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NPI 1740946128 · Salem, OR · Ambulatory Surgical Clinic/Center
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Pacific Cardiovascular Center, LLC is a ambulatory surgical clinic/center provider located in Salem, Oregon. This profile covers 7 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 | Pacific Cardiovascular Center, LLC |
| Address | 550 Hawthorne Ave Se |
| City | Salem |
| State | OR |
| ZIP | 97301 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | November 10, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1M |
| Medicaid | $136.7K |
Business profile and service mix align with an ambulatory surgical clinic/center focused on interventional cardiology: the Medicare and Medicaid top codes are dominated by coronary angiography/left heart catheterization (93458) and coronary stent placement (C9600), with substantial pacemaker implantation/revision activity (33208, 33228). This combination of high-volume imaging plus device procedures indicates an on-site cath lab and capability to perform both diagnostic and therapeutic cardiac procedures in an outpatient surgical setting.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 74.0% of this provider's total Medicare revenue, led by C9600 ($319.6K, 31.2%), 33208 ($240.1K, 23.4%), and 93458 ($199.1K, 19.4%). Reliance on this narrow set of high-revenue codes means changes in utilization, reimbursement, or referral patterns for these procedures could materially affect Medicare revenue.
Medicaid billing is effectively concentrated in a single procedure line: Medicaid revenue is $136.7K and 100.0% of that revenue is attributed to 93458 (192 claims, $712 avg paid/claim), per the precomputed top-3 share. This indicates the provider bills Medicaid primarily for imaging supervision and interpretation related to coronary angiography rather than the device implantation or stenting lines visible in Medicare.
Payer mix is Medicare-dominant in scale: total Medicare revenue is $1M versus $136.7K in Medicaid, so Medicare represents the material majority of publicly billed revenue. The provider should be treated operationally and contractually as primarily a Medicare-focused ambulatory cardiac procedural site.
On national competitive standing for the imaging code, the provider is an outlier: 93458 ranks #85 of 7990 providers nationally (99th percentile; extreme outlier), indicating unusually high national-volume reporting for coronary angiography imaging supervision/interpretation. By contrast, C9600 ranks #19 of 62 (69th percentile; typical, unremarkable volume) and 33208 ranks #507 of 3026 (82th percentile; typical, unremarkable volume), so the facility is a clear national leader on the imaging metric but more typical on stent and pacemaker procedural volumes.
Within the state Medicaid peer set 93458 ranks #1 of 2 providers (100th percentile; typical, unremarkable volume), which puts the clinic at the top of a very small in-state comparison group for this code. That top ranking should be interpreted cautiously due to the tiny statewide peer sample informing the rank.
Tenure and operational maturity are relatively recent: the NPI was enumerated 2021-11-10 (~5 years ago), yet the provider has already generated substantial Medicare billing and a high national-volume signal for 93458. This suggests rapid development of cath lab activity and procedural throughput in a short timeframe.
Clinical service-line implications for contracting and competitive strategy: the mix of high-volume angiography (93458) and device work (33208, 33228, 33285) implies bundled capabilities—diagnostic imaging, percutaneous coronary intervention (C9600), and cardiac device implantation—making the center a candidate for episode-based arrangements or device-service line negotiations. Payers should note the provider’s concentrated dependence on a few high-revenue cardiac procedures when assessing network value and reimbursement leverage.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 60 | $5,330 | $319.6K |
| 33208 | The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle. | 40 | $6,490 | $240.1K |
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 180 | $1,090 | $199.1K |
| 33228 | The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart… | 20 | $6,180 | $123.5K |
| 33285 | The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions. | 20 | $5,920 | $100.7K |
| 93459 | In this procedure, the provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into the… | 20 | $1,090 | $26.2K |
| 93454 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis… | 10 | $1,200 | $15.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 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 |
|---|---|---|---|---|
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 190 | $710 | $136.7K |
| 92920 | The provider inserts a balloon catheter through the skin (percutaneous approach) and guides it into the heart's arteries. The provider inflates the balloon at the narrowed area to improve blood flow.… | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 1 | 10 | 100 | $660 | $69.1K |
| 92920 | The provider inserts a balloon catheter through the skin (percutaneous approach) and guides it into the heart's arteries. The provider inflates the balloon at the narrowed area to improve blood flow.… | 1 | 10 | 10 | $0 | $0 |
Other providers in the same ZIP code as Pacific Cardiovascular Center, LLC, ranked by combined Medicare and Medicaid revenue.
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