Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Legacy Meridian Park Hospital (NPI 1023305034)

Legacy Meridian Park Hospital is a hospitalist physician provider located in Tualatin, Oregon. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Legacy Meridian Park Hospital
Address	19300 Sw 65th Ave
City	Tualatin
State	OR
ZIP	97062
Taxonomy	Hospitalist Physician
NPI Enumerated	June 29, 2011

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	11,390	$90	$979.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	5,890	$130	$741.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	6,770	$70	$446.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,070	$90	$100.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	630	$70	$44.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	520	$50	$24.6K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	2,070	$10	$20.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	210	$70	$13.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	60	$140	$8.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	160	$10	$2.2K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oregon Distribution

Legacy Meridian Park Hospital — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	16	80	1,420	$60	$368.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	132	1,500	650	$70	$312.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	45	290	770	$60	$252K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	774	1,590	590	$50	$236.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	202	350	760	$30	$116.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	541	600	120	$80	$83.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	180	310	280	$70	$82K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	99	530	150	$110	$74.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	306	530	80	$120	$68.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	241	420	520	$1	$20K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Legacy Meridian Park Hospital	OR	General Acute Care Hospital	$0	$13.3M
Sandeep Garg	OR	Cardiovascular Disease Physician	$303.4K	$0
Randall Harada	WA	Interventional Cardiology Physician	$303.2K	$0
Christina Mcdowell	VA	Cardiovascular Disease Physician	$293.1K	$0
David Philips	WA	Interventional Cardiology Physician	$268.4K	$0
Amish Desai	OR	Interventional Cardiology Physician	$201.5K	$0
Peter Banitt	OR	Interventional Cardiology Physician	$189K	$0
Sajal Dutta	OR	Urology Physician	$185.5K	$0
Mayank Agrawal	WA	Interventional Cardiology Physician	$141.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danny Sadakah	OR	Dentist	$0	$11.8M
United Seating And Mobility LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Tualatin Imaging P C	OR	Diagnostic Radiology Physician	$0	$2.8M
Gso Equipment Corp	OR	Endoscopy Clinic/Center	$528K	$1.2M
Or Krew, LLC	OR	Home Health Agency	$0	$1.4M
Oregon Pediatrics- Meridian Park, LLC	OR	Pediatrics Physician	$0	$1.2M
Cascade Spine Center, LLC	OR	Ambulatory Surgical Clinic/Center	$1.1M	$0
Pacific Cataract And Laser Institute, Inc., P.C.	OR	Ambulatory Surgical Clinic/Center	$1M	$66.9K
Ian Schnadig	OR	Hematology & Oncology Physician	$721K	$0
South Portland Surgical Center LLC	OR	Ambulatory Surgical Clinic/Center	$583.5K	$0

Legacy Meridian Park Hospital — Billing Profile & Reimbursement Data

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Legacy Meridian Park Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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