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.

Tuality Medical Group LLC (NPI 1073929782)

Tuality Medical Group LLC is a internal medicine physician provider located in Hillsboro, Oregon. This profile covers 0 Medicare and 139 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	Tuality Medical Group LLC
Address	335 Se 8th Ave
City	Hillsboro
State	OR
ZIP	97123
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 2, 2014

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

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

139 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	30,410	$90	$2.6M
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…	34,920	$50	$1.9M
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…	25,400	$70	$1.8M
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.	28,880	$50	$1.5M
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.	10,120	$110	$1.1M
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…	4,330	$80	$342.1K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,410	$60	$329.7K
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…	2,320	$110	$264K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,640	$60	$160.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30,610	$10	$153.1K

Showing 1–10 of 139

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

Tuality Medical Group LLC — 5 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

139 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.	23	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.	44	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.	32	140	10,160	$130	$2.3M
S0317	Disease management program; per diem	2	10	670	$1,780	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	38	80	1,130	$90	$327.2K
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…	24	40	380	$130	$326.9K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	31	40	310	$420	$325.7K
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…	60	1,500	650	$70	$312.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	28	90	530	$50	$281.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14	100	250	$80	$268K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$5.8M
Lanceford Chong	OR	Radiation Oncology Physician	$277.4K	$0
Preetivi Ellis	OR	Hospitalist Physician	$169.5K	$0
Amber Hertz-tang	OR	Nephrology Physician	$110.6K	$0
Hongshi Xu	WA	Nephrology Physician	$107.1K	$0
Arthur Hung	OR	Radiation Oncology Physician	$103.7K	$0
Charles Henrikson	OR	Clinical Cardiac Electrophysiology Physician	$95.7K	$0
Armando Camara	OR	Cardiovascular Disease Physician	$90.8K	$0
Divine Ribakare	CA	Nephrology Physician	$88.7K	$0
Kevin Woolf	OR	Cardiovascular Disease Physician	$86.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tuality Healthcare	OR	General Acute Care Hospital	$0	$27.8M
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
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Acorn Dentistry For Kids - Hillsboro, LLC	OR	Dental Clinic/Center	$0	$1.3M
Nw Preventive And Primary Care	OR	Naturopath	$0	$1.1M

Tuality Medical Group LLC — Billing Profile & Reimbursement Data

Sign up for Tuality Medical Group LLC — Billing Profile & Reimbursement Data policy alerts

Tuality Medical Group LLC — Billing Profile & Reimbursement Data

Sign up for Tuality Medical Group LLC — 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