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    OpenPayerNPI Medicare & MedicaidOregon Specialists Surgery Center LLC
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    Oregon Specialists Surgery Center LLC — Billing Profile & Reimbursement Data

    NPI 1972902286 · Salem, OR · Ambulatory Surgical Clinic/Center

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    Oregon Specialists Surgery Center LLC is a ambulatory surgical clinic/center provider located in Salem, Oregon. This profile covers 16 Medicare and 9 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)

    FieldValue
    Entity TypeOrganization
    OrganizationOregon Specialists Surgery Center LLC
    Address2785 River Rd S
    CitySalem
    StateOR
    ZIP97302
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedAugust 22, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$21.4K

    Key Findings

    OREGON SPECIALISTS SURGERY CENTER LLC’s billing mix is concentrated in interventional pain management and neurostimulator implantation. The top Medicare codes are 63685, 63650, and 64590 — procedures to implant or replace spinal and peripheral neurostimulator generators and to place epidural electrodes — and the facility also bills a high volume of image‑guided injection and neurolytic procedures, indicating an ambulatory surgical center focused on implantable pain devices and interventional spine care.

    Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 63.7% of this provider’s total Medicare revenue. Individually, 63685 produced $802.3K (31.5%), 63650 produced $559.2K (22.0%), and 64590 produced $260.1K (10.2%) of Medicare revenue, showing dependence on a small set of high‑value implant and electrode placement services.

    Medicaid revenue is even more concentrated: the precomputed top 3 Medicaid codes account for 87.0% of the provider’s total Medicaid revenue. The Medicaid mix is dominated by 66984 ($8.6K, 39.5%), G0260 ($5.7K, 26.5%), and C9290 ($4.6K, 21.0%), which suggests the center’s limited Medicaid activity is focused on cataract cases and sacroiliac injection services plus use of C9290 on the Medicaid side.

    The payer mix is strongly Medicare‑skewed: total Medicare revenue is $2.6M versus total Medicaid revenue of $21.4K, so the practice operates effectively as a Medicare‑driven ambulatory surgery center with only nominal Medicaid receipts. This scale difference means Medicare utilization and reimbursement trends will dominate any revenue or utilization analyses for this entity.

    On competitive standing, the provider shows above‑typical national volume for several interventional pain codes: 63650 ranks #85 of 1371 providers nationally (94th percentile, notably above typical national volume) and C9290 ranks #11 of 451 providers nationally (98th percentile, notably above typical national volume). Conversely, some services are modest or niche relative to national peers: 66984 for cataract surgery ranks in the 16th percentile nationally, indicating that ophthalmology is a small component of activity.

    There are clear statistical outliers in the Medicare portfolio that suggest unusually high procedural throughput for specific pain interventions. Code 64635 is labeled an “extreme outlier” (249 claims, $136.2K, ranks #97 of 5957 providers nationally, 98th percentile), and multiple facet‑injection codes (for example 64493 and 64490) also rank in high national percentiles, underscoring a facility‑level emphasis on repeated image‑guided spinal injections and ablations.

    Within the state Medicaid market the center appears locally prominent for a few services despite low absolute Medicaid revenue: G0260 and C9290 each rank #1 among in-state providers for those codes, indicating the facility is a leading in-state provider for sacroiliac injection procedures and for billing C9290 to Medicaid, even though total Medicaid revenue is small. The presence of high‑volume, $0‑paid administrative/quality codes in Medicaid (G8918 and G8907 with ~1.6K claims each) also points to substantial facility reporting activity that doesn’t translate into Medicaid dollars.

    The provider has an established operational history: NPI enumerated on 2014-08-22 (~12 years ago), indicating roughly a decade of Medicare and Medicaid billing data to evaluate for trends. That tenure supports using these high‑volume code patterns as durable elements of the center’s business profile rather than one‑off anomalies.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    63685The 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…40$20,570$802.3K
    63650In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.140$4,020$559.2K
    64590The provider inserts or replaces a peripheral, sacral, or gastric neurostimulator pulse generator or receiver. The system is one that requires surgical creation of a pocket for placement and that…20$16,260$260.1K
    64575The provider uses an open approach to implant a peripheral nerve neurostimulator electrode array. The provider may perform this service to treat chronic pain. This procedure is not done on a sacral…30$9,500$256.4K
    64555A neurostimulator includes electrodes which are inserted under the skin and induced by a generator to stimulate the nerve tissue. Use of this stimulator involves implantation of electrodes around a…30$4,710$141.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.250$550$136.2K
    64493The 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…300$290$86.4K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography310$230$69.3K
    64483This 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).170$320$53.6K
    C9290Injection, bupivacaine liposome, 1 mg48,550$1$48.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6457511030$9,500$256.4K
    6368522020$11,390$239.2K
    6365034040$2,140$117.8K
    6459011010$8,170$114.4K
    6698421126070$540$82.7K
    6455511030$2,980$80.4K
    6463528040$430$24K
    G026012060$220$23.9K
    644831410050$220$19K
    6449359050$210$16.9K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…20$500$8.6K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography160$40$5.7K
    C9290Injection, bupivacaine liposome, 1 mg460$10$4.5K
    64493The 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…80$20$1.4K
    64483This 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).20$60$1.4K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$1$40
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…20$0$0
    G8907Patient 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…1,580$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis1,570$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The 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…3440120$330$175.5K
    G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography11080$110$10.6K
    64493The 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…21080$140$10.5K
    64483This 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).61030$80$8.8K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.21030$270$8K
    C9290Injection, bupivacaine liposome, 1 mg110250$20$6.2K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…41090$20$1.9K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis220250$1$10
    G8907Patient 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…440110$1$1

    Nearby Providers

    Other providers in the same ZIP code as Oregon Specialists Surgery Center LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crc Health Oregon, LLCORMethadone Clinic$485.5K$26.1M
    Salem Psychiatric Associates PCORClinical Social Worker$0$22.7M
    Shangri-la CorporationORMental Illness Community Based Residential Treatment Facility$0$13.5M
    Cascade Infectious Diseases And Infusion LLCORInfusion Therapy Clinic/Center$0$9.6M
    Salem Pediatric ClinicORPediatrics Physician$0$9M
    Silver Falls Dermatology, LLCORDermatology Physician$0$6.8M
    Retina Consultants, LLPOROphthalmology Physician$0$6.6M
    Cascade Sleep Supply, LLC.ORDurable Medical Equipment & Medical Supplies$0$6.1M
    Creating PathwaysORSpeech-Language Pathologist$0$5.7M
    Salem Pulmonary Associates P.C.ORPulmonary Disease Physician$0$4.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Oregon Specialists Surgery Center LLC — 8 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Oregon Specialists Surgery Center LLC — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon