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.

Bay Area Hospital District (NPI 1225016561)

Bay Area Hospital District is a general acute care hospital provider located in Coos Bay, Oregon. This profile covers 0 Medicare and 185 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	Bay Area Hospital District
Address	1775 Thompson Rd
City	Coos Bay
State	OR
ZIP	97420
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 6, 2006

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

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

185 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	38,050	$60	$2.2M
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.	26,510	$80	$2.1M
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.	2,610	$240	$624.5K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	32,320	$20	$484.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	6,410	$60	$410.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10,610	$40	$392.5K
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…	7,170	$40	$286.7K
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.	7,120	$40	$270.4K
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.	2,900	$80	$217.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	32,650	$10	$163.3K

Showing 1–10 of 185

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

Bay Area Hospital District — 2 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

185 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.	31	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.	65	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.	21	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	40	3,200	$60	$1.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	19	60	3,620	$90	$623.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	43	60	420	$60	$405.1K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	17	20	780	$30	$360.1K
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…	22	60	460	$40	$327.4K
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.	16	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…	215	1,500	650	$70	$312.4K

Showing 1–10 of 185

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rohit Kapoor	TX	Hematology & Oncology Physician	$1.2M	$0
Erik Young	OR	Diagnostic Radiology Physician	$648.6K	$0
Ashley Buice	MS	Diagnostic Radiology Physician	$646.2K	$0
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Corey Orton	OR	Diagnostic Radiology Physician	$536.8K	$0
Surekha Boddipalli	IL	Hematology & Oncology Physician	$430.7K	$0
Jon Ekstrom	OR	Diagnostic Radiology Physician	$345.7K	$880
Hyun Soo Jang	OR	Ophthalmology Physician	$299K	$0
Christina Mcdowell	VA	Cardiovascular Disease Physician	$293.1K	$0
Hammad Qadir	OR	Nephrology Physician	$277.5K	$8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Bend Medical Center Inc	OR	Multi-Specialty Clinic/Center	$0	$12.4M
Bay Cities Ambulance	OR	Land Ambulance	$1.7M	$9.5M
Coos County Oregon	OR	Clinic/Center	$0	$8.5M
Cep America LLC	OR	Emergency Medicine Physician	$0	$5.7M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Coos County Oregon	OR	Public Health or Welfare Agency	$15.8K	$3.2M
Coquille Indian Tribe	OR	Clinic/Center	$0	$2.1M
Bay Clinic	OR	Specialist	$0	$2M
Nbmc Day Surgery Inc	OR	Ambulatory Surgical Clinic/Center	$1.1M	$830.1K
Coastal Center, LLC.	OR	Mental Health Counselor	$0	$1.7M

Bay Area Hospital District — Billing Profile & Reimbursement Data

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Bay Area Hospital District — 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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