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NPI 1811515034 · Silverdale, WA · Ambulatory Surgical Clinic/Center
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Salmon Surgery Center LLC is a ambulatory surgical clinic/center provider located in Silverdale, Washington. This profile covers 26 Medicare and 3 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 | Salmon Surgery Center LLC |
| Address | 2200 Nw Myhre Rd |
| City | Silverdale |
| State | WA |
| ZIP | 98383 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 14, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $44.3K |
SALMON SURGERY CENTER LLC is an ambulatory surgical clinic/center in SILVERDALE, WA that has been NPI-enumerated since 2020-07-14 (~6 years ago), indicating several years of Medicare/Medicaid billing history to evaluate operational patterns and referral relationships. Its lifetime Medicare revenue of $2.3M far exceeds its Medicaid revenue of $44.3K, making Medicare the overwhelmingly dominant payer and effectively the primary commercial footprint for this facility.
Medicare revenue concentration is high: the precomputed top three Medicare codes account for 51.8% of the provider's total Medicare revenue. Those top codes include high-volume and high-reimbursement procedures such as 63685 and 63650 (spinal neurostimulator generator placement and epidural electrode placement), which together with transforaminal and facet injection services indicate spine and interventional pain management are core service lines driving more than half of Medicare revenue.
On Medicaid the revenue is very small in absolute terms ($44.3K) and more concentrated — the top three Medicaid codes account for 100.0% of Medicaid revenue — with code 64483 (transforaminal epidural injection) alone representing $38.2K (86.3% of Medicaid revenue). This suggests Medicaid activity is almost entirely limited to interventional spine/pain injection services rather than a broader ambulatory surgical mix.
Procedure mix and descriptions across both payers point to a specialty focus on interventional pain and spinal procedures (64483, 64635, 64493, G0260) with supplemental ophthalmologic and endoscopy services (66984, 66982, 45385) comprising smaller but material Medicare revenue streams. The presence of high-volume image-guided injections and neurotomy codes implies investment in fluoroscopic/CT guidance capabilities and staffing that support repeated outpatient spine procedures.
Competitive standing varies by code: SALMON SURGERY CENTER ranks as an extreme outlier at or above the 99th percentile nationally for several injection and neurotomy codes (64483 rank #63 of 8202; 64635 rank #45 of 5957; 64493 rank #48 of 7519; 64490 rank #58 of 3759), indicating it performs these services at volumes far above typical national peers. Conversely, for implant and ophthalmic codes such as 63685 (75th percentile) and 66984 (57th percentile), the provider sits at more typical national volumes, suggesting leadership in injection-based spine care but more modest share in device implant and cataract services.
When benchmarked in-state for Medicaid, the provider’s volume for 64483 ranks #11 of 40 (74th percentile) and for G0260 ranks #4 of 5 (25th percentile), indicating its Medicaid footprint for transforaminal injections is ordinary among Washington peers, but sacroiliac injection volume on Medicaid is limited relative to the small in-state comparison set. This reinforces that Medicaid business is limited and concentrated relative to its Medicare activity.
The clinical and revenue profile implies business/service-line implications: the center operates as a high-throughput ambulatory hub for interventional spine and pain management, likely structured around same-day injection and neuroablation workflows, while maintaining ancillary surgical capabilities (e.g., cataract extraction and colonoscopy) that contribute secondary Medicare revenue. Given the heavy Medicare skew, payer negotiations and capacity planning should prioritize Medicare-driven demand and scheduling for image-guided spine procedures.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 63685 | The provider inserts or replaces a spinal neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that requires a connection… | 30 | $21,160 | $528.9K |
| 63650 | In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms. | 100 | $4,120 | $408.3K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 770 | $320 | $250.8K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 350 | $570 | $197.3K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 540 | $300 | $158.7K |
| 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… | 140 | $930 | $128.8K |
| 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… | 170 | $510 | $86.5K |
| 64721 | Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which… | 120 | $690 | $84.7K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 300 | $230 | $69.9K |
| 64633 | In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of… | 100 | $650 | $65.9K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 63685 | 6 | 30 | 20 | $8,250 | $148.4K |
| 63650 | 3 | 40 | 50 | $1,960 | $109.9K |
| 66984 | 132 | 460 | 50 | $560 | $97.5K |
| 45385 | 50 | 380 | 70 | $290 | $31K |
| 66982 | 25 | 120 | 30 | $720 | $27.3K |
| 64635 | 1 | 90 | 30 | $400 | $21.2K |
| G0260 | 1 | 20 | 60 | $230 | $19.8K |
| 64483 | 4 | 160 | 50 | $200 | $19.7K |
| 64721 | 3 | 70 | 30 | $450 | $19.7K |
| 45380 | 350 | 370 | 60 | $190 | $16.4K |
Showing 1–10 of 26
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 180 | $210 | $38.2K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 20 | $180 | $3.3K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 20 | $120 | $2.8K |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 11 | 40 | 80 | $210 | $63.2K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 16 | 20 | 50 | $290 | $54.5K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 4 | 10 | 30 | $160 | $7.9K |
Other providers in the same ZIP code as Salmon Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.
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