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    OpenPayerNPI Medicare & MedicaidScott Mcclintic
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    Scott Mcclintic — Billing Profile & Reimbursement Data

    NPI 1033349972 · Salem, OR · Ophthalmology Physician

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    Scott Mcclintic is a ophthalmology physician provider located in Salem, Oregon. This profile covers 17 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 TypeIndividual
    OrganizationScott Mcclintic
    Address2450 12th St Se
    CitySalem
    StateOR
    ZIP97302
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 24, 2009

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    SCOTT MCCLINTIC is an ophthalmology physician in Salem, OR with Total Medicare revenue of $1.7M and no Medicaid billing on file, making the provider effectively a single‑payer (Medicare) practice in the available data. The absence of any Medicaid claims means payer-mix insights are limited to Medicare only and the provider does not appear to participate in Medicaid according to the records provided.

    Revenue is highly concentrated in a small set of intravitreal injection codes: the precomputed top three Medicare codes account for 89.0% of this provider's Medicare revenue. Those top drivers are J0178 ($952.2K, 57.4%), J2777 ($417.6K, 25.2%), and 67028 ($107.7K, 6.5%), indicating that injection therapies are the primary source of billed Medicare dollars.

    The code mix points to a retina/injection‑focused outpatient practice model: large shares come from J0178 and J2777 (aflibercept and faricimab injections) supplemented by the procedure code 67028 for isolated intravitreal injection and retinal imaging codes such as 92134 and 92235. This pattern suggests the operation is structured around recurring retinal injection treatments with ancillary diagnostic imaging and in‑office compounding (J7999) to support those services.

    On competitive standing for the highest‑revenue codes, the provider is a modest participant rather than a dominant national player: J0178 ranks #908 of 3204 (72th percentile; typical, unremarkable volume), J2777 ranks #738 of 2039 (64th percentile; typical, unremarkable volume), and 67028 ranks #1170 of 4255 (72th percentile; typical, unremarkable volume). These ranks indicate above‑median volume for key injection services but not top-tier volume among national peers.

    Diagnostic imaging shows relatively strong placement in national ranking but still carries a small share of revenue: 92134 produced $35K (2.1% of Medicare revenue) and ranks #1877 of 26868 (93th percentile; typical, unremarkable volume), while fluorescein angiography 92235 generated $10.8K (0.7%) and ranks #594 of 2192 (73th percentile; typical, unremarkable volume). In plain terms, retinal imaging is used regularly alongside injections but is not the primary revenue driver.

    Most reported CPT/HCPCS lines are described in the source as "typical, unremarkable volume," and there are no codes labeled as extreme outliers or notably above typical; examples include J7999 at the 85th percentile (typical, unremarkable volume) and 99214 at the 80th percentile (typical, unremarkable volume). This suggests the provider’s utilization patterns fall within the expected range for ophthalmology peers, with no singularly anomalous billing patterns called out in the data.

    Procedure mix shows limited surgical retina activity relative to injections: retinal laser and peripheral retina procedures such as 67228 and 67145 account for very small shares of revenue ($5.8K and $2.2K respectively) and lower national placement (67228 ranks #355 of 648, 43th percentile; 67145 ranks #693 of 861, 12th percentile; both described as typical, unremarkable volume). This supports the interpretation that the practice is centered on medical retina/injection care rather than high volumes of surgical interventions.

    The provider has an established enrollment history, with an NPI enumerated 2009-07-24 (~17 years ago), indicating long tenure in Medicare billing which can support stable referral and treatment pathways for recurring intravitreal therapies. Combined with the concentrated revenue mix, the tenure suggests an experienced, procedure‑focused ophthalmology practice serving Medicare beneficiaries in the Salem area.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,380$690$952.2K
    J2777Injection, faricimab‑svoa, 0.1 mg14,400$30$417.6K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,170$90$107.7K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,210$30$35K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…400$90$33.9K
    J7999Compounded drug, not otherwise classified420$70$29.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…320$90$28.8K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…120$120$13.7K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…190$70$12.6K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…100$100$10.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781460840$680$623.7K
    J2777123010,050$30$527.6K
    670281970580$90$72.3K
    J79991750270$70$23.4K
    9201469440110$80$16K
    9223563060$100$11.1K
    992146326,07080$70$10.3K
    921343139080$30$8.1K
    920122617050$60$7.2K
    6722811020$250$5.8K

    Showing 1–10 of 17

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Scott Mcclintic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Professional ServicesORGeneral Practice Physician$0$55.6M
    Legacy Clinics LLCORClinic/Center$35.6K$48.7M
    University Professional ServicesORPharmacy$0$8.1M
    Retina Consultants, LLPOROphthalmology Physician$0$6.6M
    Monica MichelottiOROphthalmology Physician$2.5M$0
    Rene ChoiOROphthalmology Physician$2.2M$0
    Dong-wouk ParkWARetina Specialist (Ophthalmology) Physician$1.9M$0
    Justin BaynhamOROphthalmology Physician$1.4M$0
    Ngoc-lam NguyenFLOrthopaedic Surgery of the Spine Physician$1.3M$0
    Andrew WestfallOROphthalmology Physician$1.1M$0

    Nearby Providers

    Other providers in the same ZIP code as Scott Mcclintic, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crc Health Oregon, LLCORMethadone Clinic$485.5K$26.1M
    Salem Psychiatric Associates PCORClinical Social Worker$0$22.7M
    Shangri-la CorporationORMental Illness Community Based Residential Treatment Facility$0$13.5M
    Cascade Infectious Diseases And Infusion LLCORInfusion Therapy Clinic/Center$0$9.6M
    Salem Pediatric ClinicORPediatrics Physician$0$9M
    Silver Falls Dermatology, LLCORDermatology Physician$0$6.8M
    Cascade Sleep Supply, LLC.ORDurable Medical Equipment & Medical Supplies$0$6.1M
    Creating PathwaysORSpeech-Language Pathologist$0$5.7M
    Salem Pulmonary Associates P.C.ORPulmonary Disease Physician$0$4.8M
    Hhhkc Dental LLCOROral and Maxillofacial Surgery (Dentist)$0$4.7M

    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. Oregon Distribution
    Scott Mcclintic — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon