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    OpenPayerNPI Medicare & MedicaidSlingsby & Wright Eye Surgery & Laser Center, LLC
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    Slingsby & Wright Eye Surgery & Laser Center, LLC — Billing Profile & Reimbursement Data

    NPI 1952325227 · Rapid City, SD · Ambulatory Surgical Clinic/Center

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    Slingsby & Wright Eye Surgery & Laser Center, LLC is a ambulatory surgical clinic/center provider located in Rapid City, South Dakota. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSlingsby & Wright Eye Surgery & Laser Center, LLC
    Address240 Minnesota St
    CityRapid City
    StateSD
    ZIP57701
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJuly 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$819.1K
    Medicaid$0

    Key Findings

    Service-line profile: The revenue mix is dominated by cataract and anterior-segment ophthalmic procedures, led by phacoemulsification with IOL insertion (66984: $417.6K) and related laser capsulotomy and anterior-segment work (66821, 66991). The presence of vitreoretinal codes such as 67042 and 67108 shows the center also performs some posterior-segment surgery, but these generate materially less revenue than cataract-related care.

    Revenue concentration: Medicare income is highly concentrated in a very small set of codes — the top 3 Medicare codes account for 78.7% of the provider's total Medicare revenue, with 66984 alone representing 51.0% ($417.6K), J1097 contributing 20.9% ($170.7K), and 66991 contributing 6.8% ($55.3K). This concentration indicates the practice’s financial reliance on a limited set of high-revenue ophthalmic services.

    Payer mix: This entity is effectively a single-payer provider in the dataset — total Medicare revenue is $819.1K while there is no Medicaid billing on file. That absence of Medicaid activity means analyses of low-income payer exposure or dual-eligible risk cannot be assessed from the claims on record.

    Competitive standing on primary cataract surgery: The lead cataract code 66984 ranks #2832 of 15965 providers nationally and is reported at the 82th percentile, and the source labels this as a "typical, unremarkable volume for this code." That combination suggests the center is a modest but established national participant in cataract surgery rather than a dominant high-volume outlier.

    Notable relative strength for capsulotomy: Posterior capsulotomy 66821 generated $50.5K (6.2% of Medicare revenue) over 276 claims and ranks #527 of 10087 providers nationally (95th percentile), though it is labeled "typical, unremarkable volume for this code" in the source. The high percentile ranking for 66821, relative to other codes, indicates comparatively elevated activity in YAG laser follow-up care for cataract patients.

    Consumable/supply billing pattern: J1097 shows 2.3K claims and $170.7K in revenue (20.9% of Medicare revenue), which is large in claim count compared with procedural claim volumes (e.g., 66984 at 524 claims). This pattern points to frequent use and billing of ophthalmic irrigation/medication products in outpatient procedures and may reflect routine disposable supply usage across many encounters.

    Retina and ancillary services: Vitreoretinal procedure 67042 accounts for $40.8K (5.0% of Medicare revenue) with a national rank of #320 of 1087 (69th percentile) and is described as "typical, unremarkable volume for this code." More complex retinal repair (67108) appears at lower relative standing (#508 of 706, 20th percentile), indicating the center provides some retina services but is not a major national player in complex retinal surgery.

    Tenure and market presence: The provider’s NPI was enumerated on 2006-07-27 (~20 years ago), indicating a long-standing ambulatory surgical clinic/center presence in Rapid City, SD. Combined with the concentrated Medicare revenue and lack of Medicaid billing, this suggests a stable, specialty outpatient surgery operation focused primarily on cataract and related ophthalmic procedures.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…520$800$417.6K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml2,280$80$170.7K
    66991The 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$2,310$55.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.280$180$50.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$1,460$40.8K
    66982The 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…40$810$30K
    15823In 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…50$490$23.3K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…10$1,460$18.9K
    65400In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,…20$290$4.4K
    65855In 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$100$2.7K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10974104,710$80$422.5K
    6699191070$1,370$119.4K
    669841213040$410$67.7K
    1582371050$510$50.6K
    6704251030$1,140$38.6K
    66821430100$230$35.6K
    6710871020$1,180$34.1K
    66982122040$580$25K
    6540031030$450$13.4K
    65855101040$150$8.6K

    Showing 1–10 of 12

    Nearby Providers

    Other providers in the same ZIP code as Slingsby & Wright Eye Surgery & Laser Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavior Management Systems, Inc.SDCommunity/Behavioral Health Agency$0$19.8M
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Community Health Center Of The Black Hills IncSDFederally Qualified Health Center (FQHC)$0$10.2M
    Jrk Services, IncSDHome Health Agency$0$10.1M
    Black Hills Pediatrics, LLPSDPediatrics Physician$0$9.7M
    Rapid City Emergency Services PASDEmergency Medicine Physician$0$8.2M
    Wellspring Inc.SDPsychiatry Physician$0$7.4M
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Radiology Associates Prof, LLCSDDiagnostic Radiology Physician$0$5.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Dakota Distribution
    Slingsby & Wright Eye Surgery & Laser Center, LLC — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota