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.

Uptown Providers PC (NPI 1144598293)

Uptown Providers PC is a general practice physician provider located in Portland, Oregon. This profile covers 0 Medicare and 38 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	Uptown Providers PC
Address	25 Nw 23rd Pl
City	Portland
State	OR
ZIP	97210
Taxonomy	General Practice Physician
NPI Enumerated	December 5, 2011

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,340	$90	$307.6K
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…	3,800	$70	$250.5K
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…	1,740	$90	$149.4K
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…	640	$130	$80.9K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	690	$90	$65K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,310	$40	$48.4K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	2,580	$10	$18.1K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	50	$240	$12.9K
S9088	Services provided in an urgent care center (list in addition to code for service)	4,210	$1	$8.4K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	2,700	$1	$8.1K

Showing 1–10 of 38

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

Uptown Providers PC — 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	43	60	460	$40	$327.4K
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…	354	1,500	650	$70	$312.4K
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…	308	1,590	590	$50	$236.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	34	70	350	$40	$189.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	34	70	350	$40	$189.3K
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.	110	140	5,430	$10	$147.7K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	21	30	60	$40	$104.8K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	11	20	270	$40	$88.8K
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…	70	600	120	$80	$83.3K
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…	128	160	2,690	$1	$81.3K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bon Secours Ambulatory Services - St. Francis, LLC	SC	Urgent Care Clinic/Center	$0	$6.4M
Uptown Providers Inc	OR	Urgent Care Clinic/Center	$0	$2.8M
Uptown Providers PC	OR	Urgent Care Clinic/Center	$0	$2.2M
Uptown Providers PC	OR	General Practice Physician	$0	$2.1M
Amber Vogt	OR	Emergency Medicine Physician	$362.7K	$0
Kristofer Mcallister	OR	Medical Physician Assistant	$159.2K	$0
Dmitriy Shore	OR	Medical Physician Assistant	$50.9K	$0
Andrew Miller	OR	General Practice Physician	$27.4K	$0
Sue Lewis	OR	Internal Medicine Physician	$22.8K	$0
Christine Smith	OR	Family Nurse Practitioner	$20.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Clinics LLC	OR	Clinic/Center	$35.6K	$48.7M
Legacy Good Samaritan Hospital And Medical Center	OR	General Acute Care Hospital	$0	$18.3M
Metropolitan Pediatrics, LLC	OR	Pediatrics Physician	$0	$15M
Legacy Good Samaritan Hospital And Medical Center	OR	Clinic/Center	$0	$3.9M
Northwest Renal Clinic, Inc.	OR	Nephrology Physician	$0	$2.5M
Connections First, LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Ngc Endoscopy Services LLC	OR	Ambulatory Surgical Clinic/Center	$437.7K	$1.6M
Kjb Consulting Corporation	OR	Physical Therapy Clinic/Center	$0	$1.8M
Therapeutic Associates Inc	OR	Physical Therapist	$0	$1.3M
Andre Barkhuizen	OR	Rheumatology Physician	$349.9K	$0

Uptown Providers PC — Billing Profile & Reimbursement Data

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Uptown Providers PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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