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NPI 1275594970 · Washington, DC · Ophthalmology Physician
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Salim Butrus is a ophthalmology physician provider located in Washington, District of Columbia. This profile covers 22 Medicare and 10 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 | Individual |
| Organization | Salim Butrus |
| Address | 650 Pennsylvania Ave Se |
| City | Washington |
| State | DC |
| ZIP | 20003 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | March 31, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $308K |
| Medicaid | $44.3K |
SALIM BUTRUS is a long‑tenured ophthalmology physician (NPI enumerated 2006-03-31, ~20 years ago) whose billed services combine routine office-based ophthalmic care with procedural work. The Medicare top codes mix high-volume E/M (99213) and procedure-driven services (65855 glaucoma laser; 92083 visual field testing), indicating a practice that delivers both ambulatory patient visits and specialty procedural treatments.
Medicare is the dominant payer in scale for this provider: total Medicare revenue is $308K versus total Medicaid revenue of $44.3K, with Medicare representing the principal revenue stream on file. The concentration of billings toward Medicare is reflected in the specific code mix and absolute revenue amounts reported for each payer.
Revenue concentration is notable for both payers. On Medicare the top three codes account for 58.1% of total Medicare revenue (led by 99213 at $100.2K, 65855 at $54.8K, and 92083 at $23.9K), while on Medicaid the top three codes account for 75.4% of total Medicaid revenue (led by 92012 at $16.2K, 99213 at $8.9K, and 92083 at $8.8K), showing that a small set of services drives most collections for each payer.
The provider’s competitive standing on selected Medicare codes shows national outlier behavior for routine E/M and glaucoma procedures. Medicare 99213 is an "extreme outlier" (ranks #2804 of 457151, 99th percentile) and 65855 is also an "extreme outlier" (ranks #27 of 2796, 99th percentile), indicating unusually high national volume for both the office‑visit and glaucoma laser categories. By contrast, cataract surgery codes (66984, 66982) are at typical national volumes (29th and 16th percentiles respectively), suggesting cataract surgery is a less dominant service line for this provider compared with glaucoma and E/M work.
Diagnostic and imaging services are a prominent part of the workflow. Codes like 92083 (visual field testing) rank notably high on Medicare (97th percentile, "notably above typical") and 92133 (optic nerve imaging) ranks 95th percentile ("notably above typical"), and several other testing codes (92020, 92025, 76514) also sit at high national percentiles — together these findings point to a practice with heavy throughput of ophthalmic diagnostic testing. On Medicaid the same testing codes (92083, 92133, 92250) appear in the top revenue lines but at more typical in‑state ranks, indicating high test volume is primarily captured in Medicare billing.
Medicaid activity is concentrated around intermediate and routine ophthalmic exams at low per‑claim payments. Medicaid top codes 92012 ($19 avg paid/claim, $16.2K) and 99213 ($7 avg paid/claim, $8.9K) together make up the majority of Medicaid revenue, and other high-count codes (92083, 92250) contribute meaningfully. In‑state rank positions for those Medicaid codes are mostly mid‑range (for example 92012 ranks #9 of 31, 73th percentile), indicating a solid but not dominant statewide presence for routine ophthalmology visits.
There are pockets of in‑state concentration for niche services. Medicaid code 92286 ranks #1 of 2 providers in‑state (100th percentile, labeled "typical, unremarkable volume") and Medicare shows elevated ranks for some less frequent procedures (for example 76514 at the 97th percentile), which suggests the provider offers certain specialized diagnostic procedures that few peers in the state perform. These niche offerings may be important differentiators for referrals or payer contracting despite representing smaller absolute revenue shares.
Overall, the profile portrays a clinically broad ophthalmology practice with heavy reliance on Medicare income, concentrated revenue in a few codes (58.1% of Medicare and 75.4% of Medicaid from the top three codes), and national‑level predominance in office visits and glaucoma laser procedures. Analysts evaluating capacity, contracting leverage, or service-line strategy should note the mix of high-volume diagnostic/testing throughput and procedure‑driven revenue concentrated in a small set of codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,370 | $70 | $100.2K |
| 65855 | In 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. | 260 | $220 | $54.8K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 450 | $50 | $23.9K |
| 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 | $470 | $21.2K |
| 99204 | The 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… | 100 | $130 | $12.4K |
| 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… | 20 | $640 | $10.9K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 370 | $30 | $10.8K |
| 99214 | The 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… | 120 | $90 | $10.4K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 40 | $280 | $9.8K |
| 92014 | An 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… | 70 | $100 | $7.1K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92012 | For 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… | 850 | $20 | $16.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,270 | $10 | $8.9K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 740 | $10 | $8.8K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 480 | $10 | $3.4K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 620 | $1 | $2.5K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 560 | $1 | $2.2K |
| 92286 | In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then… | 60 | $30 | $1.8K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 470 | $1 | $930 |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 60 | $1 | $240 |
| 76514 | The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes. | 20 | $1 | $20 |
How this provider's Medicaid billing volume and revenue compare to other District of Columbia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. District of Columbia median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 119 | 320 | 620 | $50 | $313.6K |
| 92012 | For 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… | 9 | 30 | 490 | $60 | $81.8K |
| 92083 | The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended… | 10 | 20 | 740 | $30 | $58.7K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 13 | 20 | 510 | $30 | $50.2K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 21 | 40 | 580 | $10 | $23.7K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 8 | 20 | 340 | $20 | $11.6K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 5 | 20 | 240 | $10 | $11.6K |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 2 | 10 | 60 | $20 | $3.2K |
| 76514 | The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes. | 9 | 10 | 60 | $10 | $2.2K |
| 92286 | In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then… | 1 | 10 | 50 | $20 | $910 |
Other providers in the same ZIP code as Salim Butrus, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Universal Home Healthcare Inc. | DC | Home Health Agency | $0 | $69.8M |
| Community Connections Inc | DC | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $69.4M |
| Iya Homes And Community Solutions, LLC | DC | Community/Behavioral Health Agency | $0 | $11.3M |
| Psi Services 111 Inc. | DC | Developmentally Disabled Services Day Training Agency | $0 | $5.4M |
| Husband Therapeutics | DC | Home Health Agency | $0 | $2.7M |
| Juanita Bryant | DC | Retina Specialist (Ophthalmology) Physician | $1.9M | $239.4K |
| Accent On Health, LLC | DC | Internal Medicine Physician | $0 | $1.3M |
| Grubbs Pharmacy Of Dc Inc | DC | Community/Retail Pharmacy | $106.5K | $935.3K |
| Alfred Burris | DC | Cardiovascular Disease Physician | $469.2K | $356.3K |
| Christopher Burris | DC | Ophthalmology Physician | $127.7K | $642.6K |
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