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.

Todd Gillingham (NPI 1033163027)

Field	Value
Entity Type	Individual
Organization	Todd Gillingham
Address	17200 Nw Corridor Ct Ste 110
City	Beaverton
State	OR
ZIP	97006
Taxonomy	Family Medicine Physician
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicare	$41.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 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…	160	$80	$12.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	$130	$11.9K
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…	130	$50	$6.3K
90671	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 15–valent vaccine, protecting against 15 strains of the…	20	$240	$3.9K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	10	$130	$1.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	180	$10	$1.4K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	20	$70	$1.4K
G0009	Administration of pneumococcal vaccine	30	$30	$870
G0008	Administration of influenza virus vaccine	20	$30	$620
99441	N/A	10	$30	$340

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Todd Gillingham — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,695	6,070	80	$70	$10.3K
G0439	219	1,110	40	$90	$5.9K
99213	1,295	5,480	60	$50	$5.7K
90662	473	640	40	$70	$5K
90671	3	10	10	$230	$3.7K
36415	235	1,030	60	$10	$2.5K
90732	12	20	20	$130	$2.4K
G0008	881	1,220	30	$30	$2K
99441	125	150	20	$30	$1.4K
G0009	117	570	20	$30	$660

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Todd Gillingham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wolf Pack Consulting And Therapeutic Services LLC	OR	Mental Health Counselor	$0	$6.2M
Faith, Hope & Healing	OR	Professional Counselor	$0	$3.5M
Columbia Care LLC	OR	In Home Supportive Care Agency	$0	$2.6M
Richard Hsu	OR	Pediatric Dentistry	$0	$1.1M
James Cenova	OR	Orthopedic Physical Therapist	$168.4K	$0
Ralph Delius	OR	Phlebology Physician	$137.2K	$0
Costco Wholesale Corporation	OR	Community/Retail Pharmacy	$129.8K	$0
Natacha Yonezuka-gullo	OR	Physician Assistant	$76.9K	$0
Samuel Suk	OR	Geriatric Medicine (Family Medicine) Physician	$56.1K	$0
Michaela Watson	OR	Occupational Therapist	$54.6K	$0

Todd Gillingham — Billing Profile & Reimbursement Data

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Todd Gillingham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References