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.

Columbia Lutheran Charities (NPI 1134146939)

Key Findings

Field	Value
Entity Type	Organization
Organization	Columbia Lutheran Charities
Address	2111 Exchange St
City	Astoria
State	OR
ZIP	97103
Taxonomy	Critical Access Hospital
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

COLUMBIA LUTHERAN CHARITIES is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $21.5M. This makes the organization's financial footprint in claims data entirely Medicaid-driven, which has implications for payer contracting and risk exposure concentrated in state programs rather than federal Medicare flows.

Revenue concentration is high: the precomputed top three Medicaid billing codes account for 77.1% of the provider’s total Medicaid revenue. This indicates that a few high-volume emergency department E/M codes (99284, 99283, 99285) dominate the economic profile and that changes in reimbursement or utilization for these services would disproportionately affect overall revenue.

The provider’s code mix and highest-revenue codes show an emergency-department–focused operation: 99284 ($8M, 38.3%), 99283 ($4.5M, 21.6%), and 99285 ($3.6M, 17.2%) together drive the majority of revenue and reflect a concentration on ED evaluation and management at low-to-high complexity levels. This pattern is consistent with a Critical Access Hospital that provides local emergency care and related ancillary services rather than a specialist outpatient or elective procedural center.

Competitive standing on core ED codes is modest within the state. For the top revenue code 99284 the provider ranks #29 of 145 (81st percentile), for 99283 it ranks #48 of 137 (65th percentile), and for 99285 it ranks #50 of 129 (62nd percentile). Those percentiles place the provider in a typical volume band statewide — it is a meaningful local ED presence but not a dominant statewide hub for emergency visits.

Several ancillary services complement the ED-dominant mix: high claim counts appear for common ED labs, imaging, and basic cardiac testing such as 93005 (7.3K claims, $589.3K revenue), 85025 (21.4K claims, $533.8K), 80053 (15.7K claims, $439.4K), and 93010 (4.2K claims, $42.3K). These lines together indicate on-site diagnostics and monitoring capacity that support emergency and inpatient throughput typical of a Critical Access Hospital.

Utilization intensity shows both high-volume low-price items and lower-volume higher-paid services. Large claim volumes for low-paid lab and nursing services (e.g., 85025 and 36415) sit alongside fewer but higher-paid ED E/M claims (e.g., 99284 average paid $293, 99285 average paid $454). That mix is consistent with high ED visit counts stabilized by routine diagnostic throughput.

Tenure in the NPI registry is long: the provider was enumerated around 2006-07-16 (~20 years ago). This duration suggests established operations and a stable presence in the local market, which aligns with its role as a community Critical Access Hospital delivering emergency and basic inpatient services.

Several specific codes show relatively strong percentile positions for ancillary testing, indicating local specialization in some diagnostics: for example, 36415 ranks #51 of 415 (88th percentile) and 81003 ranks #15 of 160 (91st percentile). These rankings suggest the provider is an above-typical regional source for routine specimen collection and urinalysis within the state.

Overall, payers and network planners should treat COLUMBIA LUTHERAN CHARITIES as a Medicaid-centric, ED-focused Critical Access Hospital with concentrated revenue risk tied to three ED E/M codes (77.1% of Medicaid revenue). Its statewide volumes are typical rather than market-leading, but its long tenure and strong ancillary testing volumes make it an important community access point for emergency and basic diagnostic services.

Medicaid: Complete Services Breakdown

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

97 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.	27,440	$290	$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.	18,790	$240	$4.5M
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.	7,930	$450	$3.6M
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.	11,410	$120	$1.4M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	7,280	$80	$589.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	21,350	$30	$533.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	15,690	$30	$439.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,010	$200	$401.2K
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…	4,650	$60	$256K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,890	$90	$172.3K

Showing 1–10 of 97

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

Columbia Lutheran Charities — 0 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

97 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.	29	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.	50	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.	48	140	10,160	$130	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	39	60	3,620	$90	$623.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	75	80	1,420	$60	$368.8K
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.	8	80	1,130	$90	$327.2K
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…	441	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…	88	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.	66	100	250	$80	$268K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	93	290	770	$60	$252K

Showing 1–10 of 97

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia Lutheran Charities	OR	Surgery Physician	$0	$4.7M
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Jon Ekstrom	OR	Diagnostic Radiology Physician	$345.7K	$880
Scott Sullivan	CT	Diagnostic Radiology Physician	$219K	$0
James Rickards	MN	Diagnostic Radiology Physician	$177.2K	$970
Sangkun Park	OR	Internal Medicine Physician	$163.6K	$0
Kevin Mcdonnell	MN	Diagnostic Radiology Physician	$140.1K	$17K
Marc Paul	MD	Diagnostic Radiology Physician	$150.8K	$0
Sunil Gujrathi	NV	Diagnostic Radiology Physician	$86.1K	$63.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoreline Counseling LLC	OR	Clinical Social Worker	$0	$1.7M
North Coast Home Care, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$1.4M
Todd Williams	OR	Nurse Practitioner	$234K	$0
Megan Mcchesney	OR	Ophthalmology Physician	$207.3K	$0
Aaron Sasaki	OR	Internal Medicine Physician	$204.6K	$0
Sangeeta Kalsi	OR	Ophthalmology Physician	$192.2K	$0
Angela Nairn	OR	Family Medicine Physician	$128.8K	$0
Shannon Marsh	OR	Family Nurse Practitioner	$105.6K	$0
Robert Morse	OR	Cardiovascular Disease Physician	$70.4K	$0
Ashley Calvert	OR	Optometrist	$62.2K	$0

Columbia Lutheran Charities — 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