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NPI 1952712382 · Christiansted, VI · Ambulatory Surgical Clinic/Center
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Plessen Eye, LLC is a ambulatory surgical clinic/center provider located in Christiansted, U.S. Virgin Islands. This profile covers 4 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 | Plessen Eye, LLC |
| Address | 5 Orange Grove |
| City | Christiansted |
| State | VI |
| ZIP | 00820 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 20, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $119.5K |
| Medicaid | $27.9K |
Practice appears to be an ambulatory surgical clinic centered on ophthalmology with supplemental interventional procedures: the largest Medicare revenue driver is 66984 (cataract extraction with lens insertion) generating $63.8K (53.4% of Medicare revenue), and Medicare billing also includes 66982 (complex cataract/IOL insertion) and non-ophthalmic interventional code 36902 (dialysis-access angioplasty) indicating either multi-specialty use of the facility or visiting specialists performing vascular procedures on site. The code mix — dominated by high-volume cataract work alongside angiographic dialysis-access interventions and an epidural injection code (64483) — suggests the center schedules both routine ophthalmic surgeries and episodic interventional procedures. This operational mix is consistent with an Ambulatory Surgical Clinic/Center taxonomy.
Medicare revenue is concentrated: the provider’s top three Medicare codes account for 93.4% of total Medicare revenue, with 66984 at $63.8K (53.4%), 36902 at $38.9K (32.6%), and 64483 at $8.9K (7.4%). This concentration indicates a small set of procedures drives the vast majority of Medicare receipts, which increases sensitivity of revenue to volume or reimbursement changes for those specific codes.
Medicaid billing is effectively single-procedure revenue: 66984 accounts for $27.9K and 100.0% of the provider’s total Medicaid revenue (54 claims, $516 avg paid/claim), while G8907 appears on the Medicaid file with 144 claims but $0 revenue. In practical terms, Medicaid revenue for this provider is entirely driven by cataract surgery reimbursement, with the zero-dollar quality/safety code contributing operational documentation rather than cash flow.
Payer mix shows Medicare is the dominant public payer by scale: lifetime Medicare revenue is $119.5K versus lifetime Medicaid revenue of $27.9K, so Medicare constitutes the larger share of public-payer receipts for this entity. Both payers are present, but Medicare clearly represents the primary revenue source among government payers for this clinic.
Competitive standing on Medicare procedures is modest rather than dominant: 66984 ranks #8133 of 15965 providers nationally (49th percentile) and is described as "typical, unremarkable volume," 36902 ranks #945 of 1666 (41th percentile) and is "typical, unremarkable volume," 64483 ranks #5177 of 8202 (36th percentile) and is "typical, unremarkable volume," and 66982 ranks #4479 of 4580 (1th percentile) and is also "typical, unremarkable volume." These rankings and labels indicate the provider is a routine-volume participant nationally for its top Medicare codes rather than a high-volume or outlier operator.
State-level competitive posture for Medicaid is limited: 66984 ranks #3 of 4 in-state (33th percentile) with typical, unremarkable volume, so the provider is not a leading Medicaid cataract surgery site in the state. G8907 ranks #1 of 2 in-state (100th percentile) in claim count but carries $0 revenue, so that ranking does not translate into a revenue-based competitive advantage statewide.
Tenure and scale point to an established but small operation: the NPI was enumerated on 2014-05-20 (~12 years ago), indicating the clinic has been active for over a decade, yet lifetime Medicare revenue of $119.5K and Medicaid revenue of $27.9K imply relatively modest overall billing volume for an ambulatory surgical center over that period. This combination suggests an established local facility with constrained case volume rather than a high-throughput regional ASC.
Operational nuance: the coexistence of high-revenue cataract surgery codes (66984, 66982) with a substantial single-procedure vascular/interventional code (36902) and an epidural injection code (64483) implies the facility either accommodates multiple procedural specialties or contracts with visiting clinicians for episodic services. Analysts should treat the provider as a small, mixed-service ambulatory site where shifts in referral patterns for cataract surgery or dialysis-access interventions would materially affect total revenue.
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… | 100 | $670 | $63.8K |
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 30 | $1,500 | $38.9K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 40 | $220 | $8.9K |
| 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… | 10 | $660 | $7.9K |
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.
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… | 50 | $520 | $27.9K |
| 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… | 140 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. U.S. Virgin Islands 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… | 3 | 10 | 70 | $430 | $30.3K |
| 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 | 80 | $0 | $0 |
Other providers in the same ZIP code as Plessen Eye, LLC, ranked by combined Medicare and Medicaid revenue.
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