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.

Children's Program (NPI 1124187323)

Field	Value
Entity Type	Organization
Organization	Children's Program
Address	7707 Sw Capitol Hwy
City	Portland
State	OR
ZIP	97219
Taxonomy	Developmental - Behavioral Pediatrics Physician
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,750	$270	$472.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,750	$200	$353.5K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	1,400	$160	$221.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,440	$90	$123.9K
96101	N/A	240	$400	$95.6K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	1,390	$40	$58.2K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	480	$110	$50.8K
90889	The provider prepares a report on a patient’s mental state for other providers of care, including other physicians, agencies, and insurance carriers. This code does not include report preparation in…	180	$50	$9.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	10	$10	$130

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

Children's Program — 4 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	3	30	70	$260	$99.6K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2	30	110	$250	$60K
96101	N/A	5	20	90	$290	$41.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	18	370	60	$110	$41.7K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2	40	80	$100	$21.1K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	1	10	50	$110	$15.6K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	3	30	110	$10	$10.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	77	80	210	$20	$10.2K
90889	The provider prepares a report on a patient’s mental state for other providers of care, including other physicians, agencies, and insurance carriers. This code does not include report preparation in…	4	10	130	$40	$9.4K

Nearby Providers

Other providers in the same ZIP code as Children's Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kashi Clinical Laboratories, LLC	OR	Clinical Medical Laboratory	$337.1K	$5M
Kim Hoang	OR	General Practice Dentistry	$0	$1M
Gregg Coodley	OR	Internal Medicine Physician	$86.5K	$0
George Demetrion	OR	Internal Medicine Physician	$65.5K	$0
Christina Oliver	OR	Internal Medicine Physician	$59.9K	$0

Children's Program — Billing Profile & Reimbursement Data

Sign up for Children's Program — Billing Profile & Reimbursement Data policy alerts

Children's Program — Billing Profile & Reimbursement Data

Sign up for Children's Program — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References