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.

Virginia Garcia Memorial Health Center (NPI 1063779932)

Field	Value
Entity Type	Organization
Organization	Virginia Garcia Memorial Health Center
Address	730 Se Oak St
City	Hillsboro
State	OR
ZIP	97123
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 17, 2012

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	8,190	$40	$303.1K
D1120	Prophylaxis–child	5,540	$40	$243.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	11,990	$20	$239.7K
D2392	Post 2 surface resin‑based composite	2,630	$70	$176.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,760	$60	$157K
D0150	Comprehensive oral evaluation – new or established patient	2,470	$60	$135.9K
D0220	Intraoral - periapical first radiographic image	5,930	$20	$89K
D0210	Intraoral - complete series of radiographic images	1,680	$50	$80.4K
D2391	Resin‑based composite – one surface, posterior	1,210	$50	$65.1K
D0274	N/A	2,650	$20	$55.7K

Showing 1–10 of 32

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

Virginia Garcia Memorial Health Center — 3 of 25 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	121	270	200	$40	$60.1K
D1120	Prophylaxis–child	29	480	350	$30	$55.5K
D2392	Post 2 surface resin‑based composite	29	360	260	$50	$47.6K
D0120	Periodic oral evaluation - established patient	19	610	460	$20	$40.9K
D2150	Amalgam - two surfaces, primary or permanent	19	70	250	$50	$38.4K
D0140	Limited oral evaluation – problem focused	108	560	240	$30	$37.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	29	500	280	$30	$30.5K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	41	120	160	$50	$28.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18	580	430	$10	$28.2K
D0150	Comprehensive oral evaluation – new or established patient	35	530	260	$20	$27.3K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Virginia Garcia Memorial Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$4.1M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$2.9M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$1.2M
David Ko	CT	Family Medicine Physician	$49K	$0
Mary Denman	OR	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$45.4K	$0

Nearby Providers

Other providers in the same ZIP code as Virginia Garcia Memorial Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tuality Healthcare	OR	General Acute Care Hospital	$0	$27.8M
Tuality Medical Group LLC	OR	Internal Medicine Physician	$0	$11.5M
Hillsboro Pediatric Clinic LLC	OR	Pediatrics Physician	$0	$5.4M
Tuality Medical Equipment And Supply	OR	Parenteral & Enteral Nutrition Supplies (DME)	$0	$5.2M
Bridgetown Physical Medicine	OR	Chiropractor	$0	$2.6M
Hillsboro Eye Clinic, PC	OR	Ophthalmology Physician	$0	$2.5M
Washington County Juvenile Shelter	OR	Case Management Agency	$0	$2.4M
Corazon Chiropractic Clinic, LLC	OR	Chiropractor	$0	$2.3M
Acorn Dentistry For Kids - Hillsboro, LLC	OR	Dental Clinic/Center	$0	$1.3M
Nw Preventive And Primary Care	OR	Naturopath	$0	$1.1M

Virginia Garcia Memorial Health Center — Billing Profile & Reimbursement Data

Sign up for Virginia Garcia Memorial Health Center — Billing Profile & Reimbursement Data policy alerts

Virginia Garcia Memorial Health Center — Billing Profile & Reimbursement Data

Sign up for Virginia Garcia Memorial Health Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References