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NPI 1952348013 · Bismarck, ND · Ambulatory Surgical Clinic/Center
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Dakota Surgery & Laser Center LLC is a ambulatory surgical clinic/center provider located in Bismarck, North Dakota. This profile covers 11 Medicare and 4 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 | Dakota Surgery & Laser Center LLC |
| Address | 430 E Sweet Ave |
| City | Bismarck |
| State | ND |
| ZIP | 58504 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $28.4K |
DAKOTA SURGERY & LASER CENTER LLC operates as an ambulatory surgical clinic/center focused on ophthalmic procedures: its Medicare billing is dominated by cataract surgery and related intraoperative products, with primary revenue drivers being 66984, J1097 and 66821. The presence of high-volume supply billing for J1097 (ophthalmic irrigation solution) alongside surgical CPTs indicates the center conducts large numbers of intraoperative cataract procedures and bills both the procedure and associated ophthalmic supplies.
Medicare revenue is concentrated in a very small set of services: the precomputed top 3 Medicare codes by revenue account for 81.6% of the provider’s total Medicare revenue. In particular, 66984 represents $898.2K (54.2% of Medicare revenue) and J1097 represents $358.6K (21.6% of Medicare revenue), showing that a majority of Medicare dollars flow from cataract procedures and the associated ophthalmic irrigation product.
On the Medicaid side the provider’s billing is even more concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of the provider’s total Medicaid revenue. Those three are 66984 ($15.5K, 54.6% of Medicaid revenue), J1097 ($6.6K, 23.3%) and 00142 ($6.3K, 22.1%), indicating Medicaid revenue is essentially limited to the same cataract procedure, the ophthalmic irrigation product, and anesthesia services for lens procedures.
This provider is effectively Medicare-dominant by scale: lifetime Medicare revenue is $1.7M versus total Medicaid revenue of $28.4K, so Medicare represents the overwhelming share of patient mix and payer receipts on file. The small absolute Medicaid total suggests the facility’s business model and patient population skew heavily toward Medicare-aged patients and fee-for-service Medicare reimbursement.
Competitive standing by code is mixed: for Medicare 66984 ranks #1819 of 15965 (89th percentile) and is described as typical/unremarkable volume nationally for that code, while J1097 ranks #51 of 443 (89th percentile) and likewise appears as a strong but not atypical supplier-level volume. Conversely, 66821 ranks #180 of 10087 (98th percentile) and is flagged as notably above typical national volume, and 67900 ranks #23 of 444 (95th percentile) also noted as notably above typical national volume — together those flags indicate the center is a regional outlier for certain postoperative and oculoplastic procedures even while its core cataract volume is within expected national bounds.
State-level Medicaid comparisons show a localized leadership in supply and anesthesia billing: J1097 ranks #1 of 2 in-state (100th percentile) and 00142 ranks #1 of 1 in-state (no peer volume comparison available), suggesting this facility is a primary filer for those items within its state-level peer set. By contrast, Medicaid 66984 ranks #3 of 5 in-state (50th percentile) and is described as typical, so the provider is not uniquely dominant statewide for the cataract procedure itself.
The code mix includes multiple oculoplastic and reconstructive procedures (15823, 67900, 67917, 67924) and corneal-tissue processing (V2785), indicating the center performs a broader set of anterior segment and eyelid surgeries beyond routine cataract extraction. Several of these codes contribute material, if smaller, shares of Medicare revenue (for example 15823 and 67900 together contribute several percent each), which supports a service-line profile that includes both cataract surgery and ancillary oculoplastic services.
The provider has an established tenure in the Medicare program, with NPI enumerated on 2006-05-31 (~20 years ago), which alongside $1.7M in lifetime Medicare revenue suggests a sustained surgical practice. That longevity plus the concentrated Medicare revenue profile implies a stable, surgery-focused ambulatory center with a business model built around ophthalmic procedures for an older patient population.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 1,150 | $780 | $898.2K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4,720 | $80 | $358.6K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 570 | $170 | $96.4K |
| 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. | 60 | $1,420 | $85.1K |
| 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… | 150 | $370 | $53.4K |
| 67900 | The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the… | 100 | $500 | $50.3K |
| V2785 | Processing, preserving and transporting corneal tissue | 10 | $3,460 | $44.9K |
| 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… | 50 | $800 | $36.8K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 40 | $520 | $18.1K |
| 67924 | During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and… | 20 | $560 | $11.2K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J1097 | 2 | 10 | 3,660 | $80 | $272.3K |
| V2785 | 3 | 10 | 30 | $3,860 | $100.4K |
| 66984 | 2 | 100 | 50 | $350 | $61.2K |
| 65820 | 1 | 10 | 20 | $1,020 | $30.7K |
| 66982 | 7 | 20 | 40 | $590 | $29.4K |
| 66821 | 1 | 30 | 80 | $230 | $27.3K |
| 15823 | 2 | 10 | 30 | $480 | $27.2K |
| 67900 | 1 | 10 | 60 | $420 | $25.9K |
| 67917 | 1 | 10 | 20 | $480 | $11.6K |
| 67924 | 1 | 10 | 20 | $480 | $8.7K |
Showing 1–10 of 11
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.
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… | 120 | $130 | $15.5K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 70 | $90 | $6.6K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 180 | $40 | $6.3K |
| 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… | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Dakota median
4 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… | 3 | 10 | 120 | $480 | $55.1K |
| J1097 | phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1 | 10 | 60 | $140 | $7.6K |
| 00142 | The provider performs anesthesia services for a patient undergoing an eye lens procedure. | 1 | 10 | 180 | $40 | $6.3K |
| 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… | 1 | 10 | 50 | $0 | $0 |
Other providers in the same ZIP code as Dakota Surgery & Laser Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pride Inc. | ND | Developmentally Disabled Services Day Training Agency | $0 | $71.1M |
| Sanford Bismarck | ND | Multi-Specialty Clinic/Center | $0 | $43.9M |
| Support Systems, Inc. | ND | Community/Behavioral Health Agency | $0 | $37.7M |
| Bridging The Dental Gap Inc | ND | Dental Clinic/Center | $0 | $6.8M |
| Pride Inc | ND | Community/Behavioral Health Agency | $0 | $6.6M |
| Pride Inc. | ND | Community/Behavioral Health Agency | $0 | $5.7M |
| Pride Inc | ND | Community/Behavioral Health Agency | $0 | $4.9M |
| The Kid's Therapy Center LLC | ND | Community/Behavioral Health Agency | $0 | $1.5M |
| City Of Bismarck | ND | State or Local Public Health Clinic/Center | $111.3K | $1.3M |
| Derik Hoerner, Dds, PC | ND | Dentist | $0 | $1.1M |
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