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NPI 1811962103 · Salem, OR · Ambulatory Surgical Clinic/Center
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Salem Or Ophthalmology Asc LLC is a ambulatory surgical clinic/center provider located in Salem, Oregon. This profile covers 10 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 | Salem Or Ophthalmology Asc LLC |
| Address | 1330 Commercial St Se |
| City | Salem |
| State | OR |
| ZIP | 97302 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | February 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $981K |
Service mix and operation: SALEM OR OPHTHALMOLOGY ASC LLC is an ambulatory surgical clinic/center specializing in cataract and anterior-segment procedures, as shown by dominant use of cataract extraction and lens insertion codes such as 66984, 66991 and 66821. The top Medicare and Medicaid codes’ descriptions (primary lens insertion after extracapsular cataract extraction, insertion of intraocular lens with anterior segment device, and posterior capsulotomy) indicate the facility operates primarily as a cataract surgery ASC with some capacity for complex intraocular and laser follow-up procedures.
Medicare revenue concentration: Total Medicare revenue is $1.2M and is highly concentrated—precomputed data show the top 3 Medicare codes account for 90.0% of Medicare revenue. Within that mix, 66984 alone represents $924K (77.0% of this provider's total Medicare revenue), with 66991 at $93.2K (7.8%) and 66821 at $62.7K (5.2%), signaling that a single cataract procedure drives most Medicare payments.
Medicaid revenue concentration: Total Medicaid revenue is $981K and is even more concentrated—precomputed data report the top 3 Medicaid codes account for 100.0% of Medicaid revenue. Medicaid billing is dominated by 66984, which generates $970.8K (98.9% of this provider's total Medicaid revenue), while 66821 contributes $11K (1.1%) and G8907 reports $0 revenue, indicating near-total dependence on a single Medicaid service line.
Payer mix and scale: The provider bills both Medicare and Medicaid at similar scales, with $1.2M in Medicare revenue versus $981K in Medicaid revenue, so neither payer is negligible and the practice functions as a dual-payer ASC. Medicaid volumes for the primary cataract code are substantial enough to make Medicaid nearly as financially important as Medicare for this entity rather than the practice being effectively single-payer.
Competitive standing — Medicare (national): For Medicare cataract work the provider shows mixed national standing: 66984 ranks #1963 of 15965 (88th percentile) and is described as a typical, unremarkable volume for this code nationally, while 66821 ranks #444 of 10087 (96th percentile), indicating unusually strong national activity for posterior capsulotomy relative to peers. Other Medicare codes such as 66991 rank in the mid-range (e.g., 57th percentile), so overall the center is a respectable but not nationally dominant Medicare participant concentrated on a few ophthalmic procedures.
Competitive standing — Medicaid (state): The provider is a dominant Medicaid performer for cataract extraction in-state: 66984 ranks #2 of 39 providers in-state (97th percentile) and is labeled an extreme outlier, far above typical state volume for this code. That state-level concentration suggests the ASC occupies a leading market position for Medicaid-covered cataract surgeries within Oregon.
Service-line diversification and ancillary procedures: Beyond cataract extraction, the Medicare top-25 shows non-trivial activity in oculoplastic and reconstructive eyelid codes (e.g., 67904 at $23.5K/2.0% and 67917 at $22.8K/1.9% of Medicare revenue) and minor reconstructive codes like 15823 and 67908. These codes collectively indicate some revenue diversification into eyelid and periocular surgery, but their combined shares remain small compared with cataract work.
Tenure and operational implication: The provider’s NPI was enumerated on 2006-02-21 (~20 years ago), indicating long-tenured operation as an ambulatory surgical center. That longevity, coupled with concentrated high-volume cataract billing (especially Medicaid 66984), suggests an established ASC with a sustained focus on cataract service lines rather than a recently formed or broadly diversified multispecialty 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.
10 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… | 1,010 | $910 | $924K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 30 | $2,740 | $93.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 310 | $200 | $62.7K |
| 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… | 30 | $910 | $27.3K |
| 67904 | The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the… | 40 | $570 | $23.5K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 40 | $620 | $22.8K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 30 | $510 | $15.3K |
| 67908 | The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat… | 20 | $600 | $12.5K |
| 14060 | The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less. | 20 | $660 | $10.6K |
| 65426 | During this procedure, the provider excises or transposes the pterygium to improve patient comfort and vision and also performs a graft. | 10 | $730 | $8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 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.
3 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… | 3,290 | $300 | $970.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 100 | $110 | $11K |
| 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… | 150 | $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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2 | 40 | 120 | $330 | $175.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 2 | 10 | 100 | $70 | $28K |
| 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… | 19 | 40 | 110 | $1 | $1 |
Other providers in the same ZIP code as Salem Or Ophthalmology Asc LLC, ranked by combined Medicare and Medicaid revenue.
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