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NPI 1316350275 · Salem, NH · Ambulatory Surgical Clinic/Center
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Orchard Surgical Center, LLC is a ambulatory surgical clinic/center provider located in Salem, New Hampshire. This profile covers 28 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 | Orchard Surgical Center, LLC |
| Address | 16 Keewaydin Dr |
| City | Salem |
| State | NH |
| ZIP | 03079 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | June 9, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $3.1K |
ORCHARD SURGICAL CENTER, LLC is an Ambulatory Surgical Clinic/Center with a Medicare-focused billing profile: lifetime Medicare revenue is $1.3M versus just $3.1K in Medicaid, indicating Medicare dominates its payer mix. The provider's NPI was enumerated 2014-06-09 (~12 years ago), so this pattern reflects roughly a decade of reported activity.
Revenue concentration on Medicare is high: the precomputed top three Medicare codes by revenue account for 60.1% of the provider's total Medicare revenue, with 66984 (26.8%), 27447 (24.9%), and 27130 (8.3%) the largest single-code contributors. On Medicaid the billing is essentially concentrated in a single procedure: the precomputed top three Medicaid codes account for 100.0% of Medicaid revenue, with 43239 making up that entire $3.1K Medicaid total.
The code mix indicates a multi-specialty ASC with strong ophthalmology and orthopedic procedural volume alongside endoscopy services. 66984 (cataract/IOL insertion) is the single largest Medicare revenue source, while 27447 (knee arthroplasty) and 27130 (hip arthroplasty) show the center also bills major joint replacement codes; concurrent presence of 45385/45380 and 43239 demonstrates active GI endoscopy throughput. This combination is consistent with an ASC that handles high-volume cataract cases plus ambulatory musculoskeletal and endoscopic procedures.
Competitive standing is mixed across its top procedures: 66984 ranks #3331 of 15965 providers nationally (79th percentile; typical, unremarkable volume for this code), which indicates an above-average national presence in cataract surgery for an ASC. 27447 ranks #3954 of 12089 (66th percentile; typical, unremarkable volume) showing mid-level national participation in knee arthroplasty, but 27130 ranks #6312 of 8062 (18th percentile; typical, unremarkable volume), signaling a relatively modest footprint in hip replacement compared with national peers.
Although the provider bills some Medicaid, the Medicaid footprint is negligible relative to Medicare: total Medicaid revenue is $3.1K, entirely from 43239 (15 claims), and 43239 ranks #23 of 26 providers in-state (12th percentile; typical, unremarkable volume for this code). The Medicaid data therefore suggest the center is not a significant Medicaid provider in-state and is functionally Medicare-dominant in scale.
Several specialty-specific codes show above-average relative volumes within Medicare that help characterize service strengths: 45380 ranks in the 90th percentile and 26055 in the 92nd percentile (both described as typical, unremarkable volume), and 29848 is in the 83rd percentile, reflecting comparatively higher activity in colonoscopy with biopsy, trigger-finger release, and wrist endoscopy. At the same time, other procedure codes such as 63047 (7th percentile) and 27130 (18th percentile) are low relative to national peers, indicating selective strength rather than broad dominance across all surgical lines.
Operational and coding notes of potential interest: the provider reported 18 claims for 55700 (a code listed here) even though that code was deleted December 31, 2025, which may affect longitudinal comparisons. Also, G8907 appears on the Medicaid file with 319 claims but $0 paid, while all Medicaid revenue is tied to 43239, underscoring that reported claim counts do not necessarily correspond to payable Medicaid revenue for this entity.
From a business perspective, the combination of a single large Medicare revenue pool ($1.3M), concentrated top-3 Medicare code share (60.1%), and minimal Medicaid revenue (100.0% of Medicaid revenue from one code) signals an ASC that should be evaluated as a Medicare-centric ambulatory surgical operator with focused strengths in cataract and selected orthopedic and endoscopic procedures rather than a broadly diversified Medicaid-serving facility.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
28 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… | 410 | $830 | $337.8K |
| 27447 | In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The… | 40 | $7,130 | $313.8K |
| 27130 | In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or… | 20 | $6,980 | $104.7K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 140 | $450 | $62.6K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 160 | $370 | $59.7K |
| 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 | $810 | $37.3K |
| 26055 | Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may… | 80 | $430 | $35.2K |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 80 | $410 | $33.4K |
| 29848 | The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness. | 70 | $460 | $30K |
| 29827 | The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and… | 10 | $2,120 | $29.7K |
Showing 1–10 of 28
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
28 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 16 | 60 | 220 | $310 | $144.6K |
| 27447 | 39 | 90 | 40 | $1,310 | $57.7K |
| 27130 | 57 | 70 | 30 | $1,580 | $55.3K |
| 29848 | 3 | 10 | 70 | $410 | $29K |
| 66982 | 7 | 30 | 30 | $660 | $26.5K |
| 45385 | 25 | 100 | 80 | $250 | $26.5K |
| 29827 | 15 | 20 | 20 | $1,160 | $24.4K |
| 67041 | 2 | 10 | 20 | $1,490 | $23.9K |
| 67036 | 2 | 10 | 20 | $980 | $17.6K |
| 64635 | 35 | 40 | 40 | $370 | $16.1K |
Showing 1–10 of 28
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 |
|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 20 | $210 | $3.1K |
| 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… | 320 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Hampshire median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 23 | 30 | 210 | $200 | $104.6K |
| 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… | 3 | 10 | 120 | $0 | $0 |
Other providers in the same ZIP code as Orchard Surgical Center, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Neuro Rehab Associates, Inc | NH | Rehabilitation Hospital | $0 | $55.5M |
| J & K Staffing Solutions, LLC | NH | Home Health Agency | $0 | $19.3M |
| North Atlantic Surgical Suites, LLC | NH | Ambulatory Surgical Clinic/Center | $1.7M | $0 |
| Salem School District | NH | Local Education Agency (LEA) | $0 | $1.4M |
| Pediatric Dentistry Of Salem | NH | Pediatric Dentistry | $0 | $1.2M |
| Town Of Salem | NH | Ambulance | $550.6K | $375.5K |
| Convenientmd LLC | NH | Clinical Medical Laboratory | $0 | $876.5K |
| Mass General Brigham Medical Group, Inc. | NH | Internal Medicine Physician | $0 | $754.6K |
| Deepak Sharma Md PC | NH | Pediatrics Physician | $0 | $625.2K |
| T&g LLC | NH | In Home Supportive Care Agency | $0 | $593.8K |
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