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.

Salem Emergency Physicians Service, PC (NPI 1063454395)

Key Findings

Field	Value
Entity Type	Organization
Organization	Salem Emergency Physicians Service, PC
Address	890 Oak Street
City	Salem
State	OR
ZIP	97301
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$25.9M
Medicare	$0

SALem EMERGENCY PHYSICIANS SERVICE, PC is effectively a single-payer Medicaid billing operation — there is no Medicare revenue on file while total Medicaid revenue is $25.9M. This concentration of revenue with Medicaid indicates the provider’s economic footprint is driven entirely by state program payments rather than Medicare fee-for-service business.

Revenue is heavily concentrated in emergency department E/M services: the three highest-revenue Medicaid codes (99285, 99284, 99283) together account for 89.9% of the provider’s Medicaid revenue. That concentration shows the practice’s primary service line is acute emergency care with the vast majority of payments tied to ED visit levels.

99285 alone generated $12M in Medicaid revenue (46.4% of the provider’s Medicaid total) and the provider reported 97.6K claims for the code; the provider ranks #2 of 129 in-state and is described as an extreme outlier. This establishes the group as a very high-volume, state-level provider of high-complexity emergency visits compared with peers.

99284 produced $10.1M in Medicaid revenue (38.9% of the provider’s Medicaid total) across 108.3K claims and also ranks #2 of 145 in-state as an extreme outlier. The combination of very large volumes for both 99285 and 99284 indicates the practice manages a sustained, high throughput of moderate- to high-acuity ED presentations.

Lower-acuity ED visits (99283) and inpatient/observation E/M (99223) appear in the top codes but represent much smaller shares: 99283 accounts for $1.2M (4.6% of Medicaid revenue) and ranks at a typical in-state volume (71st percentile), while 99223 contributes $1.1M (4.1% of Medicaid revenue) and ranks #1 of 77 (100th percentile), marking it as an unusually large contributor among inpatient E/M codes. Together these suggest the organization also provides some high-level inpatient/observation throughput in addition to ED services.

The presence of critical care codes (99291 and 99292) and high-volume ECG interpretation (93010) among the top Medicaid codes indicates the group delivers not only high-acuity emergency evaluation (including time-based critical care) but also frequent cardiac monitoring services in the ED setting. 99291 accounts for $879.4K (3.4% of Medicaid revenue) and ranks in the 90th percentile, while 93010 contributed $415K (1.6% of Medicaid revenue) and ranks notably above typical state volume (97th percentile).

Competitive standing across the state is strong for multiple high-acuity codes: the provider is among the top-ranked performers statewide for 99285 and 99284 (both extreme outliers in the 99th percentile), and it is #1 in-state for 99223 and 99236. These rank positions identify the provider as a dominant emergency medicine billing entity within Oregon for complex ED and certain inpatient encounter codes.

NPI enumeration dates to 2006-06-12 (approximately 20 years ago), indicating a long tenure in the provider registry. That long-standing enumeration paired with consistently high-volume Medicaid billing for ED services suggests an established emergency medicine practice with sustained operational presence in its market.

Although many high-volume codes drive revenue, several procedure codes return negligible or no paid Medicaid revenue (for example, G9744 and 99053 show $0 paid). These zero-paid code entries likely reflect administrative, quality, or facility-status reporting rather than revenue-generating services, and they do not materially change the provider’s Medicaid revenue profile which is dominated by ED E/M codes.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	97,640	$120	$12M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	108,350	$90	$10.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	23,050	$50	$1.2M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8,310	$130	$1.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6,470	$140	$879.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	69,160	$10	$415K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1,210	$170	$200K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	460	$50	$23K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	140	$100	$14.2K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	50	$10	$270

Showing 1–10 of 12

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

Salem Emergency Physicians Service, PC — 5 of 10 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	150	7,400	$170	$2.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2	130	2,610	$200	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	41	140	10,160	$130	$2.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5	40	380	$130	$326.9K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3	10	40	$90	$89.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	80	110	$100	$89.6K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1	10	320	$160	$88.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5	140	710	$10	$48.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	13	50	100	$50	$20.8K
99053	The provider renders overnight services at a 24 hour facility.	2	10	360	$1	$10.9K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salem Health	OR	General Acute Care Hospital	$0	$65.7M
Bridgeway Recovery Services	OR	Addiction (Substance Use Disorder) Counselor	$0	$45.9M
Falck Northwest Corp	OR	Land Ambulance	$1.1M	$20.8M
Marion County	OR	Adult Mental Health Clinic/Center	$0	$12M
Norco, Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$9.2M
Childhood Health Associates Of Salem	OR	Pediatrics Physician	$0	$7.8M
Wvp Medical Group, LLC	OR	Community/Behavioral Health Agency	$0	$7.6M
Salem Radiology Consultants PC	OR	Diagnostic Radiology Physician	$0	$6.6M
Salem Health Professional Services	OR	General Acute Care Hospital	$0	$6M
Marion County	OR	Methadone Clinic	$157.4K	$4.7M

Salem Emergency Physicians Service, PC — Billing Profile & Reimbursement Data

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Salem Emergency Physicians Service, PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jordan Barnhart	OR	Emergency Medicine Physician	$74.5K	$0
Deirdre Witte	OR	Emergency Medicine Physician	$61K	$0
Shane Peterson	OR	Emergency Medicine Physician	$51.5K	$0
Amanda Johnston	OR	Emergency Medicine Physician	$38.8K	$0
Ryan Rose	OH	Emergency Medicine Physician	$35.7K	$0
Julie Agee	WY	Family Nurse Practitioner	$990	$0