Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Eye Surgery Center Of Chester County, LLC (NPI 1992784821)

Key Findings

Field	Value
Entity Type	Organization
Organization	Eye Surgery Center Of Chester County, LLC
Address	140 John Robert Thomas Dr
City	Exton
State	PA
ZIP	19341
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	January 10, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

The provider operates as an ambulatory surgical clinic/center with a procedure mix heavily concentrated in cataract and related anterior-segment services; the single largest code is 66984 (phacoemulsification with intraocular lens insertion) and the presence of codes such as 66991 and 66821 indicates a workflow that includes primary cataract surgery, combined cataract + drainage procedures, and post‑op laser capsulotomy. This pattern and the Ambulatory Surgical Clinic/Center taxonomy are consistent with an outpatient surgical practice focused on ophthalmic procedures rather than broad multispecialty inpatient care.

Revenue is highly concentrated in a very small set of cataract-related codes: top 3 Medicare codes by revenue account for 87.3% of this provider's total Medicare revenue, led by 66984 at $1.8M (74.7% of Medicare revenue), followed by 66991 at $241.5K (9.9%), and 66821 at $67.6K (2.8%). Such concentration indicates the business is substantially dependent on cataract-related case volume for Medicare revenue generation.

Payer mix is effectively single-payer Medicare: Total Medicare revenue is $2.4M while Total Medicaid revenue is none (no Medicaid billing on file), so the provider has no Medicaid billing on record and therefore limited revenue diversification by payer. Analysts should treat this entity as Medicare‑centric when modeling reimbursement risk or market exposure.

On competitive standing for the top cataract codes the provider ranks at the high end nationally: 66984 ranks #918 of 15965 providers (94th percentile; notably above typical national volume) and 66991 ranks #88 of 1445 providers (94th percentile; notably above typical national volume), indicating this ASC is a relatively high‑volume national participant for core cataract services. These high national percentiles suggest market strength in standard cataract procedures compared with most peers.

Several secondary codes show either modest or typical participation rather than dominance: 66821 (YAG capsulotomy) is listed as 96th percentile but described as typical, unremarkable volume, and other codes such as 66982, 67908 and 67042 are characterized in their entries as typical, unremarkable volume or modest percentiles. This mix implies strong specialization in primary cataract work with routine levels of ancillary anterior/posterior segment and oculoplastic procedures rather than outsized market share across multiple ophthalmic subspecialties.

The provider performs a measurable but smaller volume of posterior-segment and retina procedures (e.g., 67042 at $33.2K and 67041 at $21.6K) alongside oculoplastic codes (for example 67904 at $27.3K and 67908 at $26.1K), indicating the center offers a breadth of ophthalmic surgical services beyond cataract extraction while still deriving most revenue from anterior-segment cataract care. This operational breadth is consistent with ambulatory surgical centers that handle both routine cataracts and selected specialty cases.

Use of intraoperative/adjunct drugs and irrigation solutions appears minimal: J1097 (phenylephrine/ketorolac irrigation) shows 43 claims and $3.3K revenue (0.1% of Medicare revenue) and ranks #437 of 443 providers nationally (1th percentile; typical, unremarkable volume), suggesting limited adoption or billing of this specific irrigation product in the ASC's Medicare cases. Analysts evaluating supply chain or implant/drug cost exposure should note this low recorded utilization.

The practice has long tenure in Medicare billing—NPI enumerated 2006-01-10 (~20 years ago)—which, combined with $2.4M in lifetime Medicare revenue concentrated in high-volume cataract codes, points to a stable, established outpatient surgical operation that has sustained cataract procedural volume over many years. Tenure plus a concentrated revenue base supports the interpretation of a focused, enduring ASC business model rather than a newly formed or broadly diversified provider.

Medicare: Complete Services Breakdown

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

20 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…	2,130	$860	$1.8M
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…	90	$2,570	$241.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	320	$210	$67.6K
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…	70	$860	$58.7K
67042	In 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…	20	$1,510	$33.2K
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	50	$540	$27.3K
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.	20	$1,550	$26.3K
67908	The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…	50	$580	$26.1K
68815	The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct. He inserts a tube or stent to keep the nasolacrimal duct open.	40	$530	$21.6K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	10	$1,540	$21.6K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services (pa), LLC	PA	Home Health Agency	$0	$30.4M
Chester County Home Care Associates, LLC	PA	Home Health Agency	$0	$13.6M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$8.9M
Joshua Cantor	PA	Anatomic Pathology & Clinical Pathology Physician	$2.2M	$140.6K
Sucharitha Shanmugam	PA	Rheumatology Physician	$1.8M	$0
Aerlyn Dawn	PA	Dermatology Physician	$1.2M	$0
Scott Gottlieb	PA	Dermatology Physician	$1.1M	$0
Michael Lehrer	PA	MOHS-Micrographic Surgery Physician	$859.6K	$0
Premier At Exton Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$839.6K	$3.3K
Uwchlan Ambulance Corps	PA	Land Ambulance	$524K	$287.3K

Eye Surgery Center Of Chester County, LLC — Billing Profile & Reimbursement Data

Sign up for Eye Surgery Center Of Chester County, LLC — Billing Profile & Reimbursement Data policy alerts

Eye Surgery Center Of Chester County, LLC — Billing Profile & Reimbursement Data

Sign up for Eye Surgery Center Of Chester County, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	25	30	840	$80	$119.3K
66984	3	670	80	$530	$97.8K
66991	7	70	40	$1,430	$67K
65820	43	50	30	$950	$36.2K
67042	21	50	20	$1,100	$31.9K
67041	7	10	20	$1,160	$27.8K
66982	22	200	30	$640	$23.2K
67904	14	60	30	$580	$22.7K
14061	28	30	20	$760	$21.3K
15823	18	70	30	$520	$20.7K