicaid revenue) on 3.4K claims at $250 avg paid/claim, with the remaining listed Medicaid codes (66821 and G8907) contributing negligible revenue, which indicates near-exclusive billing to Medicaid for a single cataract surgery CPT.
The provider’s payer mix is skewed toward Medicare in scale—Medicare revenue ($1.6M) exceeds Medicaid revenue ($846.7K)—but operational volume for the flagship cataract code is larger on Medicaid (3.4K claims for 66984) than on Medicare (1.8K claims for 66984). The combination of higher Medicare payments per claim ($780 avg on 66984) and higher Medicaid claim counts at lower unit payment ($250 avg on 66984) shapes the financial profile and suggests different revenue dynamics by payer.
National competitive standing on Medicare shows above‑average ranks but is characterized in the source descriptors as routine: 66984 ranks #1192 of 15965 (93th percentile), 66821 ranks #269 of 10087 (97th percentile), and 66991 ranks #286 of 1445 (80th percentile), with each labeled as "typical, unremarkable volume for this code." These labels suggest the provider’s Medicare cataract volumes fall within common peer ranges nationally despite some high percentile placements.
By contrast, the provider is a notable Medicaid performer in-state on the primary cataract code: 66984 ranks #5 of 42 in Mississippi (90th percentile) and is explicitly described as "notably above typical state volume," indicating the center is a leading in-state source of Medicaid-funded cataract procedures. This strong in-state position on Medicaid for 66984 differentiates its competitive footprint between national Medicare peers and local Medicaid peers.
The NPI was enumerated on 2006-09-20 (~20 years ago), indicating long-standing enrollment and operational tenure in the market. That tenure, paired with concentrated procedural specialization, supports a view of an established, procedure-focused ambulatory surgical center rather than a new entrant.
Administrative/quality reporting activity shows 255 Medicaid claims for G8907 with $0 avg paid/claim and $0 revenue, which likely reflects reporting or compliance billing for a patient-safety/quality item without associated payment. This pattern suggests the center documents safety/completion events in billing data even when those entries do not generate revenue, and it may be relevant for payers evaluating documentation practices.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 1,780 | $780 | $1.4M |
| 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… | 50 | $2,370 | $127.7K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 430 | $200 | $83.9K |
| 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… | 20 | $760 | $16K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
3 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… | 3,380 | $250 | $844.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 10 | $70 | $920 |
| 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… | 260 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
3 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… | 5 | 40 | 300 | $180 | $191.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 12 | 10 | 160 | $50 | $18.3K |
| 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… | 37 | 60 | 520 | $1 | $200 |
Other providers in the same ZIP code as Eye Surgical Center Of Mississippi, ranked by combined Medicare and Medicaid revenue.
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