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 Emanuel Hospital & Health Center (NPI 1073053757)

Field	Value
Entity Type	Organization
Organization	Legacy Emanuel Hospital & Health Center
Address	2800 N Vancouver Ave Ste 201
City	Portland
State	OR
ZIP	97227
Taxonomy	Clinic/Center
NPI Enumerated	March 1, 2017

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99451	A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…	1,140	$680	$777.3K
99205	The provider sees a new 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 provider…	370	$1,240	$453.7K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	400	$310	$124K
99354	N/A	570	$140	$79.9K
99355	N/A	130	$310	$39.4K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	120	$40	$4.2K

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 Emanuel Hospital & Health Center — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99451	A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…	3	10	120	$220	$112.8K
99205	The provider sees a new 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 provider…	24	190	60	$200	$45.6K
99355	N/A	2	10	90	$290	$26.9K
99354	N/A	6	50	130	$90	$23.3K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	37	60	190	$10	$11.5K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	5	50	40	$70	$10.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Legacy Emanuel Hospital & Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$64.2M
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$50.8M
Legacy Clinics LLC	OR	Clinic/Center	$35.6K	$48.7M
Legacy Mount Hood Medical Center	OR	General Acute Care Hospital	$0	$43.2M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Legacy Emanuel Hospital & Health Center	OR	Clinic/Center	$0	$17M
Legacy Salmon Creek Hospital	WA	Clinic/Center	$0	$9.9M
Legacy Emanuel Hospital & Health Center	OR	Rural Health Clinic/Center	$0	$1.8M
Sandeep Garg	OR	Cardiovascular Disease Physician	$303.4K	$0
Randall Harada	WA	Interventional Cardiology Physician	$303.2K	$0

Nearby Providers

Other providers in the same ZIP code as Legacy Emanuel Hospital & Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central City Concern	OR	Substance Abuse Rehabilitation Facility	$0	$6.9M
Pediatric Cardiology Center Of Oregon PC	OR	Pediatric Cardiology Physician	$0	$5.5M
Northwest Surgical Specialists, P.C.	OR	Orthopaedic Surgery Physician	$0	$2.4M
Kaiser Foundation Hospitals	OR	Ambulatory Surgical Clinic/Center	$35.3K	$2.3M
Radiology Consultants, Inc	OR	Diagnostic Radiology Physician	$0	$1.9M
Uplifting Journey LLC	OR	Community/Behavioral Health Agency	$0	$1.3M
Tony Ho	OR	Hematology & Oncology Physician	$796.7K	$0
Gerald Segal	OR	Hematology & Oncology Physician	$583.9K	$0
Julia Obadiah	OR	MOHS-Micrographic Surgery Physician	$444.5K	$0
Spencer Shao	OR	Medical Oncology Physician	$302.8K	$0

Legacy Emanuel Hospital & Health Center — Billing Profile & Reimbursement Data

Sign up for Legacy Emanuel Hospital & Health Center — Billing Profile & Reimbursement Data policy alerts

Legacy Emanuel Hospital & Health Center — Billing Profile & Reimbursement Data

Sign up for Legacy Emanuel Hospital & 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